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
3期
200-202
,共3页
支撑管,泪道,隐匿性%泪小管断裂,外伤性%儿童
支撐管,淚道,隱匿性%淚小管斷裂,外傷性%兒童
지탱관,루도,은닉성%루소관단렬,외상성%인동
Tube,lacrimal drainage,silicone hidden%Laceration,canalicular,traumatic%Children
目的 评价新型隐匿性泪道支撑管置入治疗儿童外伤性泪小管断裂的效果.方法 采用全身麻醉,以新型隐匿性泪道支撑管为载体手术显微镜下吻合新鲜儿童外伤性泪小管断裂40例(40眼),术后保留支撑管3个月,拔管后再随访3个月.结果 术中40例全部成功吻合.留置的支撑管无意外脱落现象.术后3个月拔管时,35例(87.5％)治愈;4例(10.0％)好转,轻度溢泪,泪道不畅;1例(2.5％)未愈,下睑外翻,溢泪泪道不通.拔管3个月后,38例排泪正常,治愈率为95％;其中1例(2.5％)好转,轻度溢泪,泪道不畅;1例(2.5％)未愈,皮肤瘢痕和下睑外翻,明显溢泪症状,泪道不通.结论 利用新型隐匿性泪道支撑管治疗儿童外伤性泪小管断裂是一个可行的治疗方式.
目的 評價新型隱匿性淚道支撐管置入治療兒童外傷性淚小管斷裂的效果.方法 採用全身痳醉,以新型隱匿性淚道支撐管為載體手術顯微鏡下吻閤新鮮兒童外傷性淚小管斷裂40例(40眼),術後保留支撐管3箇月,拔管後再隨訪3箇月.結果 術中40例全部成功吻閤.留置的支撐管無意外脫落現象.術後3箇月拔管時,35例(87.5％)治愈;4例(10.0％)好轉,輕度溢淚,淚道不暢;1例(2.5％)未愈,下瞼外翻,溢淚淚道不通.拔管3箇月後,38例排淚正常,治愈率為95％;其中1例(2.5％)好轉,輕度溢淚,淚道不暢;1例(2.5％)未愈,皮膚瘢痕和下瞼外翻,明顯溢淚癥狀,淚道不通.結論 利用新型隱匿性淚道支撐管治療兒童外傷性淚小管斷裂是一箇可行的治療方式.
목적 평개신형은닉성루도지탱관치입치료인동외상성루소관단렬적효과.방법 채용전신마취,이신형은닉성루도지탱관위재체수술현미경하문합신선인동외상성루소관단렬40례(40안),술후보류지탱관3개월,발관후재수방3개월.결과 술중40례전부성공문합.류치적지탱관무의외탈락현상.술후3개월발관시,35례(87.5％)치유;4례(10.0％)호전,경도일루,루도불창;1례(2.5％)미유,하검외번,일루루도불통.발관3개월후,38례배루정상,치유솔위95％;기중1례(2.5％)호전,경도일루,루도불창;1례(2.5％)미유,피부반흔화하검외번,명현일루증상,루도불통.결론 이용신형은닉성루도지탱관치료인동외상성루소관단렬시일개가행적치료방식.
Objective To assess the effect of the hidden silicone lacrimal stent implantation in anastomosis for pediatric traumatic canalicular laceration under operating microscope.Methods Forty eyes of 40 patients were general anaesthetized.Then the silicone lacrimal stent was intubated to support the lacerated lacrimal canaliculus under the operating microscope.The stent was kept in the lacrimal passage for 3 months postoperatively,and the patients were followed-up for another 3 months after the stent was removed.Results All 40 children with traumatic canalicular laceration were anastomosed successfully.The accidental fall off of the stent was not observed during the follow-up.When the stent was removed,35 cases (87.5％) recovered to normal lacrimal drainage function; 4 case (10％) remained epiphora with obstructed lacrimal passage; 1 case (2.5％) with line scar formed in the inner canthus skin,accompanied with lower eyelid ectropion and lacrimal passage obstruction.Three months after the stents were removed,38 cases (95％) recovered to normal lacrimal drainage function; 1 case (2.5％) complained epiphora with obstructed lacrimal passage; 1 case (2.5％) was with skin scar formed and lower eyelid ectropion and lacrimal passage obstructin.Conclusion For traumatic canalicular laceration in children,the new hidden silicone lacrimal stent is safe and suitable to support the lacerated lacrimal canaliculi in the anastomosis surgery.
