泪小管断裂吻合术96例效果分析  

Clinical effects of anastomosis on 96 cases of lacrimal canaliculi laceration

作　　者：吕学森[1] 吴艳丽[1] 

机构地区：[1]山东济宁市第一人民医院眼科,272100

出　　处：《中华眼外伤职业眼病杂志》2011年第3期225-227,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的 手术显微镜下直接寻找泪小管鼻侧断端吻合置管术的临床效果.方法 在手术显微镜下在复原伤口后寻找泪小管鼻侧断端,以硬膜外麻醉导管作为泪小管内支撑,吻合泪小管.结果 96例中6例内眦皮肤裂伤处愈合欠佳,泪小管断端裂开,远期溢泪,7例拔管后随访泪道不通畅,其余83例均痊愈,治愈率占86.46%.结论 手术显微镜下直接寻找到泪小管鼻侧断端的成功率较高,且行吻合修复术后恢复泪道排泪功能效果肯定.Objective To evaluate the clinical effects of locating the nasal laceration end of lacrimal canaliculus and its anastomosis combined with intubation under the microscope. Methods Firstly we found the breaking point of lacrimal canaliculus along the nasal side after recovering the cut under surgical microscope;then the epidural tude was used as a support vehicle inside the lacrimal canaliculus to reconnect the breaking points of lacrimal canaliculi. All cases were followed up for 3-13 months. Results 6 cases of 96 patients with epicanthal skin laceration healed poorly with canalicular wound spliting and long-term epiphora.7 cases of the 96 patients still had lacrimal passage obstruction after the removal of epidural tube, the other 83 cases recovered （ 84. 46% ）. Conclusion The success rate of identifying dacryocanalicular remainder at the nasal side by observing under microscope is relatively high. Anastomosis does play a role in the recovery of drainage via lacrimal passage.

关 键 词：手术显微镜 泪小管断裂 手术吻合 硬膜外管 

分 类 号：R779.6[医药卫生—眼科]