下泪小管断裂吻合术后并发症及其预防方法  

The complication and preventative methods in anastomosis of lacrimal canaliculus laceration

作　　者：李连洲 Li Lianzhou(Ophthalmology Department, Yunmeng County People＇ s Hospital, Hubei 432500, Chin)

机构地区：[1]云梦县人民医院眼科,湖北432500

出　　处：《中华眼外伤职业眼病杂志》2017年第2期150-152,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨下泪小管断裂吻合术后并发症及其预防方法。方法对14例（14眼）下泪小管断裂吻合术后并发症的类型及发生的原因进行分析，探讨改进吻合术的手术技术，以预防其发生。结果吻合口断裂、脱管、泪小管撕裂及下眼睑外翻是下泪小管断裂吻合术后主要并发症，术中未严格对位缝合，硬膜外导管固定不牢固是发生并发症的主要原因。结论准确找到鼻侧断端并精确地吻合是泪小管断裂修复成功的关键，硬膜外导管牢固固定，加强随诊是减少并发症的重要措施。Objective To investigate the complication and preventative methods in anastomosis of lacrimal canaliculus laceration. Methods The types and the cause of the complication afier lacrimal canaliculus laceration anastomosis on 14 eyes of 14 cases were analyzed. The technical improvement of the surgery was discussed for preventing the complication. Results The anastomotic rupture, stent dislodgement, lacrimal ductule rupture,lower eyelid ectropin were the major complications after lacrimal ductule laceration anastomosis. Inexactly contrapuntal suture and intraoperative epidural catheter fixed firmly were the main cause of complications. Conclusion Finding the broken end and accurate anastomosis is the key points to repair lacrimal canaliculus laceration. Epidural catheter firmly fixed and strengthen follow-up are important measures for reducing complications.

关 键 词：断裂 下泪小管 吻合术 并发症 改良 技术 

分 类 号：R779.6[医药卫生—眼科]