泪小管断裂吻合术131例临床分析

Clinical observation of 131 cases of lacrimal canalicular anastomosis by microscopy

目的分析显微镜下泪小管断裂吻合术的效果。方法回顾分析2008年8月至2012年8月淮安市第一人民医院眼科收治的泪小管吻合术131例的临床资料。结果 131例下泪小管断裂患者均在手术显微镜下找到泪小管断端,并顺利实施泪小管吻合术。其中治愈115例(87.78%),好转11例(8.40%),未愈5例(3.82%)。结论寻找泪小管断端及眼睑和内眦角成形是手术成功的关键。泪小管断裂者应积极行早期吻合术,二期吻合术亦能获得较好的疗效。

Objective To observe the post-operative effect of lacrimal canalicular anastomosis under microscopy. Methods A retrospective study was made for 131 patients who had received lacrimal canalicular anastomosis by micro-scope between August 2008 and August 2012 in Huai’an First People’s Hospital,Nanjing Medical University.Results During a follow-up period of 6 months to 2 years after the operation,all were successfully performed lacrimal canalicu-lus anastomosis successfully,and 115 patients of them were cured （87.78%）,11 had improvement （8.40%）and 5 had not （3.82%）.Conclusion Lacrimal canalicular anastomosis should be treated as soon as possible,and the sec-ond phase anastomosis also can achieve good post-operative effect.