57例显微镜下泪小管断裂吻合手术临床分析  

A Clinical Analysis of 57 Cases of Microsurgery for Lacrimal Ductile Tear

作　　者：何亚妮[1] 陈银朝[1] 

机构地区：[1]大理学院大理附属医院,云南大理671000

出　　处：《大理学院学报（综合版）》2014年第4期47-49,共3页Journal of Dali University

摘　　要：目的：探讨在显微镜下泪小管断裂断端的寻找方法及泪小管断裂吻合联合泪道引流管置管术的疗效,提高泪小管吻合术的成功率。方法：选择2006年1月至2013年5月收治泪小管断裂57例患者,采用在显微镜直视下寻找的方法,找到泪小管鼻侧断端和泪囊侧断端,置入硬膜外管作为泪小管内支撑物,吻合泪小管断端,留置引流管3-6个月,拔管后3-12个月随访观察疗效。结果：治愈53例,拔管后泪道冲洗均通畅,无溢泪现象,4例主观感觉有少许溢泪症状,但冲洗泪道试验通畅,行泪道扩张冲洗2-3次后症状消失,无眼睑内外翻或泪小管撕裂等症状。结论：在显微镜下行泪小管断端吻合术,较容易寻找到泪小管鼻侧断端,手术成功率高,恢复泪道排泪功能效果肯定。Objective： To investigate the technique and efficacy of microsurgery for lacrimal ductile tear in order to improve the success rate of nasolacrimal anastomosis. Methods：Surgical microscope was adopted to treat 57 cases with canaliculus disruption from January 2006 and May 2013. The microscope was used to find canalicular nasal lateral ends and the side ends of lacrimal sac. And then epidural tube was put as adhesion. Drainage tube was indwelt for 3-6 months. Follow-up was done in 3- 12 months after extubation in order to observe the curative effect. Results：53 cases were cured,and lacrimal duct flushing after extubation were unobstructed. No tears spilt. 4 cases felt that a few tears spilt,but the wash of lacrimal duct test was unobstructed,and line of lacrimal duct expansion symptoms disappeared after washing 2-3 times. No eyelid inside and outside,or the small tube or tear apart and other symptoms. Conclusion：The technique of microsurgery for lacrimal ductile tear is easier to find the tears tubular nasal side end,and surgical success rate is high. The efficacy of recovery of lacrimal duct lacrimal function is good.

关 键 词：泪小管断裂 手术显微镜 硬膜外管 手术吻合 

分 类 号：R779.62[医药卫生—眼科]