支撑管植入术治疗泪小管断裂的效果分析  

Analysis on efficacy of stent implantation for the repair of canalicular lacerations

作　　者：王金硕[1] 薛玲[2] 

机构地区：[1]郑州大学第一附属医院眼科,郑州450052 [2]新乡市第一人民医院眼科,河南453000

出　　处：《中华眼外伤职业眼病杂志》2017年第1期59-60,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的 探讨支撑管植入术治疗泪小管断裂的效果.方法 对56例（56眼）外伤性下泪小管断裂,在手术显微镜下找到泪小管鼻侧断端后,在下泪小管内植入支撑管,两断端吻合.术后2～3个月拔管.随访1～2年,观察泪小管通畅程度、内眦部愈合及并发症的情况.结果 治愈46例,好转8例,无效2例,治愈率为82.14％,总有效率96.43％;主要并发症为下泪点撕裂7例（12.50％）及内眦切迹3例（5.36％）.结论 支撑管植入术治疗泪小管断裂效果确切,手术简单易行操作.Objective To investigate the efficacy of stent implantation for the repair of canalicular lacerations.Methods Fifty-six eyes of 56 cases of traumatic inferior canalicular laceration underwent stent implantation under microscope and inferior lacrimal duct anastomosis was accomplished during the operation.Then the stent was pulled out 2-3 months later.The drainage of the stent,inner canthus healing and complications were observed in the following 1-2 years.Results Forty-six cases were cured,8 cases were improved and 2 cases were not cured.The curative rate was 82.14% and the total effective rate was 96.4%.The main complications were inferior lacrimal punctum laceration in 7 cases （12.50%） and inner canthus notch in 3 cases （5.36%）.Conclusion Stent implantation for the repair of canalicular lacerations is effective and simple.

关 键 词：泪小管断裂 吻合术 支撑管 

分 类 号：R779.6[医药卫生—眼科]