外伤性泪小管断裂吻合术临床研究  

Clinical Experience of Traumatic Lacrimal Ductule Laceration Anastomosis

作　　者：赵庆新[1] 王燕燕[1] 郎玉静[1] 冯雨[1] 

机构地区：[1]河南省新乡市中心医院眼科,新乡市453000

出　　处：《医药论坛杂志》2010年第7期5-6,共2页Journal of Medical Forum

摘　　要：目的探讨外伤性泪小管断裂吻合的手术技巧。方法在手术显微镜下应用直视法、逆行法寻找泪小管鼻侧断端,行插管吻合修复泪小管断裂,留置硬膜外腰麻管于泪道3个月,拔管后应用庆大霉素、地塞米松混合液冲洗泪道,局部滴妥布霉素地塞米松滴眼液。结果本组手术治愈率94.12%。结论泪小管断裂I期吻合成功率高,术中尽可能直视下寻找鼻侧泪小管断端。Objective To study the surgical technique of traumatic lacrimal ductule laceration.Methods Application of euthyphoria and retrograde method to search for nasal lacrimal ductule distal under the microscope,to repair lacrimal ductule distal with intubation anastomosis,then to detain epidural spinal anesthesia tube in the lacrimal passages for 3 months.After the extubation,application of gentamicin and dexamethasone mixture washed lacrimal passages,drops tobramycin and dexamethasone eye drops.Results The operative cure rate accounted for 94.12% in this group.Conclusion The I anastomosis of Traumatic lacrimal ductule laceration had high success rate,and as far as possible to find nasal lacrimal ductule distal under direct vision in the operation.

关 键 词：泪小管断裂 显微镜 吻合术 

分 类 号：R779.6[医药卫生—眼科]