摘要
目的观察儿童泪小管断裂吻合联合RS人工泪管植入术的临床效果。方法收集2015年1月至2020年1月于沈阳市第四人民医院眼科行泪小管断裂吻合联合RS人工泪管植入术的儿童患者共138例,术后9个月拔管,拔管后随访3个月,观察手术效果。结果138例患者中,133例患者治愈,成功率为96.38%。随访期间泪道冲洗通畅,泪小点位置正常,眼睑无明显外翻畸形,无溢泪症状。有1例患者术后1个月提前自行拔除引流管,再次手术后随访达到治愈标准。1例患者术后6个月出现引流管脱出现象,但随访3个月达到治愈标准。3例患者术后9个月拔管后泪道冲洗通而不畅,轻度溢泪。结论儿童泪小管断裂吻合联合RS人工泪管植入术的手术成功率高、无鼻腔损伤、患者痛苦小且术后并发症少、拔管简单,是一种治疗儿童泪小管断裂的理想手术方式,值得临床推广。
Objective To observe the clinical effect of lacrimal canaliculi fracture anastomosis combined with artificial RS-lacrimal intubation implantation in pediatric patients.Methods A total of 138 pediatric patients who underwent lacrimal canaliculi fracture anastomosis combined with artificial RS-lacrimal intubation in Department of Ophthalmology,the Fourth People’s Hospital of Shenyang from January 2015 to January 2020 were collected.Extubation was performed nine months after operation,followed up three months after extubation to observe the surgical results.Results Among the 138 patients,133 patients were cured,with a success rate of 96.38%.During the follow-up,the lacrimal duct was flushed unobobstructed,the position of lacrimal petits was normal,and there was no obvious ectopion of the eyelid and no symptom of lacrimatorrhea.One patient removed the drainage tube by himself one month after the operation,and the follow-up after the second operation reached the cure standard.One patient showed prolapse of the drainage tube six months after operation,but reached the cure standard at three months follow-up.Nine months after extubation,the lacrimal passages of three patients were flushed but not smooth,with mild lacrimatorrhea.Conclusion The artificial RS-lacrimal intubation has high success rate,does not interfere with the nasal cavity of patients,reduces the pain of patients,has less postoperative complications and simple tube drawing.It is an ideal support for children’s lacrimal canaliculi fracture,and is worthy of clinical promotion.
作者
肖凡
姜艳华
XIAO Fan;JIANG Yanhua(Department of Opthalmology,the Fourth People’s Hospital of Shenyang,Liaoning Province,Shenyang110031,China)
出处
《中国医药导报》
CAS
2021年第30期118-120,共3页
China Medical Herald
基金
辽宁省自然基金资助计划项目(2020-MS-330)
辽宁省沈阳市科技计划项目(20-205-4-051)。
关键词
泪小管断裂
儿童
人工泪管
Lacrimal canaliculi fracture
Child
Artificial lacrimal duct
