摘要
目的比较两种硅胶管留置方式在泪小管断裂吻合术中的临床疗效和对术后泪点外翻发生率的影响。方法将63例泪小管断裂患者分成两组,A组28例采用单路硅胶管置管术,B组35例采用双路硅胶管置管术,远期观察术后疗效及下泪点外翻情况。结果A组治愈20例,好转5例,未愈3例,出现下泪点外翻5例;B组治愈32例,好转2例,未愈1例,出现下泪点外翻1例。A组与百组治愈率与泪点外翻率差异有统计学意义,(P〈O.05)。结论泪小管断裂吻合术采用双路硅胶管置管治愈率高于单路置管,并且双路置管可降低术后下泪点外翻发生率。
Objective To compare clinical Outcome to treat lacerated canaliculi anaStomosis and the rate of puncta ectropion through single and double route with silicone intubation. Methods Six- ty-three patients with canalicular lacerations were divided into two groups, group A of 28 cases through single route with silicone intubation, and the group B of 35 cases through double route with silicone intubation. The long-term clinical outcome and the rate of puneta ectropion were fol- lowed up postoperatively. Results In group A: 20 cases were cured, 5 improved, 3 no cured, and 5 cases had puncta ectropion; Group B: 32 cases cured, 2 improved, 1 no cured, and 1 case had puncta ectropion. The rate of cure and puncta ectropion between group A and group B was signifi- cantly different (P 〈0.05). Conclusions The rate of curation to treat lacerated canaliculi anastomo- sis trough double route with silicone intubation is higher than trough single route, and the rate of puncta ectropion can be reduced through double route with silicone intuhation postoperatively.
出处
《中国实用眼科杂志》
CSCD
北大核心
2012年第10期1232-1234,共3页
Chinese Journal of Practical Ophthalmology
关键词
泪小管断裂
吻合术
硅胶管
泪点外翻
Canalicular lacerations
Anastomosis
Silicone intubation
Puncta ectropion