下泪小管断裂泪道插管两种固定方法的疗效对照

The therapeutic evalution of two fixation methods treatment of laceration of lacrimal canalicular with lacrimal intubaration

目的 :总结下泪小管断裂泪道插管 2种固定方法的疗效。方法 :下泪小管断裂 10 8例、 10 8眼均留置硬膜外导管 ,随机分为固定器组与对照组 ,前者 5 6例、 5 6眼 ,后者 5 2例、 5 2眼 ,前者用泪道插管固定器固定 ,后者用胶布贴敷固定 ,术后 3个月拔管。结果 :泪道插管留置时间 ,固定器组 91 0 7±8 6 7d ,对照组 6 1 35± 7 93d。拔管后 3个月泪道冲洗通畅 ,固定器组 5 6例中 4 8例 (85 71% ) ,对照组 5 2例中 2 9例 (5 5 77% ) ,差异均有高度显著性 (P <0 0 1)。结论 :用泪道插管固定器固定泪道插管效果可靠 ,容易护理 ,延长了泪道插管留置时间 。

Objective:To summarize the therapeutic effect of two fixation methods of laceration of lacrimal canaliculus with lacrimal passage Method:108 patients,108 eyes with laceration of lacrimal canaliculus were divided into two groups randomly The nesearch group was 56 patients,56 eyes The control group was 52 patients,52 eyes The patients all received the canalicular tube intubation The research group received the fix instrument to fix and the control group received the immoblization with adhesive tape Stents were left in place for 3 monthes postoperatively and then removed Result:The average stents retained times were 91 07±8 67 days in the stents fixed with instruments group and 61 35±7 93 days in the control group Irrigation showed canalicular patency in 48 of 56 patients that the stents were fixed by instruments and 29 of 52 patients in control group There were statistically significant difference between the two groups in the stents retained times(P<0 01),and in the suc^cess rate (P<0 01) Conclusion:Fix^ing stents with this technique appears to be a reliable new method and nursing easily Strengthening nursing to the patients with canalicular tube intubation may prolong the stents left times and improve success rate in managing canalicular lacerations