泪囊切开逆向插管治疗复杂性泪小管断裂伤  

Retrograde intubation via lacrimal sac to seek the lacerated ends and anastomosis in the complicated lacrimal canaliculi laceration

作　　者：徐建锋[1] 张育谋[1] 

机构地区：[1]中国人民解放军第180医院眼科,中国福建省泉州市362000

出　　处：《国际眼科杂志》2009年第7期1378-1379,共2页International Eye Science

摘　　要：目的:探讨经泪囊切开逆向插管法治疗复杂性泪小管断裂的手术效果。方法:外伤性泪小管断裂患者45例,采用经泪囊切开逆向置硬膜外麻醉导管吻合泪小管断裂。结果:45例经6mo～1a随访观察,获得解剖复位,自觉不流泪,冲洗通畅者40例(89%);自觉轻微流泪,冲洗泪道通而不畅者3例(7%);冲洗泪道不通者2例(4%)。结论:经泪囊切开逆向插管法是一种治疗复杂性泪小管断裂的有效方法。AIM.To explore the operative effect of the complicated lacrimal canaliculi laceration treated by retrograde intubation via lacrimal sac. METHODS. Forty-five cases in the patients of traumatic lacrimal canaliculi laceration were treated by retrograde intubation via lacrimal sac to seek the lacerated ends and anastomosis with segmental eqidural cathete. RESULTS： By the follow-up of 6-12 months, 40 cases were obtained the anatomic reposition, no selflacrimatoin and unobstructed irrigation, 3 cases with light self-lacrimation and little obstructed irrigation, and 2 cases with obstructed irrigation. CONCLUSION： The therapic method of retrograde intubaion via lacrimal sac is a effective treatment with the complicated lacrimal canaliculi laceration.

关 键 词：泪小管断裂 吻合术 逆行插管 泪囊 

分 类 号：R779.6[医药卫生—眼科]