CAJ | 학술논문

目的：探讨环形双泪道硅胶引流管植入术在治疗泪小管断裂的应用价值。 　　方法：回顾性研究Ⅰ期泪小管断裂患者36例,全部患者在显微镜下寻找到泪小管两断端后经上、下泪点直接插入远、近两侧断端泪小管,再经泪囊插入鼻泪管至下鼻道,形成环形支撑治疗泪小管断裂的临床资料。 　　结果：患者36例术中全部成功吻合,无感染,术中插管顺利,留置6mo,观察10~18mo,留置的引流管无意外脱落。拔管后,32例(88.9%)治愈,无溢泪,泪道通畅,4例(11.1%)好转,轻度溢泪,泪道通而不畅,均无下睑外翻。 　　结论：利用环形双泪道硅胶引流管植入术治疗泪小管断裂具有治愈率高、刺激性小、并发症少等优点。
목적：탐토배형쌍루도규효인류관식입술재치료루소관단렬적응용개치。 　　방법：회고성연구Ⅰ기루소관단렬환자36례,전부환자재현미경하심조도루소관량단단후경상、하루점직접삽입원、근량측단단루소관,재경루낭삽입비루관지하비도,형성배형지탱치료루소관단렬적림상자료。 　　결과：환자36례술중전부성공문합,무감염,술중삽관순리,류치6mo,관찰10~18mo,류치적인류관무의외탈락。발관후,32례(88.9%)치유,무일루,루도통창,4례(11.1%)호전,경도일루,루도통이불창,균무하검외번。 　　결론：이용배형쌍루도규효인류관식입술치료루소관단렬구유치유솔고、자격성소、병발증소등우점。
To evaluate the value of silicone intubation and ring-fixed method in canalicular laceration. ●METHODS: A retrospective study of 36 cases with laceration of lacrimal canaliculus. For all the patients, microscope was used to find the broken ends of the lacrimal canaliculus, and then straight insertion was performed to the distant and near broken ends through the upper and lower lacrimal points, then passed the dacryocyst to insert nasolacrimal canal and ended up in inferior nasal meatus. Thus, clinical data about forming annular support to treat laceration of lacrimal canaliculus was presented here. ● RESULTS: All 36 patients with traumatic canalicular laceration were anastomosed successfully and all patients healed without infection. The surgery went well, intubation was smoothly, all patients were followed - up for another 6mo after the stent was removed. The accidental fall off of the stent was not observed during the follow - up. During the follow - up 10 - 18mo after extubation, when the stent was removed, 32 cases (88. 9%) recovered to normal lacrimal drainage function;4 cases ( 11. 1%) remained epiphora with obstructed lacrimal passage. All cases were no lower eyelid ectropion. ●CONCLUSlON: For the patients with inferior canalicular laceration, the silicone intubation and ring-fixed method is effective, low irritation and less complication.