泪小管断裂吻合手术的影响因素

Influencing factors of anastomosis of lacrimal canaliculus fracture

目的:探讨泪小管断裂吻合手术影响因素,提高泪小管断裂吻合手术成功率。方法:选择齐齐哈尔市五官医院眼科治疗的泪小管断裂患者126例为研究对象,进行术前评估,术后总结分析吻合手术的影响因素及经验。结果:患者均一次性吻合成功,术后治愈107例,好转14例,无效5例,总有效率为96.03%;3例术后泪小管豁裂,2例术后1周内泪道支撑管脱落,二期行泪小管修复手术及RS型泪道扩张引流管再次置入后均治愈。结论:泪小管断裂吻合手术前充分分析病情,术中吻合断裂的泪小管、正确处理眼睑裂伤口,加强围手术期护理均有利于提高手术成功率。

Objective： To investigate the influencing factors of anastomosis of lacrimal canaliculi and to improve the success rate of anastomosis. Methods： A total of 126 cases of lacrimal canaliculus fracture treated in Qiqihar Wuguan Hospital were selected, and the preoperative evaluation was carried out. The factors affecting the anastomosis and the operation experience were summarized and analyzed. Results： All cases were anastomosed successfully, 107 cases were cured, 14 cases were improved, 5 cases were not effectively treated and the total effective rate was 96.03%. Three patients suffered from postoperative lacrimal canaliculus laceration, two of them lost the lacrimal duct support tube within 1 week after surgery, which were cured after repeated lacrimal canaliculus anastomosis and the placement of the RS lacrimal duct drainage tube. Conclusion： Comprehensive analysis of lacrimal canaliculus fracture anastomosis before operation, anastomosis of tear canaliculus, effective treatment of eyelid cleft wound and strengthening perioperative nursing are beneficial to improve the success rate of operation.