CAJ | 학술논문

目的观察泪道引流管在泪小管断裂吻合术中的应用价值.方法 45例泪小管断裂以泪道引流管作为支撑物进行泪小管吻合(A组),与前一年在我院行硬膜外麻醉管为支撑的42例泪小管断裂吻合术作为对照组(B组),进行疗效比较.结果 A组45例泪小管断裂,术后随访6个月治愈率为88.87％,B组42例泪小管断裂,术后随访6个月治愈率为66.67％.两组间治愈率比较差异具有统计学意义(x2=6.6285,P＜0.05),A组治愈率较高.结论泪道引流管是泪小管断裂吻合术中较好的支撑物,能增加患者术后的舒适度和延长戴管时间,从而提高手术成功率.
목적 관찰루도인류관재루소관단렬문합술중적응용개치.방법 45례루소관단렬이루도인류관작위지탱물진행루소관문합(A조),여전일년재아원행경막외마취관위지탱적42례루소관단렬문합술작위대조조(B조),진행료효비교.결과 A조45례루소관단렬,술후수방6개월치유솔위88.87％,B조42례루소관단렬,술후수방6개월치유솔위66.67％.량조간치유솔비교차이구유통계학의의(x2=6.6285,P＜0.05),A조치유솔교고.결론 루도인류관시루소관단렬문합술중교호적지탱물,능증가환자술후적서괄도화연장대관시간,종이제고수술성공솔.
Objective To evaluate the lacrimal drainage tube assisted lacrimal canaliculus anastomosis for traumatic canalicular laceration.Methods 45 cases with traumatic canalicular laceration in group A,which the lacrimal drainage tube was used during repair of canalicular laceration.The effect was observed after withdrawal of the tube 3-4 months later.The results were compared with 42 cases of traumatic canalicular laceration with the epidural tube,which was used during repair of canalicular laceration (group B).Results The lacrimal canalicular anastomosis in 44 cases were successful.The total cure rate was 88.87％ in groop A,compared with 66.67％ of that in group B (postoperative follow-up 6 months).There was a significant difference between the two groups (x2 =6.6285,P ＜ 0.05).Conclusion Lacrimal drainage tube maybe the optimal support in lacrimal canalicular anastomosis with higher comfort levels and increased treatment acceptance,thus raising the operational success rate.