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
2015年
6期
471-473
,共3页
断裂,上下泪小管%泪囊切开%置管法,环形,双路
斷裂,上下淚小管%淚囊切開%置管法,環形,雙路
단렬,상하루소관%루낭절개%치관법,배형,쌍로
Laceration,upper and lower lacrimal canaliculi%dacryocyst incision%Intubction,dual annular stent
目的 探讨上下泪小管均断裂并难以寻找断端时的手术方法及效果.方法 对12例(12眼)外伤性上下泪小管均断裂者,经用多种方法仍找不到鼻侧断端,采用先切开泪囊,分别逆行寻找上下泪小管鼻侧断端,然后用带双探针硅胶管行双路环形置管法吻合上下泪小管,观察术后远期效果.结果 手术后拔管前患者存在轻度溢泪,异物感,少数内眦充血,硅胶管轻度移位,但无脱管者.拔管后随访观察3个月至1年,其中治愈10眼,泪道冲洗通畅,自觉无流泪,治愈率83.3％.有效2眼,偶有溢泪,冲洗泪道有狭窄,冲洗液部分返流,有效率16.7％.结论 泪囊切开联合双路环形置管法治疗难以寻找鼻侧断端的上下泪小管同时断裂患者,手术直观,效果可靠,且支撑管隐蔽不影响外观,克服了术后下睑外翻及下泪点外翻的发生.
目的 探討上下淚小管均斷裂併難以尋找斷耑時的手術方法及效果.方法 對12例(12眼)外傷性上下淚小管均斷裂者,經用多種方法仍找不到鼻側斷耑,採用先切開淚囊,分彆逆行尋找上下淚小管鼻側斷耑,然後用帶雙探針硅膠管行雙路環形置管法吻閤上下淚小管,觀察術後遠期效果.結果 手術後拔管前患者存在輕度溢淚,異物感,少數內眥充血,硅膠管輕度移位,但無脫管者.拔管後隨訪觀察3箇月至1年,其中治愈10眼,淚道遲洗通暢,自覺無流淚,治愈率83.3％.有效2眼,偶有溢淚,遲洗淚道有狹窄,遲洗液部分返流,有效率16.7％.結論 淚囊切開聯閤雙路環形置管法治療難以尋找鼻側斷耑的上下淚小管同時斷裂患者,手術直觀,效果可靠,且支撐管隱蔽不影響外觀,剋服瞭術後下瞼外翻及下淚點外翻的髮生.
목적 탐토상하루소관균단렬병난이심조단단시적수술방법급효과.방법 대12례(12안)외상성상하루소관균단렬자,경용다충방법잉조불도비측단단,채용선절개루낭,분별역행심조상하루소관비측단단,연후용대쌍탐침규효관행쌍로배형치관법문합상하루소관,관찰술후원기효과.결과 수술후발관전환자존재경도일루,이물감,소수내자충혈,규효관경도이위,단무탈관자.발관후수방관찰3개월지1년,기중치유10안,루도충세통창,자각무류루,치유솔83.3％.유효2안,우유일루,충세루도유협착,충세액부분반류,유효솔16.7％.결론 루낭절개연합쌍로배형치관법치료난이심조비측단단적상하루소관동시단렬환자,수술직관,효과가고,차지탱관은폐불영향외관,극복료술후하검외번급하루점외번적발생.
Objective To investigate the surgical methods and clinical efficacy for both ruptured upper and lower lacrimal canaliculi with the hidden broken ends.Methods For 12 eyes of 12 cases with both ruptured upper and lower lacrimal canaliculi after trauma, the nasal broken ends were not found by using various methods.The lacrimal sac was incised, retrograde seeking upper and lower canalicular nasal ends was done respectively, and then the upper and lower lacrimal canaliculus anastomosis was applied with dual ring method using a double probe silicone tube.The long-term curative effect after operation was observed.Results Before extubation after surgery,the patients had mild epiphora, foreign body sensation, inner canthus hyperemia, slight shift of silicone tube.There was no dropout of tube.The patients were followed up for 3 months to 1 year after extubation, 10 eyes were cured without tearing, lacrimal duct was unobstructed, and the cure rate was 83.3％.Two eyes were treated effectively with occasional epiphora, stenosis of lacrimal passage with part reflux of washing liquid, and the relative cure rate was 16.7％.Conclusion Lacrimal sac incision combined with double circular tube method in the treatment of both upper and lower lacrimal canaliculi ruptured with hidden nasal broken ends is intuitive and reliable.The concealed supporting tube which does not affect the postoperative appearance, and it avoid the lower eyelid and lower punctum ectropion.
