硅胶管环形植入治疗泪小管断裂的临床应用.docVIP

硅胶管环形植入治疗泪小管断裂的临床应用 　　【摘要】 目的：探讨硅胶管环形植入在泪小管断裂吻合术中的应用，并评价其临床价值。方法：对33例（33眼）外伤性泪小管断裂患者，在手术显微镜下寻找鼻侧断端，利用自制探针引导硅胶管呈环形骑跨于上下泪小管，吻合泪小管周围组织2～3针，使泪道恢复正常解剖结构。硅胶管留置3～6个月。结果：拔管后随访6～12个月。33例患者全部成功置管吻合，其中治愈32例（96.97%），好转1例（3.03%）。结论：硅胶管环形植入治疗泪小管断裂，安全有效，成本低，成功率高，可为其他泪道置管术提供有益的借鉴与参考。 中国论文网 /6/view-7255043.htm 　　【关键词】 硅胶管； 环形植入； 泪小管断裂 　　中图分类号 R777.2 文献标识码 B 文章编号 1674-6805（2015）33-0022-03 　　The Clinical Application of Annular Silicone Tube Insertion in the Treatment of Canaliculi Laceration/CAI Li-mei，CAI Fu-xu，CHEN Min，et al.//Chinese and Foreign Medical Research，2015，13（33）：22-24 　　【Abstract】 Objective：To investigate the application of annular silicone tube insertion on the repair of canaliculi laceration，and estimate its clinical effect.Method：33 patients（33 eyes） of traumatic canaliculus laceration were selected，the nasal side of disrupted canaliculi lacrimalis under surgery microscope was located and the silicone tube annular overriding on the canaliculi lacrimalis by self-made probe was used，and surrounding tissues of the lacrimal canaliculus for 2-3 needles was anastomosed，the lacrimal passage was reformed its normal anatomic structure.All the silicone tubes were indwelled for 3-6 months.Result：All the patients were followed up 6-12 months after the tubes were pulled out.The 33 cases（33 eyes） of canalicular laceration patients were all successfully anastomosed by silicone tube insertion.Of which，32 cases were cured（96.97%），and 1 case was improved（3.03%）.Conclusion：It is an safe and effective method of lacrimal canaliculus anastomosis operation，with low cost and high rate of success，and will provide helpful reference to other lacrimal passage intubation. 　　【Key words】 Silicone tube； Annular insertion； Canalicular laceration 　　First-authors address：Affiliated Hospital of Putian University，Putian 351100，China 　　doi：10.14033/ki.cfmr.2015.33.010 　　泪小管断裂在眼外伤中是一种常见病，如未及时修补，瘢痕愈合、泪道阻塞可导致终身溢泪，严重影响了患者日常工作与生活。显然，及时正确处理很有必要，目前泪小管断裂吻合术是行之有效的治疗方法，而所植入支撑物的舒适度与留置时间的长短常常决定了手术的成败[1]。近年来，