摘要
目的探讨由于泪小管大部或全部阻塞引起的泪道阻塞的泪道再造手术方式。方法泪小管大部或全部阻塞引起的泪道阻塞15例,年龄平均(34.73±16.24)岁,进行唇黏膜桥结膜囊鼻腔吻合术,术后随访时间平均(10.67±5.80)月。结果术后泪溢症状完全缓解者9例;偶有泪溢症状者2例;常有眼泪在内眦部,但不会流出眼部者4例。其中,发生内斜视者2例,行对症手术治疗后内斜视消失。结论唇黏膜桥结膜囊鼻腔吻合术可以有效地治疗由于泪小管大部或全部阻塞引起的泪道阻塞。
Objective To discuss conjunctivo rhinostomyl（CR） with buccal mucosa bridge for large area lacrimal passage obstruction. Methods Fifteen lacrimal passage obstructed patients were selected.The obstructing range were from lateral canal iculus to the lacrimal saccus or nasolacrimal duct.Presence of normal canaliculus shorter than 6mm from puncta.The averaged age of all the patients was 34.73±16.24 years old.The averaged follow-up period was 10.67±5.80 months.CR with buccal mucosa bridge was operated with dacryocystorhinostomy（DCR） first and then to make a buccal mucosa bridge,that was a bypass from caruncula to lacrimal fossa lining with buccal mucosa. Results All the lacrimal bypass were reconstructed successfully.9 cases told that the epiph ora cured completely,4 cases felt epiphora at medial canthus,but did not tear out.2 cases felt epiphora occasionally.Among all the patients 2 cases presented esotropia post operation. Tile reason was found that the cicatritial adhesion was emerged between the medial rectus and tissue around.Esotropia was cured after a cicatrectomy. Conclusions Conjunctivo rhino stomy with buccal mucosa bridg is an effective and safe surgery mode for ob structed lacrimal passage including canaliculus obstructing.
出处
《眼外伤职业眼病杂志》
2010年第12期894-897,共4页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
结膜囊鼻腔吻合术
唇黏膜
conjunctivo rhinostomy（CR）
buccal mucosa
