泪小管断裂吻合术置入不同泪道支撑物术后疗效观察

Observation of Curative Effect of Lacrimal Canalicular Anastomosis in Different Postoperative Compound Support

目的比较硬膜外麻醉导管与泪道再通硅胶软管在泪小管断裂吻合术后留置作支撑物的临床效果。方法分析本院2012年1月至2015年11月间下泪小管断裂伤58例住院患者的临床资料及术后随访情况。结果 55例吻合成功,术后3月拔管,45例冲洗通畅,8例好转,2例未愈。硅胶软管组的术后疗效优于硬膜外麻醉导管组。结论泪道再通硅胶软管置入泪小管吻合术的疗效优于硬膜外麻醉导管置入泪小管吻合术,且术后并发症的发生率低。

Objective To compare the clinical effect of epidural anesthesia catheter and lacrimal duct recanalization silicone tube in lacrimal canaliculus anastomosis after indwelling as support.Methods Clinical data and postoperative follow-up conditions of 58 hospitalized patients with lower lacrimal duct injury were analyzed in our hospital from January 2012 to November2015.Results 55 cases of successful anastomosis,postoperative extubation in March,45 cases of flushing patency,8 cases improved,and 2 cases were not healed.The curative effect of the silicone tube group was better than that of the epidural anesthesia catheter group.Conclusions The curative effect of lacrimal duct recanalization silicone tube implantation of lacrimal duct anastomosis is better than epidural anesthesia catheter canalicular anastomosis. And the postoperative complication rate of it is low.