摘要
目的观察猪尾式探针联合非外露环形硅胶支撑管植入术治疗陈旧性泪小管断裂的效果。方法对15例（15眼）陈旧性泪小管断裂患者实施二期手术治疗，术中借助猪尾式探针找到泪小管的鼻侧断端，置入环形硅胶支撑管，保留6个月，观察疗效。结果本组15例泪小管获得解剖和功能上恢复，其中14例溢泪症状消失，1例因泪点轻度外翻尚有溢泪，泪道冲洗通畅。结论陈旧性泪小管断裂二期手术中用猪尾式探针可节省寻找侧鼻断端的时间，置入环形硅胶管，不影响外观，并发症少，可以有效治疗陈旧性泪小管断裂。
Objective To observe the efficacy of the pig tail probe and double-passage annular canalicular stent implantion for the treatmeat of obsolete eanalicular laceration. Methods A total of 15 eyes of 15 patients with obsolete canalicular laceration underwent the secondary operation to repair the eanalicular laceration. During the surgery, the pig tail probe was used to found the nasal end of the lacerated canaliculus, then the annular silicone stent was placed and kept for 6 months. The clinical efficacy was observed. Results All patients recovered anatomical position and function. Epiphora symptom disappeared in 14 patients, while 1 patient had a mild epiphora because of slight ectropion of inferior lacrimal puncture, irrigation of lacrimal duct was unobstructed. Conclusion The use of pig tail probe during the operation can save the time of founding the nasal end of the lacerated canaliculus. It is a reliable and satisfactory method for the treatmeat of obsolete canalicular laceration when combined with the double-passage annular canalicular stent intubation.
出处
《中华眼外伤职业眼病杂志》
2016年第9期665-668,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
泪小管断裂
陈旧性
探针
猪尾式
支撑管
硅胶
环形
Canalicular laceration, obsolete
Probe, pig tail
Annular canalicular stent, silicone,double-passage
