CAJ | 학술논문

目的观察内窥镜辅助下硅胶软管双路泪道插入法在泪小管断裂吻合术中的应用效果.方法对27例(27只眼)外伤性泪小管断裂,在手术显微镜下实施泪小管断裂吻合术,内窥镜辅助下硅胶软管作支撑物,硅胶软管的一端自下泪小点插入,另一端自上泪小点插入.结果术后3～6月拔除硅胶软管,眼睑外形保持正常,无明显不适.拔除硅胶软管后随访3～6个月,3例泪道冲洗不畅并有明显溢泪,2例泪道通畅但仍轻度溢泪,22例无溢泪且泪道通畅.结论内窥镜辅助下硅胶管双路置人泪小管断裂吻合术治疗泪小管断裂,避免了传统硅胶管置管吻合术的不足,使泪小管吻合术的疗效更确切,且操作微创,将是治疗泪小管断裂伤较理想的方法.
목적 관찰내규경보조하규효연관쌍로루도삽입법재루소관단렬문합술중적응용효과.방법 대27례(27지안)외상성루소관단렬,재수술현미경하실시루소관단렬문합술,내규경보조하규효연관작지탱물,규효연관적일단자하루소점삽입,령일단자상루소점삽입.결과 술후3～6월발제규효연관,안검외형보지정상,무명현불괄.발제규효연관후수방3～6개월,3례루도충세불창병유명현일루,2례루도통창단잉경도일루,22례무일루차루도통창.결론 내규경보조하규효관쌍로치인루소관단렬문합술치료루소관단렬,피면료전통규효관치관문합술적불족,사루소관문합술적료효경학절,차조작미창,장시치료루소관단렬상교이상적방법.
Objective To observe the effect of using endoscope-assisted silicone tube double-passage intubation in anastomosis for lacrim · al canalicular laceration.Methods Twenty-seven cases (27 eyes) of traumatic lacrimal canalicular laceration,under operating microscope implementation of lacrimal duct anastomosis,using endoscope-assisted silicone tube for stent,silicone tube inserted through the lacrimal punctum using the double-passage model.Results Silicone tube was removed 3～ 6 months postoperative,eyelid shape remained normal.No obvious discomfort occurred.After 3 ～ 6 months followed-up,3 cases of lacrimal duct flushing was not free and clear tears overflowed,2 cases of lacrimal duct flowed but still with mild overflow tears,24 cases of lacrimal duct flow had no tears overflow.Conclusions Using endoscope-assisted silicone tube double-passage intubation in anastomosis for lacrimal canalicular laceration,to avoid the traditional silicone tube catheter anastomosis insufficiency,make the effect of lacrimal duct anastomosis more accurate and minimally invasive,is an ideal treatment of lacrimal canalicular laceration.