“7”形硬膜外导管置入泪小管断裂吻合38例临床分析

目的探讨泪小管断裂吻合术及植入物固定的相关技巧。方法 38例泪小管断裂病例,采用"7"硬膜外导管置入行显微吻合术。结果 38例泪小管断裂均成功吻合,术后3个月拔管泪道冲洗通畅36例,轻度溢泪1例,未愈1例。结论显微镜下正确寻找泪小管断端,以"7"硬膜外导管置入对位吻合是成功的关键。

Objective To investigate the effect of lacrimal canaliculus anastomosis and implant fixation techniques. Methods 38 cases of canalicular laceration case, used ＂7 ＂ epidural catheter intubation for mi- crosurgical anastomosis. Results 38 cases of canalicular laceration anastomosis of lacrimal were successful, 36 cases 3 months after extubation, mild epiphora in 1 patients, 1 cases healed. Conclusion Under the micro- scope correctly to the canalicular broken end, with ＂7 ＂ epidural catheterization para anastomosis is the key to Success.