外伤性泪小管断裂显微吻合术137例分析  

Anastomosis for laceration of lacrimal canalicular under microscope in 137 cases

作　　者：田汝俊[1] 赵凤蕾[1] 李钟实[1] 

机构地区：[1]莱芜市人民医院眼科,山东莱芜271100

出　　处：《山东大学基础医学院学报》2005年第4期250-251,共2页Journal of Preclinical Medicine College of Shandong Medical University

摘　　要：目的:观察显微吻合术治疗外伤性泪小管断裂的效果。方法:在显微镜下找到断裂泪小管鼻侧端,泪小管内置入硬膜外麻醉导管作为支撑管,两断端吻合2～3针,将硬膜外麻醉导管上下两末端反折缝扎,手术6d后,每天适度上下活动支撑管,2月后拔管,随访6～12月,统计分析泪道再通情况。结果:137例中,治愈118例(86.13%),好转16例(11.68%),无效3例(2.19%)。结论:外伤性泪小管断裂显微吻合术是一种方便有效的治疗方法,只要仔细寻找,均能找到鼻侧断端进行对位吻合,恢复泪道再通功能。Objective: To observe the efficacy of microscopic anastomosis of lacrimal canalicular laceration.Methods: The procedures were as follows: finding the nasal end of lacerated canaliculi under microscope,inserting an epidural anesthesia duct,taking 2 to 3 stitches to repair the two ends of canaliculi,invaginating and stitching two ends of the epidural anesthesia duct,6 days after operation,activating the duct properly everyday and removing the duct after 2 months.Result:Followed up from 6 to 12 months,118 cases were cured (86.13%),16 cases were improved (11.68%),3 cases were ineffectual (2.19%). Conclusion: Anastomosis of lacrimal canalicular laceration under microscope is an effective method.It is available to find and repair the lacerated ends with care.

关 键 词：眼损伤 泪小管 泪囊鼻腔吻合术 

分 类 号：R777.2[医药卫生—眼科]