CAJ | 학술논문

目的比较两种硅胶管留置方式在泪小管断裂吻合术中的临床疗效和对术后泪点外翻发生率的影响.方法将63例泪小管断裂患者分成两组,A组28例采用单路硅胶管置管术,B组35例采用双路硅胶管置管术,远期观察术后疗效及下泪点外翻情况.结果 A组治愈20例,好转5例,未愈3例,出现下泪点外翻5例;B组治愈32例,好转2例,未愈1例,出现下泪点外翻1例.A组与B组治愈率与泪点外翻率差异有统计学意义,(P＜0.05).结论泪小管断裂吻合术采用双路硅胶管置管治愈率高于单路置管,并且双路置管可降低术后下泪点外翻发生率.
목적 비교량충규효관류치방식재루소관단렬문합술중적림상료효화대술후루점외번발생솔적영향.방법 장63례루소관단렬환자분성량조,A조28례채용단로규효관치관술,B조35례채용쌍로규효관치관술,원기관찰술후료효급하루점외번정황.결과 A조치유20례,호전5례,미유3례,출현하루점외번5례;B조치유32례,호전2례,미유1례,출현하루점외번1례.A조여B조치유솔여루점외번솔차이유통계학의의,(P＜0.05).결론 루소관단렬문합술채용쌍로규효관치관치유솔고우단로치관,병차쌍로치관가강저술후하루점외번발생솔.
Objective To compare clinical outcome to treat lacerated canaliculi anastomosis and the rate of puncta ectropion through single and double route with silicone intubation.Methods Sixty-three patients with canalicular lacerations were divided into two groups,group A of 28 cases through single route with silicone intubation,and the group B of 35 cases through double route with silicone intubation.The long-term clinical outcome and the rate of puncta ectropion were followed up postoperatively.Results In group A:20 cases were cured,5 improved,3 no cured,and 5 cases had puncta ectropion; Group B:32 cases cured,2 improved,1 no cured,and 1 case had puncta ectropion.The rate of cure and puncta ectropion between group A and group B was significantly different (P＜0.05).Conclusions The rate of curation to treat laccrated canaliculi anastomosis trough double route with silicone intubation is higher than trough single route,and the rate of puncta ectropion can be reduccd through double route with silicone intubation postoperatively.