硅胶管双路置入法治疗上下泪小管断裂15例  

Application of silicone tube double-passage intubation in anastomosis for superior and inferior lacrimal canalicular laceration( 15 cases report)

作　　者：靳文燕 张春侠[1] 刘守丽 刘亚辉[1] 

机构地区：[1]济南市明水眼科医院,山东章丘250200

出　　处：《山东大学耳鼻喉眼学报》2013年第6期87-88,91,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨硅胶管双路置入法在上下泪小管断裂吻合术中的应用体会及价值。方法回顾性分析15例（15眼）行硅胶管双路置入法治疗上下泪小管断裂患者的临床资料，随访3个月～2年。结果双路置管稳定性良好，眼睑及内眦形态自然。术后3个月内15例患者存在轻度溢泪，无1倒出现异物感、充血及分泌物，无置管脱落及其他并发症。拔管后所有患者冲洗上下泪道通畅，无溢泪。结论此手术方式能达到上下泪小管断裂后的双路快速吻合的目的，泪小管断端对合牢靠，不影响美观，并发症少，疗效好。Objective To investigate the use and value of silicon tube double-passage intubation in anastomosis for su- perior and inferior lacrimal canalicular laceration. Methods The clinical data of 15 patients （15 eyes） who underwent silicon tube double-passage intubation in anastomosis for superior and inferior lacrimal canalicular laceration were re- viewed. The follow-up was from 3 months to 2 years. Results The shape of eyelid and inner canthus were normal while the silicon tube was in place. Though mild epiphora was observed within the first three months after the surgery, no foreign body sensation, hyperemia or secretions was noted in all cases. No prolapse of silicon tube and other compli- cations occurred. Without epiphora in all the patients, irrigation of lacrimal passage was easy and smooth after tube ex- traction. Conclusion Silicone tube double-passage intubation could help link the canalicular ends firmly, which is sat- isfying method to treat superior and inferior lacrimal canalicular laceration, with few complications, good efficacy, and normal appearance.

关 键 词：上下泪小管断裂 硅胶管 双路置管 

分 类 号：R779.6[医药卫生—眼科]