外伤性下泪小管断裂吻合术64例临床分析

Analysis of 64 cases of the traumatic lacrimal canaliculus anastomosis

目的:探讨显微镜和硅胶软管在下泪小管断裂吻合术中的应用效果。方法:收治下泪小管断裂患者64例,采用硬膜外麻醉管和硅胶软管作为支撑物施行下泪小管吻合术。结果:64例均1次吻合成功,随访12个月,除4例泪道狭窄,其余患者泪道通畅。结论:显微镜下寻找到泪小管鼻侧断端的几率大,利用硅胶软管作为泪小管内的支撑手术操作简便,术后效果良好。

Objective:To study the microscope and the silicone hose application effect in traumatic lacrimal canaliculus anastomosis.Methods:64 cases of patients with fracture of lacrimal duct used epidural tube and silicone tube as supports to take traumatic lacrimal canaliculus anastomosis.Results:64 cases were successful.These patients were followed up for 12 months,except 4 cases of lacrimal duct stenosis,the remaining patients with lacrimal duct patency.Conclusion:We are more likely to find the nasal end of canaliculus under microscope.Using silica gel hose as canalicular in support of operation is simple and the postoperative effect is good.