摘要
目的比较外伤性泪小管断裂RS泪道支撑管和环形硅胶支撑管置管吻合术的临床效果。方法回顾性病例对照研究。分析2014年1月至2020年12月武汉武昌艾格眼科医院及中国人民解放军中部战区总医院外伤性泪小管断裂106例(106眼)的临床资料。患者分为两组:观察组51例(51眼),置入RS泪道支撑管;对照组55例(55眼),置入环形硅胶支撑管。随访观察两组的效果。结果观察组平均手术耗时为(48.31±10.92)min,显著低于对照组的(91.04±23.84)min(t=12.00,P<0.001)。拔管后随访3~12个月,随访期末观察组治愈率为98.04%(50/51),与对照组的94.55%(52/55)接近(χ^(2)=0.19,P=0.665)。观察组术中鼻腔出血发生率为1.96%(1/51),低于对照组的90.91%(50/55)(χ^(2)=80.34,P<0.001)。观察组术后并发症发生率为7.84%(4/51),低于对照组的36.36%(20/55)(χ^(2)=10.71,P=0.001)。结论治疗外伤性泪小管断裂,相比于环形硅胶支撑管,RS泪道支撑管置管吻合术手术时间短、效果好、并发症少。
Objective To compare the efficacy of RS lacrimal stent and annular silicone lacrimal stent in the treatment of traumatic lacrimal canaliculus laceration.Methods The clinical data of 106 eyes of 106 patients diagnosed with traumatic lacrimal canaliculus laceration in the Wuchang Eyegood Opthalmic Hospital of Wuhan and Central Theater General Hospital from Jan.2014 to Dec.2020 were analyzed retrospectively.These patients were divided into the observation group,51 eyes treated with RS lacrimal stent and in the control group 55 eyes treated with annular silicone lacrimal stent.The efficacy of different lacrimal stents between the two groups was compared.Results The average operation time of the observation group was(48.31±10.92)min,which was significantly shorter than the(91.04±23.84)min of the control group(t=12.00,P<0.001).Patients in the two groups were followed up for 3-12 months after extubation.At the end of the follow-up time,the cure rate of the observation group was 98.04%(50/51),which was similar to the 94.55%(52/55)of the control group(χ^(2)=0.19,P=0.665).The incidence of intraoperative nasal bleeding was 1.96%(1/51)in the observation group and 90.91%(50/55)in the control group(χ^(2)=80.34,P<0.001).The incidence of postoperative complications was 7.84%(4/51)in the observation group and 36.36%(20/55)in the control group(χ^(2)=10.71,P=0.001).Conclusion Compared with the annular silicone lacrimal stent,RS lacrimal stent is characterized by short operation time,definite therapeutic effect,and fewer complications in the treatment of traumatic lacrimal canaliculus laceration.
作者
何秀梅
冯越越
肖宇婷
周雄
曾波
He Xiumei;Feng Yueyue;Xiao Yuting;Zhou Xiong;Zeng Bo(Department of Ophthalmology,Wuchang Eyegood Ophthalmic Hospital of Wuhan,Wuhan 430019,China)
出处
《中华眼外伤职业眼病杂志》
2022年第5期387-391,共5页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
断裂
泪小管
外伤性
吻合术
支撑管
泪道
RS
支撑管
硅胶
环形
Rupture,lacrimal canaliculus,traumatic
Anastomosis
Stent,lacrimal,RS
Stent,silicone,annular
