下泪小管断裂吻合术46例临床分析  

Repair of inferior canalicular laceration by intubation

作　　者：崔龙江[1] 王李理[1] 简冬梅[1] 

机构地区：[1]郑州市中心医院跟科,河南省郑州450007

出　　处：《中国基层医药》2007年第8期1287-1288,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的总结46例(46眼)下泪小管断裂吻合手术的治疗经验。方法所有手术均于受伤2 h至6 d后在手术显微镜下完成。尽力寻找到鼻侧泪小管断端,然后把硬膜外麻醉导管的盲端植入鼻腔,接着把导管的另一端用泪点扩张器自下泪小点引出并固定于眼眶下缘部皮肤。术后6～8周拔管。随访6～12个月。结果44跟手术顺利。38跟治愈,7跟好转,1眼无效。手术后并发症:下泪小管轻度撕裂2眼,轻度瘢痕性睑外翻3眼。结论在手术显微镜直视下寻找下泪小管断端,并采用硬膜外麻醉导管作为支撑物行泪小管吻合术,是一种简便、安全和易行的方法。Objective To summarize the experiences in treating inferior canalicular laceration by intubation. Methods The canaliculoplasty was performed under microscope in all eyes within 2 hours to 6 days after being injured. First, the nasal broken end of lacrimal canaliculus should be found carefully, then the smooth tip of epidural tube was inserted into the nasal cavity,and the other end of tube was drown from the inferior lacrimal punctum by dilator and fixed on the skin of the inferior orbital margin. The tulle was pulled out 6 -- 8 weeks after the operation. All cases were followed up for 6 -- 12 months. Results 44 eyes underwent the operations smoothly. 38 eyes were cured,7 eyes improved and 1 eye failed. Complications after the treatment：cicatricial ectropion took place in 3 eyes, and damage of inferior lacrimal punctum occurred in 2 eyes. Conclusion Finding the inferior canalicular broken end and repairing laceration by intubation with epidural tube under microscope is a simple,safe and available way.

关 键 词：泪器疾病 眼损伤 眼外科手术 

分 类 号：R779.6[医药卫生—眼科]