CAJ | 학술논문

目的探索更好的泪小管裂伤吻合方法.方法采用自身系结的硅胶管作为支撑管改良泪小管裂伤吻合术,45例(45眼),分成3组,硬麻导管组、双头探针硅胶管组及系结硅胶管组(作者改良组),每组15例.比较3组手术操作时间、支撑管留置成功率、随访3个月的手术成功率.结果作者的改良方法(系结硅胶管手术)操作简单,手术时间最短;支撑管留置成功率和手术成功率均较硬麻醉导管组高,与双头探针组比较差异无统计学意义.结论泪小管断裂是常见急诊外眼损伤,对于不合并严重骨性鼻泪管损伤者推荐使用这种改良方法.
목적 탐색경호적루소관렬상문합방법.방법 채용자신계결적규효관작위지탱관개량루소관렬상문합술,45례(45안),분성3조,경마도관조、쌍두탐침규효관조급계결규효관조(작자개량조),매조15례.비교3조수술조작시간、지탱관류치성공솔、수방3개월적수술성공솔.결과 작자적개량방법(계결규효관수술)조작간단,수술시간최단;지탱관류치성공솔화수술성공솔균교경마취도관조고,여쌍두탐침조비교차이무통계학의의.결론 루소관단렬시상견급진외안손상,대우불합병엄중골성비루관손상자추천사용저충개량방법.
Objective To investigate an improved anastomosis surgery for canalicular laceration.Methods In this study,double probe silicon stent with the knot was performed as an inproved method for canalicular laceration anastomosis surgery.The medical records of 45 cases with canalicular laceration were retrospectively analyzed.These patients were divided into three groups based on different surgical methods.The patients in group A underwent anastomosis combined with lumbar anesthesia catheter fixed on the eyelid.The patients in group B accepted double probe silicon stent.The surgery method for group C was similar with that for group B except the tube with the knot close to the punctum(the improved method by the author).The operative time and success rate of surgery were compared among three groups and the follow up time was 3 months.Results The method improved by author (silicon tube with knot) was safe with short operative time.The success rates of indwelling tube and surgery in improved group were higher than lumbar anesthesia catheter group,but similar with that in double probe silicon tube group.Conclusion For canalicular laceration without severe nasolacrimal duct injury,anastomosis can be performed with silicon tube as the stent combined with a knot close to the punctum.This improved anastomosis method is very suitable for emergent surgery.