新型硅胶支撑管在泪小管吻合术中的应用效果  

Efficacy of application of newly designed silicone stent in the anastomosis of lacrimal canaliculus

作　　者：梁娜[1] 陈宁[2] 黄帅 王瑞红[1] 郭立坤 Liang Na;Chen Ning;Huang Shuai;Wang Ruihong;Guo Likun(Department of Ocular Trauma, Handan Municipality Eye Hospital, Handan Third Hospital, Hebei 056001, China;Department of Emergency, Handan Central Hospital, Hebei 056002, China)

机构地区：[1]邯郸市眼科医院眼外伤科(邯郸市第三医院),河北056001 [2]邯郸市中心医院急诊科,河北056002

出　　处：《中华眼外伤职业眼病杂志》2019年第7期524-527,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：邯郸市科学技术局项目(1723208072).

摘　　要：目的评价新型硅胶支撑管在下泪小管吻合术中的应用效果。方法回顾性分析我院2016年3月至2018年3月下泪小管断裂45例(45眼)的临床资料。所有患者术中植入新型硅胶管,8-0可吸收缝线吻合泪小管断端。术后3个月拔管,随访6~12个月。观察泪道通畅情况及溢泪症状。结果45例中治愈41例(91.11%),好转2例(4.44%),无效2例(4.44%)。总有效率达95.56%。主要并发症为泪管阻塞2例(4.44%)、泪点豁开1例(2.22%)。结论新型硅胶支撑管手术操作简便、外观隐匿、留置状态安全以及取管简便。Objective To evaluate the efficacy of application of newly designed silicone stent in the anastomosis of inferior lacrimal canaliculus. Methods The data of 45 eyes of 45 patients with inferior lacrimal canaliculus laceration from Mar. 2016 to Mar. 2018 were analgzed retrospectively. The newly designed silicone tube was implanted in the anastomosis of lacrimal canaliculus, and the broken end of the lower lacrimal canaliculus were sutured with 8-0 absorbable suture. Then the lacrimal stents were removed at 3 months after operation. The patients were followed up for 6-12 months. Results After operation, 41 patients(91.11%) were cured, 2 patients(4.44%) were improved. However, 2 patients were ineffective. The total effective rate was 95.56%. The main complications were lacrimal duct obstruction in 2 patients (4.44%) and lacrimal point tear in 1 patient (2.22%). Conclusion The newly designed silicone stent has the characteristics of simple to operate, excellent cosmetic result, safe state of catheterization and convenient to fetch tube.

关 键 词：吻合术 泪小管 下 支撑管 硅胶 新型 

分 类 号：R779.6[医药卫生—眼科]