摘要
目的探讨儿童外伤性下泪小管断裂吻合术的手术方法及其疗效。方法回顾性分析28例(28眼)儿童外伤性泪小管断裂,在手术显微镜下采用泪小管断裂吻合术,2～3个月后拔管,观察眼睑及泪点位置及泪道通畅情况。结果术后下泪点位置正常,眼睑皮肤愈合良好,无眼睑畸形,术后测泪膜破裂时间及Schirmer实验正常,拔管前和拔管后行泪道冲洗均通畅,手术成功率达96.43%。随访12～24月,痊愈20例(71.43%),好转7例(25.00%),无效1例(3.57%)。结论泪小管显微吻合术是治疗外伤性下泪小管断裂的有效手术方式,采用儿童输尿导管支撑断裂泪小管行吻合术操作简单,疗效良好。
Objective To evaluate technique and curative effect of microscopic anastomosis for laceration of canaliculus lacrimalis in children.Methods Retrospectivly analysis 28 cases （28 eyes） of laceration of canaliculus lacrimalis in children.They accepted canaliculus lacrimalis anastomosis under surgery microscope.The recovery of funtion of lacrimal passage,eyelids and lacrimal punctum were evaluated by following-up for 2-3 months after extraction of the tube. Results The position of lower lacrimal punctum was normal.No eyelids malformation was found.BUT and Schirmer＇s test were normal.Irrigating test of the lacrimal passage showed smooth before and after pulling out the tube.20 eyes（71.43%）got cured and 7 eyes turned out better（25.00%）,only one case showed inefficiency（3.57%）. Conclusion Canaliculus lacrimalis anastomosis with surgery microscope is an effective method to treat the laceration of lacrimal canaliculus.It is simple way to treat the laceration of lacrimal canaliculus in children with ureteral catheter.
出处
《眼外伤职业眼病杂志》
2010年第11期829-830,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
泪小管断裂
输尿导管
吻合术
儿童
手术显微镜
laceration of canaliculus lacrimalis
ureteral catheter
anastomosis
children
surgery microscope
