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外伤性泪小管断裂吻合手术54例分析 被引量:14

The analysis of 54 cases of anastomasis for traumatic lacrimal canaliculus lacerations
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摘要 目的 探讨外伤性泪小管断裂吻合的有效方法.方法 54例(54眼)外伤性泪小管断裂,根据具体受伤情况选择相应术式进行断端寻找和吻合.结果 54例经治疗后,48例下泪小管断裂者早期不通4例,半年后不通4例;3例上泪小管断裂者仅1例出现溢泪;3例上下泪小管均断裂者拔管后冲洗均畅通.结论 外伤性泪小管断裂患者根据受伤情况不同,合理选择术式进行手术均能取得较好的效果. Objective To investigate the effective methods of anastomosis for traumatic lacrimal canaliculus lacerations.Methods The appropriate surgical methods of broken ends finding and anastomosis were performed in 54 eyes of 54 cases with traumatic lacrimal canaliculus lacerations according to their specific injuries.Results Of 54 eyes after treatment 4 cases of 48 eyes with inferior lacrimal canaliculus laceration were obstructed in early time postoperatively,4 cases obstructed 6 months later.One case of 3 patients with superior lacrimal canaliculus laceration appeared epiphora.3 cases with both superior and inferior laceration of lacrimal canaliculus flushed smoothly when the pipes were put out.Conclusion Appropriate surgical method according to injury condition is effective for traumatic lacrimal canaliculus laceration.
作者 钟铃
出处 《中华眼外伤职业眼病杂志》 2015年第3期219-221,共3页 Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词 泪小管 断裂 外伤性 吻合术 Lacrimal canalicular,lacerations,traumatic Anastomosis
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