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
2013年
11期
835-837
,共3页
泪小管断裂%手术%难点
淚小管斷裂%手術%難點
루소관단렬%수술%난점
Laceration,lacrimal canaliculus%Surgery%Key points
目的 探讨泪小管断裂吻合术中难点及其对策.方法 对下泪小管断裂吻合术54例(54眼)做回顾性分析.方法为在微创,直视下正确寻找泪小管鼻侧断端,泪小管的吻合的深部固定,泪道支撑物的稳妥缝合,注重下睑皮肤伤口美容效果.结果 经6个月～2年随访观察,54例中46例治愈,占85.2％;好转4例,占7.4％;失败4例,占7.4％.结论 泪小管断裂吻合术中难点是寻找泪小管鼻侧断端,泪小管吻合,泪道支撑物的固定及预防下睑皮肤瘢痕收缩.每个难点的妥善处理是手术成功的关键.
目的 探討淚小管斷裂吻閤術中難點及其對策.方法 對下淚小管斷裂吻閤術54例(54眼)做迴顧性分析.方法為在微創,直視下正確尋找淚小管鼻側斷耑,淚小管的吻閤的深部固定,淚道支撐物的穩妥縫閤,註重下瞼皮膚傷口美容效果.結果 經6箇月～2年隨訪觀察,54例中46例治愈,佔85.2％;好轉4例,佔7.4％;失敗4例,佔7.4％.結論 淚小管斷裂吻閤術中難點是尋找淚小管鼻側斷耑,淚小管吻閤,淚道支撐物的固定及預防下瞼皮膚瘢痕收縮.每箇難點的妥善處理是手術成功的關鍵.
목적 탐토루소관단렬문합술중난점급기대책.방법 대하루소관단렬문합술54례(54안)주회고성분석.방법위재미창,직시하정학심조루소관비측단단,루소관적문합적심부고정,루도지탱물적은타봉합,주중하검피부상구미용효과.결과 경6개월～2년수방관찰,54례중46례치유,점85.2％;호전4례,점7.4％;실패4례,점7.4％.결론 루소관단렬문합술중난점시심조루소관비측단단,루소관문합,루도지탱물적고정급예방하검피부반흔수축.매개난점적타선처리시수술성공적관건.
Objective To explore the difficulties and its solutions in treatment of canalicular laceration.Methods Fifty four eyes of 54 cases were enrolled in this retrospective study.The steps of surgery included searching the broken end of the canaliculus under operating microscope,deep fixation of the canaliculus,safe suturing of stent and preventing the contraction of scar on the lower lid.Results The follow up of these cases were from 6 months to 2 years.The result of surgeries was successful in 46 cases (85.2％),improved in 4 cases (7.4％) and failure in 4 cases (7.4％).Conclusion The key points of the success are the search and inosculation of the broken end of the lacrimal canaliculus,the fixation of the stent,prevention of the contraction of scar on the lower eyelid.
