异位再造泪小点术治疗外伤性泪小管断裂的临床疗效

Ectopic reconstruction of lacrimalis puncticulum on traumatic canaliculus lacrimalis laceration

目的探讨外伤性泪小管断裂修复的方法及疗效。方法外伤性泪小管断裂116例,行异位再造泪小点术为治疗组;另有外伤性泪小管断裂94例,行泪小管断裂吻合术为对照组。比较2组术后疗效及并发症。结果治疗组治愈115例,无效1例,治愈率99.14%;对照组治愈80例,好转8例,无效6例,治愈率85.11%;2组治愈率差异有显著统计学意义(P<0.01)。结论异位再造泪小点术方法简单,术后排泪效果明显,是一种实用可行的手术方法。

Objective To evaluate the prothetic effect and method of traumatic canaliculus lacrimalis laceration. Methods Ectopic reconstruction of lacrimalis puncticulum was operated on 116 cases with traumatic canaliculus lacrimalis laceration as experimental group; Canaliculus lacrimalis lacera-stomia was operated on 94 cases with traumatic canalicuins lacrimalis laceration as control group. Results In experimental group, 115 of 116 cases（99.14% ） were recovered, and 1 case was ineffective;In control group, 80 of 94 cases（ 85.11% ） were recovered, 8 cases went better, and 6 cases were ineffective. There was significant difference between two groups（P 〈 0.01 ）. Conclusion Ectopic reconstruction of lacrimalis puncticulum is a safe and feasible method, which has significant effect on secreting tear after operation.