上颌骨骨折合并泪道损伤的诊治及效果观察  

Clinical treatment and obersavation of maxillary fracture incorporating lacrimal passage injury

作　　者：李霞[1] 

机构地区：[1]郑州大学第一附属医院,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2012年第7期524-525,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察上颌骨骨折合并泪道损伤的手术方法和效果。方法对上颌骨骨折合并泪道损伤的病例，及时行上颌骨骨折的复位固定，对泪道充血、积血、炎症者早期应用抗生素滴眼、冲洗结膜囊、冲洗泪道、泪道置管等；对泪小管断裂者在显微镜下行泪小管吻合术，鼻泪管断裂者行泪囊鼻腔吻合术。结果180例上颌骨骨折中，合并泪道损伤者48例，发生率为26．7％，随访6个月治愈44例，好转2例，共占95．8％。结论复合性泪道损伤及时进行骨折复位及泪道修复手术，可获比较好的效果。Objective To observe the operation method and therapeutic effect of maxillary fracture incorporating lacrimal passage injury. Methods Patients with maxillary fracture incorporating lacrimal pas- sage injury were treated by repesitioning and fixing the maxillary fracture promptly. Meanwhile, applying eye ointment , rinsing conjunctival sac, rinsing lacrimal passages and placing catheter into lacrimal passages were implementing in early stages for patients with congestion, haematocele and inflammation of lacrimal passa- ges. For patients with ductus lacrimalis and canalis nasolacrimalis breakage, ductus lacrimalis anastomosis was operated under microscope and anastomosis between nasal cavity and lacrimal sac employed respectively. Results Among 180 cases with maxillary fracture, 48 cases incorporated lacrimal passages injury, and inci- dence rate was 26.7%. After 6 months＇ follow up, 44 cases were curing, and 2 cases improving. Altogether accounts for 95.8%. Conclusion Satisfactory effect can be obtained if the fractured reposition and lacrimal passage repair were operated simultaneously.

关 键 词：骨折 上颌骨 损伤 泪道 手术 效果 

分 类 号：R779.6[医药卫生—眼科]