透明质酸钠在下泪小管断裂吻合术中的应用  

The application of sodium hyaluronate in lower lacrimal canaliculi laceration anastomosis

作　　者：牛洪明[1] 郝志侠[1] 高丽华[1] 肖克花[1] 林雪媛[1] 

机构地区：[1]胜利石油管理局胜利医院眼科,山东东营257055

出　　处：《中国实用美容整形外科杂志》2005年第3期147-148,共2页

摘　　要：目的探讨透明质酸钠在下泪小管断裂吻合术中寻找泪小管断端的应用价值。方法鼻腔用油沙条填塞后,从上泪小点注入透明质酸钠,寻找下泪小管鼻侧断端;从下泪小点注入透明质酸钠,寻找泪小管颞侧断端,行泪小管吻合术。结果本组患者16例(16只眼),泪小管鼻侧断端经透明质酸钠标记明显,寻找断端的成功率100%,吻合手术顺利。术后随访6～12个月,14例患者治愈(87.5%),2例未愈(12.5%)。结论注入透明质酸钠,寻找泪小管断端,简便易行,应作为寻找泪小管断端的首选方法。Objective To investigate the practical value of sodium hyaluronate in locating the cut nasal ends of canaliculi in lower lacrimal canalicular laceration anastomosis. Methods 16 cases with lower canalicular laceration were performed by injecting sodium hyaluronate to find openings. Using petrolatum to block up the nasal cavity, sodium hyaluronate was injected directly into the superior lacrimal canaliculus to pinpoint the nasal openings, and sodium hyaluronate was injected directly into the inferior lacrimal canaliculus to pinpoint the temporal openings. Results The nasal ends of canaliculi in 16 eyes out of 16 cases were located obviously by sodium hyaluronate. The successful rate of injecting sodium hyaluronate directly into the lacrimal canaliculus to pinpoint the nasal openings is 100%. The period following up ranges from 6 months to 1 year. 14 cases was successful, 2 cases was failed. Conclusion Injecting sodium hyaluronate to locate the cut medial ends of canaliculi is the most simple and easy approach. We should choose firstly this method during pinpointing the cut medial ends of canalicular laceration.

关 键 词：泪小管断裂 透明质酸钠 吻合术 

分 类 号：R779.6[医药卫生—眼科]