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
8期
582-585
,共4页
泪小管断裂伤%手术%疗效
淚小管斷裂傷%手術%療效
루소관단렬상%수술%료효
Laceration,lacrimal canalicular%Operation%Effect
目的 探讨影响泪小管断裂吻合术效果的相关因素.方法 前瞻性观察泪小管断裂伤吻合手术41例(41眼),总结分析损伤类型、手术时机、手术方法,包括泪小管断端的寻找、泪小管吻合方式、泪道支撑管留置方法以及时间,对比各种术式的治疗效果.结果 41例随访超过3个月,总体有效率为87.81％.泪小管新鲜断裂伤的有效率为90.63％,泪小管陈旧性断裂伤的有效率为77.78％.两者差异无统计学意义(F=4.5,P=0.658).直接端端吻合法的治疗有效率为87.50％,自体静脉移植法的治疗有效率为88.89％.两者差异无统计学意义.结论 影响泪小管断裂吻合术效果的相关因素包括:损伤类型、手术时机和手术方法等.针对不同的损伤情况,采用个体化的手术方式,可提高泪小管断裂伤的手术有效率.
目的 探討影響淚小管斷裂吻閤術效果的相關因素.方法 前瞻性觀察淚小管斷裂傷吻閤手術41例(41眼),總結分析損傷類型、手術時機、手術方法,包括淚小管斷耑的尋找、淚小管吻閤方式、淚道支撐管留置方法以及時間,對比各種術式的治療效果.結果 41例隨訪超過3箇月,總體有效率為87.81％.淚小管新鮮斷裂傷的有效率為90.63％,淚小管陳舊性斷裂傷的有效率為77.78％.兩者差異無統計學意義(F=4.5,P=0.658).直接耑耑吻閤法的治療有效率為87.50％,自體靜脈移植法的治療有效率為88.89％.兩者差異無統計學意義.結論 影響淚小管斷裂吻閤術效果的相關因素包括:損傷類型、手術時機和手術方法等.針對不同的損傷情況,採用箇體化的手術方式,可提高淚小管斷裂傷的手術有效率.
목적 탐토영향루소관단렬문합술효과적상관인소.방법 전첨성관찰루소관단렬상문합수술41례(41안),총결분석손상류형、수술시궤、수술방법,포괄루소관단단적심조、루소관문합방식、루도지탱관류치방법이급시간,대비각충술식적치료효과.결과 41례수방초과3개월,총체유효솔위87.81％.루소관신선단렬상적유효솔위90.63％,루소관진구성단렬상적유효솔위77.78％.량자차이무통계학의의(F=4.5,P=0.658).직접단단문합법적치료유효솔위87.50％,자체정맥이식법적치료유효솔위88.89％.량자차이무통계학의의.결론 영향루소관단렬문합술효과적상관인소포괄:손상류형、수술시궤화수술방법등.침대불동적손상정황,채용개체화적수술방식,가제고루소관단렬상적수술유효솔.
Objective To investigate the inffluence factors of efficacy of anastomosis for lacrimal canalicular laceration.Methods The prospective study of 41 eyes of 41 cases with lacrimal canalicular laceration was performed to analyze the damage type,operation timing,operation method,retention of stent tube and surgical efficacy.Results The total effective rate was 87.81％,90.63％ of which was in fresh lacrimal canalicular laceration,and 77.78％ in old lacrimal canalicular laceration with no statistically significant difference (F =4.5,P =0.658).The effective rates were 88.89％ in patients treated with autogenous vein graft and 87.50％ in patients treated with end to end anatomosis.The effective rate had no statistically significant difference between two different surgical methods.Conclusion Individualized surgical procedure can improve the operative effective rate of lacrimal canalicular laceration.The autogenous vein graft is a good choice for complicated lacrmal duct injury.
