外伤性泪小管断裂吻合术不同置管方式的比较  

A comparison on different route of intubation in anastomosis for traumatic laceration of canaliculus

作　　者：陈风月 王钰清 

机构地区：[1]许昌市中心医院眼科,河南461000

出　　处：《中华眼外伤职业眼病杂志》2017年第3期212-215,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的 比较外伤性泪小管断裂Ⅰ期吻合术联合硅胶支撑管两种置管方式的临床疗效。 方法 78例（78眼）泪小管断裂随机分为两组，A组30例采用单路置管术，B组48例采用双路置管术。术后随访6～12个月，观察治疗效果及下泪点外翻和撕裂情况。 结果 A组治愈21例，好转6例，未愈3例，出现下泪小点外翻6例，下泪点撕裂4例；B组治愈43例，好转4例，未愈1例，出现下泪小点外翻1例，下泪点撕裂0例；A组与B组治愈率与泪点外翻及泪点撕裂率差异均有统计学意义（χ2＝4.808，5.227，4.284；P＝0.028，0.022，0.039）。 结论 泪小管断裂吻合术采用双路置管治愈率明显高于单路置管，并且可降低泪点外翻和撕裂的发生率。Objective To compare clinical efficacy of canalicular laceration anastomosis combineded with two routes intubation with silicone stent for traumatic canalicular lacerations. Methods Seventy - eighteyes of 78 patients with traumatic canalicular lacerations were divided into two groups, group A including 30 cases received single route intubation, and the group B including 48 cases underwent double route intubation. The followed up time was 6 - 12 months. The efficacy and the rate of punctal ectropion or tear were observed after operation. Results In group A, 21 cases were cured, 6 cases were improved,3 cases wash＇ t cured, and 6 cases occurred punctal ectropion, 4 cases occurred punctal tear. in group B, 43 cases were cured, 4 cases were improved, 1 case was not cured, and I case occurred punctal ectropion, no case happened punctual tear. The difference in cure rate, punctal ectropion or tear occurrence between group A and group B were statistically significant （X2 = 4. 808,5. 227,4. 284 ; P = 0. 028,0.022,0. 039）. Conclusion The rate of curation of lacerated canalicular anastomosis through double route with silicone sent is higher than single route, and with lower rate of punctal ectropion and tear.

关 键 词：泪小管断裂 外伤性 吻合术 硅胶支撑管 置管术 单路 双路 

分 类 号：R779.6[医药卫生—眼科]