CAJ | 학술논문

目的：推荐一种快速寻找陈旧性下泪小管断裂远侧断端的方法。方法：收集下泪小管断裂10 d以上的患者35例，打开原创面，用泪道冲洗针从上泪小点探入，在泪总管处直接转入下泪小管。前后推动泪道冲洗针，堵塞近鼻侧断端口的肉芽或瘢痕也随之扇动。对准动度最大的部位进行分离，直到暴露冲洗针头部。在冲洗针头指引下，清除断端周围肉芽或瘢痕，暴露近鼻侧断端。结果：35例患者均在2 min内分离出近鼻侧断端。结论：该方法操作简单、快速、准确，值得推广。该方法需手术医师具有熟练的操作技巧。
목적：추천일충쾌속심조진구성하루소관단렬원측단단적방법。방법：수집하루소관단렬10 d이상적환자35례，타개원창면，용루도충세침종상루소점탐입，재루총관처직접전입하루소관。전후추동루도충세침，도새근비측단단구적육아혹반흔야수지선동。대준동도최대적부위진행분리，직도폭로충세침두부。재충세침두지인하，청제단단주위육아혹반흔，폭로근비측단단。결과：35례환자균재2 min내분리출근비측단단。결론：해방법조작간단、쾌속、준학，치득추엄。해방법수수술의사구유숙련적조작기교。
Objective:To recommend a method of finding the fracture of the old inferior lacrimal canaliculus near the nasal side rapidly .Methods:In 35 patients which the lacrimal canaliculi had disrupted more than 10 days,openned the original wound and put the lacrimal probe into the superior lacrimal puncta , then turnned straightly to the inferior lacrimal canaliculus in the nasolacrimal duct .By pushing the the lacrimal probe,the granuloma or scarring of blocking the fracture near the nasal side were flapped .Detached the area which flapped mostly until exposing the needle of the lacrimal probe .According to the lacrimal probe ,cleaned the granuloma or scarring around the fracture and exposed the broken position near the nasal side .Results:The fracture near the nasal side of the 35 patients had been detached within 2 minutes.Conclusion:This method is simple rapid and accurate ,it is worthy of promotion .This method require skill of the surgeon .