外伤性泪小管断裂吻合术失败病例分析  

Failure Case Analysis of Traumatic Canalicular Laceration Anastomosis

作　　者：王淑艳[1] 成书彦 

机构地区：[1]河北省唐山市眼科医院,063000

出　　处：《职业与健康》2010年第6期701-702,共2页Occupation and Health

基　　金：河北省科技支撑计划项目(编号:072761495)

摘　　要：目的探讨外伤性泪小管断裂吻合术的方法、疗效和治疗体会。方法在手术显微镜下寻找94例患者(94眼)的泪小管鼻侧断端,以硬膜外导管为支撑物,缝合泪小管断端,对术中失败病例(8眼)进行分析。结果94例(94眼)中80例术后泪道冲洗通畅,8例有少量流泪但加压冲洗泪道通畅,泪道不通6例,治愈率85.11%。结论总结泪小管断裂吻合术失败的原因,以提高手术成功率。[Objective]To discuss the method,efficacy and experience in treating traumatic canalicular laceration by anastomosis.[Methods]Under surgical microscope,nasal lacrimal duct stump of 94 cases （94 eyes） were found and sewed with epidural catheter as the support material.Failure cases （8 eyes） were analyzed.[Results]Postoperative lacrimal duct patency after flushing was in 80 of 94 cases,8 cases had a small amount of tears,but pressure flushing made lacrimal duct patency;lacrimal obstruction was in 6 cases,cure rate of 85.11%.[Conclusion] Summary of canalicular laceration anastomosis failure can improve the success rate of surgery.

关 键 词：泪小管 断裂 吻合术 

分 类 号：R779.6[医药卫生—眼科]