中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
10期
777-779
,共3页
泪小管断裂%修复%双泪小管置管法
淚小管斷裂%脩複%雙淚小管置管法
루소관단렬%수복%쌍루소관치관법
Canalicular laceration%Repair%Double-canalicular technique
目的 探讨应用硬膜外导管行双泪小管置管法修复泪小管断裂手术的安全性和有效性.方法 回顾性分析42例(42眼)采用硬膜外导管行双泪小管置管法修复泪小管断裂的病例资料,下泪小管断裂38例,上下泪小管断裂4例.手术均在手术显微镜下进行,用硬膜外导管(直径0.6 ～0.8 mm)作为泪管支架,从下泪点穿入从颞侧断裂口穿出,再从鼻侧断裂口穿入,经泪总管至鼻泪管.用8-0丝线吻合泪小管两断端2针,结节缝合结膜,肌层和皮肤.将硬膜外导管外露端反插入上泪点至泪囊.结果 42例中,治愈36例,基本治愈4例,无效2例.拨除硬膜外导管后,42例随访2～6个月.所有病例术后眼睑伤口愈合良好,泪点位置正且无裂伤,无眼睑或内眦外伤性畸形.结论 双泪小管置管法修复泪小管断裂,对泪道损伤小且支撑管隐蔽不影响患者外观,同时还克服了冬季导管外露的弊端.在上下泪小管断裂伤病例,可用一根支撑管吻合上下泪小管.
目的 探討應用硬膜外導管行雙淚小管置管法脩複淚小管斷裂手術的安全性和有效性.方法 迴顧性分析42例(42眼)採用硬膜外導管行雙淚小管置管法脩複淚小管斷裂的病例資料,下淚小管斷裂38例,上下淚小管斷裂4例.手術均在手術顯微鏡下進行,用硬膜外導管(直徑0.6 ～0.8 mm)作為淚管支架,從下淚點穿入從顳側斷裂口穿齣,再從鼻側斷裂口穿入,經淚總管至鼻淚管.用8-0絲線吻閤淚小管兩斷耑2針,結節縫閤結膜,肌層和皮膚.將硬膜外導管外露耑反插入上淚點至淚囊.結果 42例中,治愈36例,基本治愈4例,無效2例.撥除硬膜外導管後,42例隨訪2～6箇月.所有病例術後眼瞼傷口愈閤良好,淚點位置正且無裂傷,無眼瞼或內眥外傷性畸形.結論 雙淚小管置管法脩複淚小管斷裂,對淚道損傷小且支撐管隱蔽不影響患者外觀,同時還剋服瞭鼕季導管外露的弊耑.在上下淚小管斷裂傷病例,可用一根支撐管吻閤上下淚小管.
목적 탐토응용경막외도관행쌍루소관치관법수복루소관단렬수술적안전성화유효성.방법 회고성분석42례(42안)채용경막외도관행쌍루소관치관법수복루소관단렬적병례자료,하루소관단렬38례,상하루소관단렬4례.수술균재수술현미경하진행,용경막외도관(직경0.6 ～0.8 mm)작위루관지가,종하루점천입종섭측단렬구천출,재종비측단렬구천입,경루총관지비루관.용8-0사선문합루소관량단단2침,결절봉합결막,기층화피부.장경막외도관외로단반삽입상루점지루낭.결과 42례중,치유36례,기본치유4례,무효2례.발제경막외도관후,42례수방2～6개월.소유병례술후안검상구유합량호,루점위치정차무렬상,무안검혹내자외상성기형.결론 쌍루소관치관법수복루소관단렬,대루도손상소차지탱관은폐불영향환자외관,동시환극복료동계도관외로적폐단.재상하루소관단렬상병례,가용일근지탱관문합상하루소관.
Objective To evaluate the efficacy and safety of the double-canalicular technique for repairing the canalicular laceration by the epidural guiding tube.Methods Retrospective analysis of 42 cases (42eyes),which underwent canalicular laceration repaire by double-canalicular technique,with epidural guiding tube to repair inferior canalicular laceration in 38 patients,superior laceration in 4 patients.All the operations were performed under surgical microscope and epidural guiding tube ( the diameter is 0.6-0.8mm) was used as the bracket of canaliculus.The tube was inserted into the inferior punctum and threaded from the temporal breakage,and then went into the breach of nasal side,which went through the lacrimal sac into nasolacrimal canal.Conjunctiva,muscular layer and skin were sutured by tying knots.Epidural guiding tube exposed and were unti-inserted from the punctum to the dacryocyst.Results Among 42 patients,36 patients were cured entirely,and 4 patients were meliorated.After the outer catheter was extracted,42 patients complied with scheduled follow up 2-6 months.All the patients had got good recovery of eyelid laceration with no traumatic deformity in eyelid and canthus.Conclusions Double-canalicular technique for repairing the canalicular laceration had little harm on the lacrimal passage and overcame the drawbacks of the exposure of the catheter.One tube could be used for anastomosis in the cases of the superior and inferior punctum breakages.
