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硅胶泪导管双头双路插管法在外伤性泪小管断裂吻合术中的应用
引用本文:谢洁枫,汪滨. 硅胶泪导管双头双路插管法在外伤性泪小管断裂吻合术中的应用[J]. 眼外伤职业眼病杂志, 2010, 32(6): 462-463
作者姓名:谢洁枫  汪滨
作者单位:江苏省大丰市人民医院,眼科,江苏,大丰,224100
摘    要:
目的探讨硅胶泪导管为内置管的双头双路插管在治疗外伤性下泪小管断裂的手术方法及术后效果。方法 23例(23眼)在手术显微镜直视下寻找下泪小管鼻侧断端,并以双头硅胶泪导管为支撑物插管,插管的另一端从上泪小管插入,两端从下鼻道内拉出后留适当长度置于下鼻道内。结果 23例术后泪道冲洗均通畅,患者对外观均满意,都能完成治疗周期顺利拔管。结论双头双路泪道插管法在外伤性泪小管断裂吻合术中因其手术方法简单,外固定牢效果好,不影响患者外观。

关 键 词:泪小管断裂  硅胶泪导管  双头双路插管法

Silicone tube double end double passege intubation for traumatic laceration of lacrimal canaliculus
XIE Jie-feng,WANG Bin. Silicone tube double end double passege intubation for traumatic laceration of lacrimal canaliculus[J]. Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries, 2010, 32(6): 462-463
Authors:XIE Jie-feng  WANG Bin
Affiliation:.(Department of Ophthalmology,People's Hospital of Darfeng,Dafeng,Jiangsu 224100,China)
Abstract:
Objective To discuss the effect of double end double passage intubation method on traumatic laceration of lacrimal canaliculus by silicone tube. Methods Totally 23 cases(23 eyes) of traumatic laceration of larrimal canaliculus had been enrolled in this study.The nasal breaking point of lacrimal canaliculus was found under microscope.The twe end of the silicone tube was insert into inferior nasal meatus through the superior lacrimal canaliculus and the inferior lacrimal canaliculus respectively. Results The lacrimal passage was identified as unobstracted by irrigation.The outward appearance was satisfactory.The tube was removed at the planed time. Conclusion The double end double passage intubation method was simple,effect for traumatic laceration of lacrimal canaliculus.
Keywords:laceration of lacrimal canaliculus  silicone tube double end double passage intubation
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