下泪小管断离吻合手术时机与效果388例分析  

Analysis of the operation timing and effect of anastomosis for 388 cases of laceration of inferior lacrimal canaliculus

作　　者：孙广莉[1] 苏刚[1] 郝尚臣[1] 刘方 陈霞[1] Sun Guangli;Su Gang;Hao Shangchen;Liu Fang;Chen Xia(Department of Ophthalmology,The First Affiliated Hospital of Zhengzhou Univerdity,Henan Provincial Eye Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院眼科 河南省眼科医院,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2018年第9期689-691,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：河南省科技攻关计划项（201602062）：2018年河南省高等学校重点科研项目资助计划（18A320070）

摘　　要：目的探讨下泪小管断离吻合的手术时机及双泪小管置入式硅胶支撑管置入的临床效果。 方法回顾性分析本院2012年1月至2016年10月下泪小管断离388例（388眼）的临床资料。患者年龄2～79岁，男314例（80.9%），女74例。手术方法为在手术显微镜下以双泪小管置入式硅胶支撑管进行吻合；支撑管放置时间为3个月，拔管后随访3个月。 结果手术时间为外伤后2 h到14 d，但是术后恢复效果差异无统计学意义。随访期末治愈率78.3%；好转率13.6%；无效率8.1%。 结论下泪小管断离吻合的时机尽量选择在眼睑组织水肿前手术，此时较易寻找泪小管鼻侧断端。ObjectiveTo investigate the surgical timing of anastomosis and efficacy of U-type silicone stent implantation for the treatment of laceration of inferior lacrimal canaliculus. MethodsFrom Jan. 2012 to Oct. 2016, the data of 388 eyes of 388 patients with laceration of inferior lacrimal canaliculus were analyzed retrospectively. Age of all cases ranged from 2 to 79 years. There were 314 males （80.9%） and 74 females. All cases underwent double lacrimal canaliculus placement silicone stent implantation under the surgical microscope. The silicone stent was placed for 3 months and followed up for 3 months after removed. ResultsThe difference of efficacy was not statistically significant among different operation time. At the end of follow-up, the cure rate was 78.3%, the recovery of rate was 13.6%, and the inefficiency was 8.1%. ConclusionThe surgical timing of anastomosis for lacrimal canaliculus laceration should be choose before the anterior eyelid tissue edema, and it is easier to find the nasal breakage of lacrimal duct.

关 键 词：断离  下泪小管 吻合术 手术时机 支撑管  硅胶  双泪小管置入式 

分 类 号：R779.6[医药卫生—眼科]