手术显微镜下联合表面麻醉泪小管断裂吻合术分析  

Analysis of lacrimal canalicular anastomosis under microscope combined with topic anesthetics

作　　者：杨俐[1] 吴慧玲[1] 林惠蓉[1] 

机构地区：[1]厦门大学附属第一医院眼科,中国福建省厦门市361000

出　　处：《国际眼科杂志》2010年第2期394-395,共2页International Eye Science

摘　　要：目的：探讨手术显微镜下使用表面麻醉行泪小管断端吻合的手术疗效。方法：新鲜外伤性下泪小管断裂伤21例21眼，采用表面麻醉的方法，显微镜下行泪小管断端吻合术。结果：所选21例均一次吻合成功。术后8～12wk拔管，随访6～24mo，治愈19例（90％），好转2例（10％）。结论：采用表面麻醉的方法，在手术显微镜下行泪小管断裂吻合术成功率高，易于寻找断裂的断端，操作准确方便，值得推广。AIM： To evaluate the clinical effect of the lacrimal canalicular anastomosis by using topic anesthetics under microscope. METHODS： The medial broken ends of the disrupted canaliculi of 21 cases 21 eyes were researched under microscope, and by using topic anesthetics, epidural catheters were used as supports for anastomosis. RESULTS： The anastomos was successful in 19 cases 19 eyes, and improved in 2 cases 2 eyes. CONCLUSION： All 21 cases of anastomosis were succeeded in the first time of operation, extubation was done 8-12 weeks postoperatively, and the follow-up ranged 6-24 months. The lacrimal canalicular anastomosis is safe and effective by using topic anesthetics, and the clinical effect of the operation is good and worthy of being spread.

关 键 词：手术显微镜 泪小管断裂 吻合术 表面麻醉 

分 类 号：R777.22[医药卫生—眼科] R777.33[医药卫生—临床医学]