摘要
目的评价两种显微手术方法吻合泪小管断裂的效果。方法在手术显微镜下直接找出泪小管的断端,按手术方式不同分为两组,即麻醉导管单路插管吻合组(30眼)和硅胶管双路环行插管吻合组(37眼)。结果所有病例均在手术显微镜下直接找到鼻侧泪小管断端并且一次手术成功吻合泪小管,随访6月～31月(平均11.5月),麻醉导管单路插管术30眼,治愈24例,好转3眼,失败3眼,治愈率80%;硅胶管双路环行插管术37眼,治愈32眼,好转3眼,失败2眼,治愈率86.5%。结论应用显微外科技术可明显提高治疗泪小管断裂的临床效果;硅胶管双路环行置入法是理想的治疗泪小管断裂的方法。
Objective To evaluate the therapeutic effect of two kind of microscopical anastomosis in treatment of lacerated lacrimal ductule.Methods The medial broken end of disrupted lacrimal ductule was directly located under operative microscope and the patients were divided by operative methods into two groups：silicone tube double-passage annular canalicular intubation group（37 eyes） and epidural anesthetic tube one-passage annular canalicular intubation group（30 eyes）.Results In all cases the medial broken end of disrupted lacrimal ductule were directly located under operative microscope and the operations were succeed.The follow-up was from 6 to 31months（average 11.5months）,in epidural anesthetic tube one-passage annular canalicular intubation group in which 3 eyes improved and 3 eyes failed,in silicone tube double-passage annular canalicular intubation group the cure rates was 86.5%,3 eyes improved and 2 eyes failed.Conclusion Micro-surgical techniques can improve the clinical effect magnificently in treating lacrimal ductule laceration and the silicone tube double-passage annular canalicular intubation is a ideal method in treatment of lacrimal ductule laceration.
出处
《实用防盲技术》
2010年第4期149-151,共3页
Journal of Practical Preventing Blind
关键词
泪小管断裂
硅胶管
显微外科手术
Lacerated lacrimal ductule
Silicone tube
Microsurgery
