显微镜直视下泪小管断裂吻合术的疗效观察  

Curative effect observation of anastomosis in lacrimal canaliculus laceration under surgical microscope

作　　者：熊斌 沈华墨 罗琰 曹泽刚 

机构地区：[1]广东省河源市人民医院眼科,广东河源517000

出　　处：《中国现代医生》2012年第9期157-158,共2页China Modern Doctor

摘　　要：目的探讨外伤性下泪小管断裂鼻侧断端的位置分布规律,提高泪小管断裂吻合术的效果。方法对62例外伤性下泪小管断裂患者,显微镜直视下探查寻找到下泪小管鼻侧断端后,用硬膜外麻醉导管作为泪小管内支撑物,吻合泪小管断端。结果所有病例均一次性吻合成功,治愈51例,好转7例,未愈4例,总有效率93.5%。结论显微镜直视下泪小管断裂吻合术是一种快捷、易行、有效的泪小管断裂修复手术方法。Objective To explore the regularity of location distribution of the nasal laceration end in traumatic inferior lacrimal canaliculus laceration, and improve the clinical efficiency of the anastomosis. Methods Among the 62 cases of traumatic inferior lacrimal canaliculus laceration patients, after finding out the breaking point of lacrimal canaliculus laceration along the nasal side under surgical microscope, then the epidural tude was used as a support vehicle inside the lacrimal canalieuli to reconnect the breaking points of lacrimal canaliculi. Results All cases were successfully anasto-mosed at one time,51 cases were cured, 7 cases improved, 4 cases were ineffective, the total effective rate was 93.5%. Conclusion Anastomosis treating the lacrimal canaliculus laceration under surgical microscope is a quick,easy and effective surgical operation method.

关 键 词：泪小管断裂 吻合术 硬膜外麻醉导管 

分 类 号：R777.22[医药卫生—眼科]