表面麻醉下寻找泪小管断端的临床体会  

Clinical experience of finding the broken end of canaliculus under topical anesthesia

作　　者：王学忠 

机构地区：[1]登封市妇幼保健院眼科,河南452470

出　　处：《中华眼外伤职业眼病杂志》2016年第7期538-539,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的：讨论表面麻醉下寻找泪小管断裂的鼻侧断端的临床体会。方法对我院2011年1月至2015年6月收治的21例外伤性泪小管断裂在表面麻醉下寻找泪小管断端的体会进行回顾性总结。结果21例外伤性泪小管断裂除1例上、下泪小管断裂转医院外，其余20例均在我院表面麻醉下找到下泪小管鼻侧断端，行I期泪小管断端吻合术。结论根据泪小管断裂的部位，表面麻醉后在裂隙灯显微镜和手术显微镜下按照解剖层次可快速找到鼻侧泪小管断端，是临床上有效的方法。Objective To discuss the clinical experience of looking for the broken ends of canaliculus under topical anesthesia .Methods Twenty-one patients with traumatic canalicular laceration which were treated by looking for the broken ends of canaliculus under topical anesthesia from January 2011 to June 2015 in our hospital were analysed retrospectively .Results Twenty-one patients were enrolled in the study.The broken ends of canaliculus on the nasal side under superficial anesthesia were found in 20 cases.They were treated with stage I canaliculus lacrimalis anastomosis , one patient was transferred to the other hospital .Conclusion The nasal broken ends of canaliculus can be easily found according to the anatomical level with slit lamp and operating microscope after topical topical .

关 键 词：泪小管断裂 断端 鼻侧 泪小管 表面麻醉 

分 类 号：R779.6[医药卫生—眼科]