睑内侧韧带牵引法寻找泪小管鼻侧断端

Finding canaliculus breakage by traction of internal palpebra ligament

目的观察睑内侧韧带牵引法寻找泪小管鼻侧断端的疗效。方法下泪小管断裂患者38例(38眼),通过暴露创口、提高创口内侧壁张力、牵引睑内侧韧带寻找下泪小管鼻侧断端。结果5～10min内找到断端30例,10～15min内找到断端8例。手术后所有患者泪道冲洗通畅,下泪点皲裂3例,无下睑疤痕、泪点外翻等其他并发症。结论睑内侧韧带牵引是一种简便、有效的寻找泪小管鼻侧断端的方法。

Objective To observe the clinical effect of finding canaliculus breakage by the traction of internal palpebra ligament. Methods Thirty-eight eyes of 38 cases with inferior canaliculus breakage were performed, internal canaliculus breakages were found by exposing wmmd, increasing intension of internal wound wall and pulling internal palpebra ligament. Results Internal canaliculus breakage of 30 eyes were found in 5-10 minutes and 8 eyes in 10-15 minutes, all the patients＇ inferior canaliculus were open after operation. Conclusion Traction of internal palpebra ligament is a simple and effective approach in finding the internal canaliculus breakage.