逆行置线治疗泪小管断裂的临床疗效观察  

Efficacy of retrograde indwelling mersilene on canalicular laceration

作　　者：章余兰[1] 石璐[1] 宋映[1] 周辉[1] 

机构地区：[1]南昌大学第二附属医院眼科,江西330006

出　　处：《眼科》2017年第6期378-381,共4页Ophthalmology in China

摘　　要：目的观察逆行置线治疗泪小管断裂的临床疗效。设计回顾性病例系列。研究对象2015年10月至2016年3月南昌大学第二附属医院收治的46例(46眼)泪小管断裂患者。方法显微镜下寻找患者的泪小管鼻侧断端,插入空心泪道探针,在钢丝引导下自鼻腔逆行留置双股4-0慕丝线于上、下泪小管、泪囊及鼻泪管,线结留置鼻前庭。行泪小管吻合后缝合眼睑皮肤裂伤。术后3个月拆除泪道留置线。主要指标患者去除留置线后泪道冲洗通畅情况及并发症。结果 45例患者术后3个月去除留置线,泪道冲洗通畅,其中3例患者出现下泪点撕裂;术后6个月,泪道冲洗通畅者40例,通而不畅者4例,不通者2例。1例患者在术后1个月时自行剪除留置线并失访。结论泪小管断裂吻合术中行逆行泪道置线,方法简单,留置缝线期间外观无影响,无需特殊耗材,术后泪道功能恢复较好。Objective To investigate the clinical effect of retrograde indwelling mersilene on canalicular laceration. Design Retrospective case series. Participants 46 patients （46 eyes） of lacrimal canaliculus in the Second Affiliated Hospital of Nanchang University from October 2015 to March 2016. Method Under operating microscope, forty-six patients received the lacrimal canaliculus anastomosis combined with retrograde indwelling mersilene, and its outcome were analyzed. Main Outcome Measures Lacrimal duct patency and complications after suture removal. Results After one month, one patient removed the mersilene himself and lost of the follow-up.We removed the mersilene and irrigated of lacrimal passage for 45 cases after three months. 45 patients were followed up for six months at least. 40 patients were cured at the final follow-up; and canalicular narrow was noted in three patients and canalicular block in two patients. Conclusion Retrograde indwelling mersilene for canalicular laceration has high success rate,less injury,less pain and less cost.

关 键 词：泪小管断裂 泪小管吻合 置线 

分 类 号：R779.6[医药卫生—眼科]