泪小管断裂伤修复术难点的对策

Solutions for the problems in repairing of lacrimal canalicular laceration

目的 :探讨泪小管断裂修复术中的难点及对策。方法 :回顾性总结分析 3 2例泪小管断裂修复术。结果 :随访 6～ 2 4个月 ,平均 1 4 5个月 ,泪小管通畅 2 7例 ,占 84 3 8% ,通而不畅 2例 ,占 6 2 5% ,不通 3例 ,占 9 3 8%。结论 :直视法、透明质酸纳注射法、猪尾巴探针法是一组适用于不同情况下寻找泪小管鼻侧断端的有效方法 ,值得采纳 ;义管的置留方法多样 ,各有利弊。

HT5”SS][WT5”BZ][ST5”BZ]Objective:To investigate the problems in the repairing of the lacrimal cananicular lacerations and find out the solutions.Methods:Repairing results of 32 cases with lacrimal cananicular lacerations were analysed retrospectively.Results:Follow up period:6 month～24 month(average 14 5 month)cananiculus patent 27 cases (84 38%),partially patent 2 cases (6 25%)non patent 3 cases (9 38%).Conclusion:Direct inspection,injection of sodium hyalurate and pig tail probing are a group of useful methods for finding out the ruptured nasal ending of the lacrimal cananiculus and are highly recommended to use them,under various conditions.Methods of placement of artificial tubes are various,but the results are different. [HT5”H][WT5”HZ][ST5”HZ]