Ritleng人工泪管置入治疗I期外伤性泪小管断裂的手术配合

Perioperative Cooperation of Canalicular Laceration Repair with Ritleng Lacrimal Intubation

为了提高外伤性泪小管断裂I期吻合成功率及术后患者的舒适度,利用Ritleng人工泪管植入治疗外伤性泪小管断裂20例。结果无1例感染及二次置管,均顺利拔管,拔管后90%自觉无溢泪,泪小管及皮肤伤口均愈合良好,无泪小点撕裂,泪道冲洗通畅。结果说明Ritleng人工泪管是良好的泪小管内支撑义管。相对传统的植入硬膜外麻醉导管,此术式对眼睑伤口及泪小点影响较小,无影响美观的弊端,患者更易于接受。当然,术中手术的配合是手术成功的重要保证。

In order to improve the success rate of stage I anastomosis and postoperative comfort of patients with traumatic lacrimal canaliculi rupture, Ritleng artificial lacrimal duct implantation was used to treat 20 cases of trau-matic lacrimal canaliculi rupture. The results showed that there was no infection and secondary catheterization, and all of the patients were extubated successfully. After extubation, 90% of the patients’ lacrimal tubules and skin wounds healed well without lacrimal laceration. The lacrimal passage was rinsed smoothly. The results showed that Ritleng artificial lacrimal duct was a good supporting prosthesis in lacrimal duct. Compared with the traditional implantation of epidural an-esthesia catheter, this procedure has less impact on eyelid wounds and tear spots, and has no ad-verse effect on aesthetics. It is easier for patients to accept this procedure. Of course, intraoperative cooperation is an important guarantee for the success of the operation.