中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
8期
991-993
,共3页
泪小管断裂%硅胶管%手术治疗
淚小管斷裂%硅膠管%手術治療
루소관단렬%규효관%수술치료
Canalicular laceration%Silicone tube%Surgery treatment
目的 介绍一种硅胶管双路置入法在下泪小管断裂吻合术中的应用.方法 选取外径1 mm、内径0.6～0.7 mm、长12 cm的医用细硅胶管自制∩形管.另取直径0.14 mm长20 cm的鱼线两端打结做成鱼线环.硅胶管对折套在鱼线环上,双管拉人再抽成单管,经三次:(1)下鼻道→鼻泪管→泪囊→泪小管鼻侧断端,(2)泪小管鼻侧断端→泪小管颞侧断端→下泪小点,(3)下泪小点→上泪小点→泪囊→鼻泪管→下鼻道,硅胶管呈∩形将断裂泪小管串联吻合,置入硅胶管后泪小管断端周围可不用缝线缝合.将其应用于外伤性泪小管断裂21例(21只眼).结果 术后3月拔管,随访半年至1年,治愈16例占76.19％;好转5例占23.81％.结论 本文的方法取材容易,材料便宜,硅胶管固定牢固,泪小管断端对合牢靠,不影响美观,并发症少,疗效好,值得推广应用.
目的 介紹一種硅膠管雙路置入法在下淚小管斷裂吻閤術中的應用.方法 選取外徑1 mm、內徑0.6～0.7 mm、長12 cm的醫用細硅膠管自製∩形管.另取直徑0.14 mm長20 cm的魚線兩耑打結做成魚線環.硅膠管對摺套在魚線環上,雙管拉人再抽成單管,經三次:(1)下鼻道→鼻淚管→淚囊→淚小管鼻側斷耑,(2)淚小管鼻側斷耑→淚小管顳側斷耑→下淚小點,(3)下淚小點→上淚小點→淚囊→鼻淚管→下鼻道,硅膠管呈∩形將斷裂淚小管串聯吻閤,置入硅膠管後淚小管斷耑週圍可不用縫線縫閤.將其應用于外傷性淚小管斷裂21例(21隻眼).結果 術後3月拔管,隨訪半年至1年,治愈16例佔76.19％;好轉5例佔23.81％.結論 本文的方法取材容易,材料便宜,硅膠管固定牢固,淚小管斷耑對閤牢靠,不影響美觀,併髮癥少,療效好,值得推廣應用.
목적 개소일충규효관쌍로치입법재하루소관단렬문합술중적응용.방법 선취외경1 mm、내경0.6～0.7 mm、장12 cm적의용세규효관자제∩형관.령취직경0.14 mm장20 cm적어선량단타결주성어선배.규효관대절투재어선배상,쌍관랍인재추성단관,경삼차:(1)하비도→비루관→루낭→루소관비측단단,(2)루소관비측단단→루소관섭측단단→하루소점,(3)하루소점→상루소점→루낭→비루관→하비도,규효관정∩형장단렬루소관천련문합,치입규효관후루소관단단주위가불용봉선봉합.장기응용우외상성루소관단렬21례(21지안).결과 술후3월발관,수방반년지1년,치유16례점76.19％;호전5례점23.81％.결론 본문적방법취재용역,재료편의,규효관고정뢰고,루소관단단대합뢰고,불영향미관,병발증소,료효호,치득추엄응용.
Objective To introduce the method of silicone tube double-passage intubation in anastomosis for inferior lacrimal canalicular laceration. Methods A thin silicone medical tube (outside diameter of 1mm,inner diameter 0.6-0.7mm,length 12cm) was made into a ∩-shaped tube and a fishing line (diameter 0.14mm,length 20cm) was selected,both ends tied into a fishing knot.The silicone tube was folded and set in ring of the fishing line.Two-tube were pulled to a single tube,going three times through:(1) the inferior meatus → nasal lacrimal duct → lacrimal sac → canalicular nasal side cut ends,(2) the canalicular nasal side cut ends → canalicular temporal side cut ends → inferor lacrimal point,(3) the inferior lacrimal puncta → the superior lacrimal puncta →lacrimal sac→ inferior meatus.The ∩-shaped silicone tube showed a series coincides of fracture canalicular.After placing the silicone tube,the canalicular cut ends around were not sutured.Twenty-one cases (21 eyes) of traumatic canalicular laceration were treated by silicone tube double-passage intubation. Results After 3 months the silicone tubes were pulled.Following-up six months to a year,16 cases (76.19％ of the total) were cured and 5 cases (23.81％) were improved. Conclusions With the silicon tube easy to access,cheap and firmly fixed,the canalicular ends coherent firmly,and the appearance unaffected,the Silicon tube double-passage intubation is satisfactory and worthy of promotion and generalization.
