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
2011年
8期
617-619
,共3页
泪小管断裂%泪小管吻合术%全身麻醉
淚小管斷裂%淚小管吻閤術%全身痳醉
루소관단렬%루소관문합술%전신마취
Laceration%Traumatic lacrimal canaliculus%Anastomosis%Anesthesia,general
目的 分析少年儿童泪小管断裂吻合术的特点,探讨采用缝合固定于鼻前庭的人工泪管植入的效果。方法 全麻或局部麻醉联合基础麻醉支持下,对16例(16眼)少年儿童(3～ 15岁)泪小管断裂者行泪小管吻合,术中采用硬膜外麻醉导管将带线硅胶人工泪管引导入泪道作为泪道支撑物,人工泪管两端分别通过上、下泪点植入鼻泪道并固定于鼻前庭。结果 术后随诊观察3个月～3年。15例术后泪道冲洗通畅,1例出现轻度溢泪,泪道冲洗不通,成功率93.7％。16例人工泪管均在位,均在预期时间拔管。结论 少年儿童泪小管断裂吻合术,采用带线硅胶制人工泪管作为泪道支撑物,固定于鼻前庭,能较好保持少年儿童人工泪管位置,手术成功率高。
目的 分析少年兒童淚小管斷裂吻閤術的特點,探討採用縫閤固定于鼻前庭的人工淚管植入的效果。方法 全痳或跼部痳醉聯閤基礎痳醉支持下,對16例(16眼)少年兒童(3～ 15歲)淚小管斷裂者行淚小管吻閤,術中採用硬膜外痳醉導管將帶線硅膠人工淚管引導入淚道作為淚道支撐物,人工淚管兩耑分彆通過上、下淚點植入鼻淚道併固定于鼻前庭。結果 術後隨診觀察3箇月～3年。15例術後淚道遲洗通暢,1例齣現輕度溢淚,淚道遲洗不通,成功率93.7％。16例人工淚管均在位,均在預期時間拔管。結論 少年兒童淚小管斷裂吻閤術,採用帶線硅膠製人工淚管作為淚道支撐物,固定于鼻前庭,能較好保持少年兒童人工淚管位置,手術成功率高。
목적 분석소년인동루소관단렬문합술적특점,탐토채용봉합고정우비전정적인공루관식입적효과。방법 전마혹국부마취연합기출마취지지하,대16례(16안)소년인동(3～ 15세)루소관단렬자행루소관문합,술중채용경막외마취도관장대선규효인공루관인도입루도작위루도지탱물,인공루관량단분별통과상、하루점식입비루도병고정우비전정。결과 술후수진관찰3개월～3년。15례술후루도충세통창,1례출현경도일루,루도충세불통,성공솔93.7％。16례인공루관균재위,균재예기시간발관。결론 소년인동루소관단렬문합술,채용대선규효제인공루관작위루도지탱물,고정우비전정,능교호보지소년인동인공루관위치,수술성공솔고。
Objective To study the effect and characteristics of lacrimal canaliculus anastomosis with artificial lacrimal canalieulus under general anesthesia to teenager and children. Methods 16 teenager and children (aged from3 ～ 15 years old) who consecutively underwen tlacrimal canaliculus anastomosis in general anesthesia. During the surgeriy, artificial tears tube was used in lacrimal canalieulus. The artificial tears tube was sutured in nasal vestibule during the operation. Results After 3 months to 3 years follow-up period, 15 cases were unobstructed, without epiphora,while 1 case was obstructed of lacrimal passagers with some epiphora. The final cured rate was 93.7％ (15/16) The artificial tears tube of most cases kept stable within 2 months post-operatively. Conclusion The effect of lacrimal canaliculus anastomosis with artificial tears tube under general anesthesia to children and adolescents is well. The silicone tube can be stable within 2 months post-operatively.
