外伤性泪小管断裂吻合的有效方法分析  

Analysis of effective method for anastomosis of traumatic lacrimal canaliculus rupture

作　　者：李翠霞 李学红 Li Cuixia;Li Xuehong(Department of Ophthalmology,Jinan Mingshui Eye Hospital,Jinan,Shandong,250200,China)

机构地区：[1]济南明水眼科医院,山东济南250200

出　　处：《中国医学文摘（耳鼻咽喉科学）》2022年第3期81-82,共2页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的 讨论外伤性泪小管断裂吻合的有效方法。方法 2019年6月~2020年5月,将60例外伤性泪小管断裂患者作为本次研究对象,入选患者均采取显微镜下泪小管断裂吻合术治疗,观察随访1年后疗效。结果 60例外伤性泪小管断裂患者实施显微镜下泪小管断裂吻合术治疗后均取得了一次性吻合成功效果,且术后3个月顺利拔管。治疗后随访1年发现,治愈患者有40例(66.67%)、好转患者有16例(36.67%)、无效患者有4例(6.67%),共有56例患者有效,总有效率为93.33%。4例无效患者有3例出现溢泪症状仍存在现象,有1例出现泪道冲洗不畅通现象,经调查发现,这1例患者为儿童,术后1周因意外因素造成硅胶引流管脱出引发泪道冲洗不畅通,经干预后得以改善。结论 显微镜下泪小管断裂吻合术治疗外伤性泪小管断裂病症有较高的疗效水平。Objective To discuss the effective method of anastomosis for traumatic lacrimal canaliculus rupture.Methods From June 2019 to May 2020,60 patients with traumatic lacrimal canaliculus ruptures were selected as the subjects of this study.All patients were treated with anastomosis of lacrimal canaliculus ruptures under microscope,and the efficacy was observed after 1 year of follow-up.Results A 1-year follow-up after treatment showed that there were 40 cured patients (66.67%),16 improved patients (36.67%),and 4 ineffective patients (6.67%).A total of 56 patients were effective,and the total effective rate was 93.33%.Among the 4 invalid patients,3 cases still had the symptom of lacrimal overflow,and 1 case still had the phenomenon of blocked lacrimal duct irrigation.The investigation found that this patient was a child,and the lacrimal duct irrigation was blocked due to the prolapse of the silica gel drainage tube caused by unexpected factors one week after the operation,which was improved after intervention.Conclusion Microscopic anastomosis of lacrimal canaliculus ruptures is effective in treating traumatic lacrimal canaliculus ruptures.

关 键 词：外伤性 泪小管断裂 吻合 手术 显微镜 疗效 

分 类 号：R65[医药卫生—外科学]