泪小管断裂显微吻合术联合术后拔管前后泪道干预的疗效观察  

Observation on Lacrimal Ductule Rupture Treated with Micro-stomy Combined with Lacrimal Passage Intervention before and after Tube Drawing after Operation

作　　者：朱亚琴[1] 施天严[1] 

机构地区：[1]丽水市中心医院,浙江丽水323000

出　　处：《浙江中医药大学学报》2014年第6期756-758,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探讨泪小管断裂显微吻合术(canalicular microsurgical anastomosis,CMA)联合术后拔管前后泪道干预治疗泪小管断裂的疗效。[方法]选择我院收治、诊断并行CMA的58例泪小管断裂患者,分为观察组31例(CMA常规治疗联合术后拔管前后泪道干预)、对照组27例(CMA常规治疗)。两组均术后3个月拔管,随访至拔管后6个月以上后统计对比两组患者的临床疗效。[结果]观察组拔管后泪道堵塞发生率低于对照组,差异有统计学意义(P<0.05,P<0.01);观察组总疗效优于对照组,差异有统计学意义(P<0.05)。[结论]CMA常规治疗联合术后拔管前后泪道干预能降低拔管后泪道堵塞发生率,总体获效较单纯CMA常规治疗有优势。[Objective] To discuss the effect of canalicular microsurgical anastomosis（CMA） combined with lacrimal passage intervention before and after tube drawing after operation on lacrimal ductule rupture.[Method] Choose 58 cases of lacrimal ductule rupture with CMA,divide them into observation group 31 cases（routine CMA combined with lacrimal passage intervention） and control group 27 cases（routine CMA）.Both were drawn tube 3m after operation,followed up for 2m,then made statistics and comparison of their clinical effects.[Result] In the observation group,the lacrimal passage blocking rate was lower than control group,with difference of statistical meaning;the total effect of observation group was better than control one,with difference of statistical meaning too.[Conclusion] The routine CMA combined with lacrimal passage intervention can reduce the lacrimal passage blocking rate,with better total effect than pure CMA therapy.

关 键 词：泪小管断裂 显微吻合术 术后拔管前后泪道干预 

分 类 号：R276[医药卫生—中医五官科学]