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Microscopic tears canalicular laceration efficacy of anastomosis
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Microscopic tears canalicular laceration efficacy of anastomosis
【Abstract】 Objective: To explore the traumatic canalicular laceration anastomosis effective manner. Methods: 63 cases were caused by traumatic tears canalicular laceration. The use of surgical microscope in the viscoelastic agents with the help of methylene blue mixture of both one-time match the success of postoperative follow-up 6mo ~ 2a. Results: The long-term cure in 47 cases, improved in 9 cases, unsuccessful in 3 cases, did not pay a return visit in 4 cases, the main complication of ectropion, scar formation and lead to failure. Conclusion: The microscope down canalicular laceration repair feasible and effective, a good long-term efficacy.
Keywords: microscopic canalicular laceration anastomosis
0 Introduction
Inferior lacrimal duct disruption is a common eye injury, the need for surgical repair in a timely manner stump, we use surgical microscope down canalicular laceration anastomosis is a common surgical method [1-4]. We use this method in the early trauma, not only can quickly and accurately find near the lacrimal sac side of the tear duct stump, and can accurately and effectively in line rupture canalicular ends tracked 6mo ~ 2a of the long-term effects, are reported as follows.
An object and method
1.1 Object 2000-01/2005-07 tears canalicular laceration were treated in 63 cases of eye injuries were caused by the Department. 49 cases were male and female 14 cases, 52 cases of right eye, left eye in 11 cases, aged 12 to 49 (mean 31.5) years; of these 22 cases of traffic accident injuries, boxing injuries in 18 cases, 12 cases of wound wire hanging hard-injuries 11 cases, injury time, 30min ~ 48h, are fresh trauma. Diagnostic criteria: ① a clear history of trauma; ② lacrimal flushing flushing fluid overflow from the stump, does not enter the pharynx.
1.2 Methods Department of the inner canthus lower eyelid wound
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