改良置管法在N4,管断裂吻合术中的临床应用  

The clinical application of modified intubation in canalicular laceration anastomosis surgery

作　　者：王庆华[1] 汤伟[1] 蒋韵佳[1] 孙松[1] 

机构地区：[1]无锡市第二人民医院眼科,江苏214002

出　　处：《中华眼外伤职业眼病杂志》2015年第11期869-871,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的介绍一种改良的硅胶管逆行双路置管法在泪小管断裂吻合术中的应用。方法采用硅胶引流管自身作为引线和支撑管，利用带记忆针芯的泪道探针行泪道逆行环形置管，改良泪小管断裂吻合手术。28例（28眼）泪小管断裂均在显微镜直视下找到泪小管鼻侧断端并吻合置管。结果所有病例均顺利完成手术，术后3个月拔管，拔管后随访3—6个月。治愈24例（85．72％）。好转2例（总有效率92．86％），无效2例（7．14％），无一例出现眼睑畸形或置管脱落等并发症。结论改良的泪小管断裂吻合手术效果显著，并发症少，手术快捷，损伤小。Objective To introduce a modified method of silicone tube retrograde and ring intubation in canalieular laceration anastomosis. Methods Using silicone tube itself as lead and support tube, retrograded and ring intubation in the lacrimal duct was performed with lacrimal probe with memory needle core to improve the way of canalicular laceration anastomosis. The nasal ends of canalicular laceration in 28 eyes of 28 cases were found and anastomosed under direct vision with microscope, and then the silicone tube was intubated in the surgery. Results All patients were successfully operated by this method. The silicone tubes were extracted 3 months after the surgery. The follow-up was 3 - 6 months after extubation. Twenty-four cases were cured （85.7%） , Two cases improved （the total efficiency was 92.9% .9） and two cases were invalid （7. 1% ）. No complications occurred such as eyelid deformities, silicone tube prolapse etc. Condusion The modified canalicuiar laceration anastomosis surgery is very effective with fewer complication and damage.

关 键 词：泪器疾病 泪小管断裂 泪道引流管 手术 

分 类 号：R779.6[医药卫生—眼科]