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泪囊切开逆向插管治疗复杂性泪小管断裂伤
引用本文:徐建锋,张育谋. 泪囊切开逆向插管治疗复杂性泪小管断裂伤[J]. 国际眼科杂志, 2009, 9(7): 1378-1379. DOI: 10.3969/j.issn.1672-5123.2009.07.057
作者姓名:徐建锋  张育谋
作者单位:中国人民解放军第180医院眼科,中国福建省泉州市,362000
摘    要:目的:探讨经泪囊切开逆向插管法治疗复杂性泪小管断裂的手术效果。方法:外伤性泪小管断裂患者45例,采用经泪囊切开逆向置硬膜外麻醉导管吻合泪小管断裂。结果:45例经6mo~1a随访观察,获得解剖复位,自觉不流泪,冲洗通畅者40例(89%);自觉轻微流泪,冲洗泪道通而不畅者3例(7%);冲洗泪道不通者2例(4%)。结论:经泪囊切开逆向插管法是一种治疗复杂性泪小管断裂的有效方法。

关 键 词:泪小管断裂  吻合术  逆行插管  泪囊

Retrograde intubation via lacrimal sac to seek the lacerated ends and anastomosis in the complicated lacrimal canaliculi laceration
Jian-Feng Xu,Yu-Mou Zhang. Retrograde intubation via lacrimal sac to seek the lacerated ends and anastomosis in the complicated lacrimal canaliculi laceration[J]. International Eye Science, 2009, 9(7): 1378-1379. DOI: 10.3969/j.issn.1672-5123.2009.07.057
Authors:Jian-Feng Xu  Yu-Mou Zhang
Affiliation:Jian-Feng Xu,Yu-Mou Zhang Department of Ophthalmology,No.180 Hospital of Chinese PLA,Quanzhou 362000,Fujian Province,China
Abstract:AIM:To explore the operative effect of the complicated lacrimal canaliculi laceration treated by retrograde intubation via lacrimal sac. ·METHODS:Forty-five cases in the patients of traumatic lacrimal canaliculi laceration were treated by retrograde intubation via lacrimal sac to seek the lacerated ends and anastomosis with segmental eqidural cathete. ·RESULTS:By the follow-up of 6-12 months,40 cases were obtained the anatomic reposition,no selflacri-matoin and unobstructed irrigation,3 cases with light self-lacrimation and little obstructed irrigation,and 2 cases with obstructed irrigation. ·CONCLUSION:The therapic method of retrograde in-tubaion via lacrimal sac is a effective treatment with the complicated lacrimal canaliculi laceration.
Keywords:lacrimal canaliculi laceration  anastomosis  retrograde intubation  lacrimal sac  
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