儿童泪小管断裂34例临床分析  

Clinical analysis of 34 cases of canalicular laceration in children

作　　者：乔玉好 付蓉花[1] 杨凯转[1] 熊凤枝[1] QIAO Yuhao;FU Ronghua(Department of Ophthalmology.Zhengzhou Second People's Hospital,Zhengzhou 450000,Henan)

机构地区：[1]郑州市第二人民医院,河南郑州450000

出　　处：《实用防盲技术》2023年第4期171-174,共4页Journal of Practical Preventing Blind

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20191014)。

摘　　要：目的探讨儿童泪小管断裂的临床特点及手术治疗效果。方法回顾性分析郑州市第二人民医院2016年8月至2022年8月诊治的儿童泪小管断裂患者34例(34眼),均在全麻显微镜下行Ⅰ期泪小管断裂吻合术,术中植入RS-1型泪道引流管。术后2~6月后拔管,随访6月,对其临床特点、手术疗效及并发症进行分析总结。结果34例患者,男性24例,平均年龄(4.79±2.45)岁,下泪小管断裂最多见(23例),致伤原因多为意外摔伤(15例);手术均成功完成,拔管后,治愈31例(91.2%),好转2例(5.9%),无效1例(2.9%),总有效率97.1%;术后泪道引流管移位1例,泪小点轻度撕裂1例,泪小点轻度外翻1例,所有患者均未见明显眼睑瘢痕及畸形。结论全麻显微镜下行Ⅰ期泪小管断裂吻合术联合RS-1型泪道引流管植入操作简便,手术成功率高,并发症少,是治疗儿童泪小管断裂的有效可靠的手术方法。Objetive To investigate the clinical characteristics and surgical treatment effects of canalicular laceration in children.Methods Retrospective analysis of 34 patients(34 eyes)with canalicular laceration in children treated in Zhengzhou Second People's Hospital from August 2016 to August 2022,all the patients underwent one-stage canalicular laceration anastomosis under general anesthesia and microscopy,During surgeries RS-1 silicone tubes were implanted.The tubes were removed after 2-6 months postoperatively,and follow-up was conducted for 6 months,the clinical characteristics,operation efficacy and complications were analyzed and summarize.Results Among the 34 patients,24 were male,and the mean age was(4.79±2.45)years old,lower canalicular laceration was the most common type(23 cases),and the main causes of injury were accidental falls(15 cases);All surgeries were successfully completed,after extubation,31 cases(91.2%)were cured,2 case(5.9%)improved,1 case(2.9%)failed,and the total effective rate was 97.1%;After surgery,RS-1 silicone tube displaced in 1 case,lacrimal punctum mildly slited in 1 case and mild ectropoin of the lacrimal punctum in 1 case.No obvious eyelid scars or deformities were found in all patients.Conclusion One-Stage canalicular laceration anastomosis combined with RS-1 silicone tube implantation under general anesthesia and microscopy is a effective and reliable surgical method for treating canalicular laceration in children,with a high success rate and fewer complications.

关 键 词：儿童 泪小管断裂 吻合术 疗效 

分 类 号：R779.6[医药卫生—眼科]