显微镜下泪小管断裂吻合术应用环形泪道置管的治疗体会

目的：探讨行外伤性泪小管吻合术时在显微镜下寻找泪小管断端并应用泪道环形置管治疗的临床疗效。方法：选取2010－03／2014－12收治的外伤性泪小管断裂患者52例52眼，采用显微镜下寻找泪小管断端并应用环形置管行泪小管吻合手术，术后2～3 mo拔出留置的环形管，随访3～12 mo的效果观察。结果：所有患者中47例治愈，3例好转，2例未愈，未愈患者再经泪道激光治疗治愈。结论：在显微镜下应用环形泪道置管治疗泪小管断裂的方法简便，疗效可靠，且环形管留置期间不影响患者眼部外形和正常工作，减少了眼睑畸形的发生率，是一种好的治疗方法。

Experience of annular-intubation for repairing canaliculi laceration under the microscope

? AIM: To investigate the clinical effect of using microscope to find the broken end of lacrimal canalicular and annular -intubation during traumatic lacrimal -canaliculi anastomosis.? METHODS: In 52 cases ( 52 eyes ) with traumatic canaliculi laceration from March 2010 to December 2014, microscopy was used to find the broken end of lacrimal canalicular and annular -intubation implantation was performed during anastomosis. At 2 ~3mo after the surgeries, annular tubes were pulled out and patients were followed up for 3~12 mo.?RESULTS:In all the 52 cases, 47 cases were cured, 3 cases were improved, and 2 cases were not healed.The 2 not-healed patients were cured after treated by laser.? CONCLUSION: The application of the annular -intubation for canaliculi laceration under the microscope is simple and the curative effect is reliable, besides, the the patients'appearance and normal work were not affected when the annular-tube was reserved.And it can reduce the incidence of eyelid deformity.Generally, it's a good methord for canaliculi laceration.