摘要
目的观察外伤性上下泪小管同时断裂行环形置管吻合术的手术方法和疗效。方法对18例(18只眼)外伤性上下泪小管同时断裂的患者在手术显微镜下寻找断端进行环形置管吻合术。结果 18例(18只眼)成功实施环形置管吻合术,术后3个月拔除留置的硅胶管,15例泪道冲洗通畅无泪溢,占83.33%;3例冲洗通而不畅,无明显或轻度泪溢,占16.67%。结论对外伤性上下泪小管同时断裂的患者行环形置管吻合术,同时恢复了上下泪小管的解剖结构和生理功能,效果良好,方法操作方便,值得临床推广。
Objective To observe the effect and methods of circle tubing technique in traumatic rupture of both upper and lower lacrimal canaliculi. Method 18 eyes of 18 cases with both upper and lower tears tubular fracture were enrolled in this study. The lacrimal canaliculi was located under the operating microscope, then the silicon tube were inducted. Results 18 eyes of 18 cases with rupture of traumatic both upper and lower lacrimal canaliculi received sucessful circle tubing surgery. Tube was removed after 3 months. 9 eyes （83.33%） were flowed smoothly without epiphora, 1 eye（16.67%） was not flowed smoothly without epiphora. Conclusion Circle tubing technique in traumatic rupture of both upper and lower lacrimal canaliculi restore the upper and lower lacrimal tube anatomical structure and physiological function at the same time. It is an effective and simple method, and deserve the clinical expansion.
出处
《实用防盲技术》
2014年第1期16-17,2,共3页
Journal of Practical Preventing Blind
关键词
环形置管
泪小管
断裂
Circle tubing
Lacrimal canaliculi
Rupture
