显微镜下环形置管法治疗下泪小管断裂

Ring pipetting method under microscope in the treatment of inferior canalicular rupture

目的探讨下泪小管断裂的鼻侧断端寻找方法及手术吻合技巧,选择合适的泪管支撑管提高下泪小管断裂吻合术的成功率。方法采用回顾性病例分析方法,选取无锡市人民医院2014年6月至2018年6月下泪小管断裂患者70例(70只眼)。术中显微镜下寻找下泪小管鼻侧断端,Ⅰ期行泪道硅胶管环形置管吻合下泪小管,观察其临床治疗效果及并发症发生率。结果70例(70只眼)下泪小管断裂中70例术中全部成功吻合。术后58只眼治愈,占82.9%;11只眼好转,占15.7%;1只眼未愈,占1.4%,总有效率达98.6%。结论泪道硅胶管环形置管吻合手术治疗下泪小管断裂是一种简便易行的下泪小管断裂吻合方法。

Objective To investigate the nasal stump search method and surgical anastomotic technique for ruptured inferior canaliculus,and to select a suitable lacrimal duct support tube to improve the success rate of anastomosis for ruptured inferior canaliculus.Methods A retrospective case analysis method was used to select 70 patients(70 eyes)of the lower lacrimal canalicular ruptures from June 2014 to 2018 in Wuxi People′s Hospital.The nasal end of the lower canaliculus was microscopically looked for during the operation,and the lower canaliculus was anastomosed by silicone ring-shaped tube placement in the lacrimal duct in stage I,which was performed to observe the clinical treatment effect and complication rate.Results All intraoperative anastomoses were successful in 70 cases(70 eyes)of ruptured lower lacrimal canaliculi.After the operation,there were 58 eyes(82.9%)healed,11 eyes(15.7%)improved and 1 eye(1.4%)did not heal,for an overall response rate of 98.6%.Conclusion Surgical treatment of lower canalicular tear with silicone ring canalicular anastomosis is a simple and easy anastomosis for lower canalicular rupture.