摘要
目的观察内窥镜辅助下硅胶软管双路泪道插入法在泪小管断裂吻合术中的应用效果。方法对27例（27只眼）外伤性泪小管断裂，在手术显微镜下实施泪小管断裂吻合术，内窥镜辅助下硅胶软管作支撑物，硅胶软管的一端自下泪小点插入，另一端自上泪小点插入。结果术后3-6月拔除硅胶软管，眼睑外形保持正常，无明显不适。拔除硅胶软管后随访3-6个月，3例泪道冲洗不畅并有明显溢泪，2例泪道通畅但仍轻度溢泪，22例无溢泪且泪道通畅。结论内窥镜辅助下硅胶管双路置入泪小管断裂吻合术治疗泪小管断裂，避免了传统硅胶管置管吻合术的不足，使泪小管吻合术的疗效更确切，且操作微创，将是治疗泪小管断裂伤较理想的方法。
Objective To observe the effect of using endoscope-assisted silicone tube double-pas- sage intubation in anastomosis for lacrim, al canalicular laceration. Methods Twenty-seven cases （27 eyes） of traumatic lacrimal canalicular laceration, under operating microscope implementation of lacri- mal duct anastomosis, using endoscope-assisted silicone tube for stent, silicone tube inserted through the lacrimal puncturn using the double-passage model. Results Silicone tube was removed 3-6 months postoperative, eyelid shape remained normal. No obvious discomfort occurred. After 3 - 6 months followed-up, 3 cases of lacrimal duct flushing was not free and clear tears overflowed, 2 cas- es of lacrimal duct flowed but still with mild overflow tears, 24 cases of lacrimal duct flow had no tears overflow. Conclusions Using endoscope-assisted silicone tube double-passage intubation in anastomosis for lacrimal canalicular laceration, to avoid the traditional silicone tube catheter anastomo- sis insufficiency, make the effect of lacrimal duct anastomosis more accurate and minimally invasive, is an ideal treatment of lacrimal canalicular laceration.
出处
《中国实用眼科杂志》
CSCD
北大核心
2013年第7期921-923,共3页
Chinese Journal of Practical Ophthalmology
关键词
内窥镜
泪小管断裂
硅胶软管
双路泪道插管法
Endoscope
Lacrimal canalicular laceration
Silicone tube
Double-passage intubation
