摘要
目的 观察两种治疗陈旧的下泪小管断裂的手术方式的效果.方法 回顾性分析在我院就诊的36例陈旧的下泪小管断裂,分别采用经上泪点和泪囊切开两种方式逆行寻找下泪小管鼻侧断端的手术方法,术后随访观察比较两种术式的效果.结果 36例中有6例经上泪点逆行寻找下泪小管鼻侧断端成功,其余30例经泪囊切开逆行寻找下泪小管鼻侧断端成功,均成功置入双路环形硅胶管.术后3个月拔管,随访6个月以上.29例（80.6％）治愈,5例（13.9％）基本治愈,2例（5.5％）无效.结论 逆行寻找下泪小管断端联合双路环形硅胶管置入是治疗陈旧的下泪小管断裂的有效方法.
Objective To observe the clinical efficacy of two surgical procedures in the management of obsolete inferior canaliculi laceration.Methods 36 cases of obsolete inferior canaliculi laceration were retrospectively reviewed.The nasal breakages of lacerated canaliculus were found through the upper lacrimal punctum or by cutting the lacrimal sac.The effects of two different methods were compared.Results The nasal breakages of lacerated canalicula in 6 cases were found through the upper lacrimal puncta.Other 30 cases＇ nasal breakages were found by cutting the lacrimal sac.The bicanalicular silicon tubes were implanted successfully in all cases.The tubes were removed after 3 months.All patients were followed for over 6 months.29 cases （80.6％） were cured and 5 cases （13.9％） were improved significantly.Surgeries failed in 2 cases（5.5％）.Conclusion The nasal breakages of lacerated canalicula can be found through the upper lacrimal puncta or by cutting the lacrimal sac.The bicanalicular intubation procedure is an effective method for the management of obsolete inferior canalicular laceration.
出处
《中华眼外伤职业眼病杂志》
2014年第2期111-113,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
断裂
下泪小管
陈旧
置管
逆行
管
硅胶
双路
Laceration, canalicular, inferior, obsolete
Implantation, retrograde
Tube, silicone,bicanalicular
