摘要
目的 比较外伤性泪小管断裂置入硬膜外麻醉管和硅胶软管后再行吻合手术的治疗效果。方法 选择本院收治的外伤性下泪小管断裂共 5 4例 (5 4眼 ) ,在手术显微镜下寻找到泪小管断端后 ,3 0例置入硬膜外麻醉管 ,2 4例置入硅胶软管。然后断端用 8-0可吸收缝线作非穿通性的间断缝合 3～ 4针使之吻合 ,3月后拔管。随访观察泪道通畅情况。结果 5 4例都能在手术显微镜下成功找到泪小管断端。硬膜外麻醉导管组中痊愈 18例 (60 . 0 0 %) ,好转 10例 (3 3 . 3 3 %) ,无效 2例 (6 .67%) ;硅胶软管组中痊愈 16例 (66. 67%) ,好转 6例 (2 5. 0 0 %) ,无效 2例 (8. 3 3 %)。结论 置入硬膜外麻醉管或硅胶软管后再行泪小管吻合手术可以有效治疗外伤性泪小管断裂 ,但两者各有利弊。
Objective To compare the clinical effects of implantation of epidural tube or silicage tube in cases of traumatic lacrimal canaliculi breakage. Methods 54 eyes (54 cases) of traumatic lacrimal canaliculi breakage were treated. 30 cases were treated by implanting of epidural tube, 24 cases were treated by implanting of silicage tube. The tube would be reserved for 3 months. Results All canaliculi breakage can be seen under the microscope. In the group of using epidural tube, 18 cases (60.00%) had been cured, 10 cases (33.33%) were utility and 2 cases (6.67%)had no effect; In the group of using silicage tube, 16 cases (66.67%) had been cured, 6 cases (25.00%) were utility and 2 cases (8.33%)had no effect. Conclusion Traumatic lacrimal canaliculi breakage can be treated by implanting of epidural tube or silicage tube, both of them can have good clinical effect and both have its advantages and disadvantages.
出处
《眼外伤职业眼病杂志》
北大核心
2005年第3期196-198,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
泪小管断裂
置管术
lacrimal canaliculi breakage
implantation of tube
