新型Y型硅胶管在陈旧性泪小管断裂吻合术中应用  

The application of new Y type silicone tube in the anastomosis of obsolete laceration of lacrimal ;canaliculus

作　　者：王彦[1] 刘德成[1] 杨红伟[1] 刘懿[1] 许路加[1] 杨倩倩[1] 

机构地区：[1]郑州市第七人民医院眼科,郑州450016

出　　处：《中华眼外伤职业眼病杂志》2016年第7期543-546,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的：探讨陈旧性下泪小管断裂吻合术中采用泪囊切开逆行置入新型Y型硅胶支撑管的临床效果。方法陈旧性下泪小管断裂吻合术24例（24眼），术中行泪囊切开逆行置入新型Y型硅胶支撑管。术后随访6～22个月观察效果。结果经6～22个月随访观察，18例（75．00％）治愈，溢泪症状消除，冲洗泪道通畅；4例（16．67％）基本治愈，溢泪症状轻微，冲洗泪道少许返流；2例（8．33％）无效，溢泪症状无好转，冲洗泪道不通畅。结论经泪囊切开逆行置入新型Y型硅胶支撑管用于陈旧性下泪小管断裂吻合术有良好的效果。Objective To investigate the clinical effect of retrograde intubation of new Y type silicone tube inked lacrimal sac in the anastomosis of obsolete inferior lacrimal canalicular laceration . Methods The 24 eyes of 24 cases with obsolete inferior lacrimal canalicular laceration , who underwent operation of retrograde intubation of Y type silicone nasolacrimal stent canalicular tube via lacrimal sac were retrospectively viewed.The follow up time was 6-22 months.Results Eighteen patients （75.00%） were cured entirely, no epiphora 4 patients （16.67%） were meliorated, flushing of lacrimal duct less reflux and＆nbsp;2 patients （8.33%） had no effect.Conclusion The method of retrograde intubation of Y type silicone nasolacrimal canalicular stent via lacrimal sac is effective for obsolete inferior lacimal canalicular laceration .

关 键 词：吻合术 下泪小管断裂 置管术 逆行 泪囊切开 Y型硅胶支撑管 新型 

分 类 号：R779.6[医药卫生—眼科]