静脉留置针与硬膜外导管在泪小管吻合术中的应用对比

Comparison of the clinical effect of two different filling material on treating lacrimal canaliculi rupture

目的比较静脉留置针与硬膜外导管应用于泪小管断裂吻合术中的临床疗效。方法将泪小管断裂166例(166眼)按照随机的原则分成2组:A组(静脉留置针组)82例,B组(硬膜外导管组)84例。观察手术拔管后18月内溢泪及冲洗泪道通畅情况。结果A组治愈78眼(95.12%);B组治愈72眼(85.71%)。A组与B组差异有统计学意义(P<0.05)。结论静脉留置针治愈率高,留置于吻合道中,对防止粘连、抑制纤维化及减轻吻合口收缩起重要作用,是较为安全,有效,使用方便的留置物。

Objective To evaluate the clinical effect of two different filling material on treating lacrimal canaliculi rupture：vein detain needle, epidural catheter. Methods 166 patients （166 eyes） with lacrimal canaliculi rupture were divided into two groups randomly： group A （82 eyes） accepted vein detain needle as a filling material in lacrimal canaliculi Papture, groupB （84 eyes） accepted epidural catheter. The condition of epiphora and irrigation of lacrimal passage were observed in 18 months after the operation continuously. Results GroupA, There were 78 eyes cured （95.12%）. GroupB, There were 72 eyes cured （85. 71%）. There was significant statistical difference between the two groups in the surgical success rate and the operative complications （P 〈 0.05）. Conclusions It is believed that the A group with higher success rate. Vein detain needle play a important function in preventing adhesion and inhabiting fibrous tissue growth and reducing contraction of anastomosis. Vein detain needle is a safe、 effective and ideal filling material for treatment of lacrimal canaliculi rupture.