下泪小管断裂微创修复手术的效果  

The efficacy of minimally invasive repair for laceration of inferior lacrimal canaliculus

作　　者：雷在枝[1] Lei Zaizhi(Shanxi Eye Hospital,Taiyuan 030002,China)

机构地区：[1]山西省眼科医院,太原030002

出　　处：《中华眼外伤职业眼病杂志》2019年第12期905-909,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评估微创修复吻合下泪小管断裂的临床效果.方法回顾性分析2015年12月至2018年4月该院诊治的83例(83眼)下泪小管断裂伤的临床资料.纳入观察组29例和对照组54例,两组均在手术显微镜下进行手术,术中沿创缘直接探查鼻侧断端后.对照组采用通常的双路顺行硅胶支撑管植入吻合法,观察组采用微创修复吻合法,将泪道支撑管置入泪道,吻合断裂的下泪小管.两组患者随访6个月.结果观察组手术时间较对照组缩短,差异有统计学意义(P=0.000);两组术后有效率差异无统计学意义(P=0.807);观察组较对照组减少了泪点撕裂并发症的出现,差异有统计学意义(P=0.046).结论下泪小管断裂微创修复术未对患者造成二次损伤,疗效确切.Objective To evaluate the clinical efficacy of minimally invasive repair and anastomosis of inferior lacrimal canaliculus laceration.Methods The data of 83 eyes of 83 patients with inferior lacrimal canaliculus laceration in this hospital from Dec.2015 to Apr.2018 were retrospectively analyzed.The study included 29 cases in the observation group and 54 cases in the control group.All cases performed surgery under the operating microscope,and the broken end of the nasal side were directly probed along the wound edge during operation.The control group adopted the ordinary anastomosis method of dual anterograde intubation with silicone stent.The observation group adopted minimally invasive anastomosis method.The lacrimal duct stent was placed into the lacrimal duct to anastomose the inferior lacrimal canaliculus laceration.All cases were followed up for 6 months.Results The operation time of the observation group was significantly shorter than that of the control group,and the difference was statistically significant(P=0.000).There was no significant difference in the recovery rate between the two groups(P=0.807).The incidence rate of puncta slitting in the observation group were significantly lower than that in the control group(P=0.046).Conclusion The minimally invasive repair for inferior lacrimal canaliculus rupture does not cause secondary injury,and the efficacy is definite.

关 键 词：断裂 泪小管 修复 微创 疗效 

分 类 号：R77[医药卫生—眼科]