RS管置入治疗陈旧性泪小管断裂的疗效观察  

Observation of the therapeutic efficacy of RS tube placement for the treatment of old canalicular laceration

作　　者：范海燕 施沃栋[1] Fan Haiyan;Shi Wodong(Department of Ophthalmology,the Ninth People's Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院眼科、上海市眼眶病眼肿瘤重点实验室,200011

出　　处：《临床眼科杂志》2024年第6期537-539,共3页Journal of Clinical Ophthalmology

摘　　要：目的分析RS管置入治疗陈旧性泪小管断裂的疗效,探讨该方法的自身特点以及相对于其他方法的优越性。方法回顾性分析我院2019年1月至2023年6月间采用RS管置入治疗的24例(24只眼)陈旧性泪小管断裂的临床资料,其中男性19例,女性5例。平均年龄51岁。所有患者均接受术后随访,随访时间为6个月至24年。从客观和主观两方面对病人的手术效果进行评估,客观指标包括:泪道冲洗对否通常无反流,裂隙灯检查眼睑、泪点和内眦是否有任何结构异常,主观指标包括:患者是否有流泪不适以及对于术后外观是否满意。结果24只眼成功置入RS管,无严重的术中术后并发症,在随访期间,23例患者泪道冲洗通畅,22例患者无流泪主诉并对术后外观满意。结论RS管置入治疗陈旧性泪小管断裂是一种安全有效的方法,与其他手术方法相比,RS管置入具有不需要鼻内固定或取出、较短的手术时间、更容易在泪道系统插管,较高的手术成功率等优势。Objective To analyze the efficacy of RS tube placement in the treatment of old canalicular laceration and explore its unique characteristics and advantages compared to other methods.Methods A retrospective analysis was conducted on the clinical data of 24 cases of old canalicular laceration treated with RS tube placement in our hospital between January 2019 and June 2023.Among them,there were 19 males and 5 females,with an average age of 51 years.All patients were followed up postoperatively,with a follow-up period ranging from 6 months to 2 years.The surgical outcomes were evaluated from both objective and subjective aspects.Objective indicators included whether the lacrimal duct irrigation was normally unobstructed and without reflux,and whether there were any structural abnormalities in the eyelids,lacrimal puncta,and inner canthus as observed by slit lamp examination.Subjective indicators included whether the patients experienced tearing discomfort and their satisfaction with the postoperative appearance.Results RS tubes were successfully placed in 24 eyes without any significant intraoperative or postoperative complications.During the follow-up period,lacrimal duct irrigation was unobstructed in 23 cases,and 22 cases had no complaints of tearing and were satisfied with the postoperative appearance.Conclusions RS tube placement for the treatment of old canalicular laceration is a safe and effective method.Compared to other surgical techniques,RS tube placement offers advantages such as not requiring nasal fixation or removal,shorter surgical time,easier insertion into the lacrimal system,and a higher success rate.

关 键 词：RS管 陈旧性泪小管断裂 泪小管吻合术 手术效果 

分 类 号：R47[医药卫生—护理学]