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
2014年
2期
111-113
,共3页
王翠青%李斌%闫春慧
王翠青%李斌%閆春慧
왕취청%리빈%염춘혜
断裂,下泪小管,陈旧%置管,逆行%管,硅胶,双路
斷裂,下淚小管,陳舊%置管,逆行%管,硅膠,雙路
단렬,하루소관,진구%치관,역행%관,규효,쌍로
Laceration,canalicular,inferior,obsolete%Implantation,retrograde%Tube,silicone,bicanalicular
目的 观察两种治疗陈旧的下泪小管断裂的手术方式的效果.方法 回顾性分析在我院就诊的36例陈旧的下泪小管断裂,分别采用经上泪点和泪囊切开两种方式逆行寻找下泪小管鼻侧断端的手术方法,术后随访观察比较两种术式的效果.结果 36例中有6例经上泪点逆行寻找下泪小管鼻侧断端成功,其余30例经泪囊切开逆行寻找下泪小管鼻侧断端成功,均成功置入双路环形硅胶管.术后3个月拔管,随访6个月以上.29例(80.6％)治愈,5例(13.9％)基本治愈,2例(5.5％)无效.结论 逆行寻找下泪小管断端联合双路环形硅胶管置入是治疗陈旧的下泪小管断裂的有效方法.
目的 觀察兩種治療陳舊的下淚小管斷裂的手術方式的效果.方法 迴顧性分析在我院就診的36例陳舊的下淚小管斷裂,分彆採用經上淚點和淚囊切開兩種方式逆行尋找下淚小管鼻側斷耑的手術方法,術後隨訪觀察比較兩種術式的效果.結果 36例中有6例經上淚點逆行尋找下淚小管鼻側斷耑成功,其餘30例經淚囊切開逆行尋找下淚小管鼻側斷耑成功,均成功置入雙路環形硅膠管.術後3箇月拔管,隨訪6箇月以上.29例(80.6％)治愈,5例(13.9％)基本治愈,2例(5.5％)無效.結論 逆行尋找下淚小管斷耑聯閤雙路環形硅膠管置入是治療陳舊的下淚小管斷裂的有效方法.
목적 관찰량충치료진구적하루소관단렬적수술방식적효과.방법 회고성분석재아원취진적36례진구적하루소관단렬,분별채용경상루점화루낭절개량충방식역행심조하루소관비측단단적수술방법,술후수방관찰비교량충술식적효과.결과 36례중유6례경상루점역행심조하루소관비측단단성공,기여30례경루낭절개역행심조하루소관비측단단성공,균성공치입쌍로배형규효관.술후3개월발관,수방6개월이상.29례(80.6％)치유,5례(13.9％)기본치유,2례(5.5％)무효.결론 역행심조하루소관단단연합쌍로배형규효관치입시치료진구적하루소관단렬적유효방법.
Objective To observe the clinical efficacy of two surgical procedures in the management of obsolete inferior canaliculi laceration.Methods 36 cases of obsolete inferior canaliculi laceration were retrospectively reviewed.The nasal breakages of lacerated canaliculus were found through the upper lacrimal punctum or by cutting the lacrimal sac.The effects of two different methods were compared.Results The nasal breakages of lacerated canalicula in 6 cases were found through the upper lacrimal puncta.Other 30 cases' nasal breakages were found by cutting the lacrimal sac.The bicanalicular silicon tubes were implanted successfully in all cases.The tubes were removed after 3 months.All patients were followed for over 6 months.29 cases (80.6％) were cured and 5 cases (13.9％) were improved significantly.Surgeries failed in 2 cases(5.5％).Conclusion The nasal breakages of lacerated canalicula can be found through the upper lacrimal puncta or by cutting the lacrimal sac.The bicanalicular intubation procedure is an effective method for the management of obsolete inferior canalicular laceration.
