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| 泪小管断裂吻合术59例临床分析 | |
| 引用本文： | 郑雨薇,许育新,万茜茜,沈婷婷,蒋正轩.泪小管断裂吻合术59例临床分析[J].国际眼科杂志,2020,20(1):174-176. |
| 作者姓名： | 郑雨薇 许育新 万茜茜 沈婷婷 蒋正轩 |
| 作者单位： | 233001 中国安徽省合肥市,安徽医科大学附属第二医院眼科;233001 中国安徽省合肥市,安徽医科大学附属第二医院眼科;233001 中国安徽省合肥市,安徽医科大学附属第二医院眼科;233001 中国安徽省合肥市,安徽医科大学附属第二医院眼科;233001 中国安徽省合肥市,安徽医科大学附属第二医院眼科 |
| 基金项目： | 安徽皖江学者项目(No.9101041203); 安徽省高等教育局优秀青年人才支持计划重点项目(No.gxyqZD2017033) |
| 摘 要： | 目的:探讨显微镜下泪小管断裂吻合联合环形管置入术的手术效果。方法:回顾性分析2018-06/12期间于我院就诊的下泪小管断裂患者59例59眼,在显微镜下找到泪小管断端,置入环形管作为支撑物,术后3mo拔管后随访3mo,观察手术疗效及并发症情况。结果:所有患者均在显微镜下顺利找到泪小管鼻侧断端并成功置环形管,术后第6mo复诊,治愈46例46眼,好转5例5眼,无效8例8眼,总有效率86%(51/59),术后未见严重的相关并发症及眼睑畸形。结论:显微镜下泪小管断裂吻合术是治疗泪小管断裂的有效手术方式。 |
| 关 键 词： | 泪小管断裂 吻合术 环形管 鼻侧断端 显微手术 |
| 收稿时间： | 2019/7/5 0:00:00 |
| 修稿时间： | 2019/12/5 0:00:00 |
Clinical observation on 59 cases of lacrimal canaliculi laceration anatomosis |
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| Yu-Wei Zheng,Yu-Xin Xu,Qian-Qian Wan,Ting-Ting Shen and Zheng-Xuan Jiang.Clinical observation on 59 cases of lacrimal canaliculi laceration anatomosis[J].International Journal of Ophthalmology,2020,20(1):174-176. | |
| Authors: | Yu-Wei Zheng Yu-Xin Xu Qian-Qian Wan Ting-Ting Shen and Zheng-Xuan Jiang |
| Institution: | Department of Ophthalmology,the Second Affiliated Hospital of Anhui University, Hefei 233001, Anhui Province, China,Department of Ophthalmology,the Second Affiliated Hospital of Anhui University, Hefei 233001, Anhui Province, China,Department of Ophthalmology,the Second Affiliated Hospital of Anhui University, Hefei 233001, Anhui Province, China,Department of Ophthalmology,the Second Affiliated Hospital of Anhui University, Hefei 233001, Anhui Province, China and Department of Ophthalmology,the Second Affiliated Hospital of Anhui University, Hefei 233001, Anhui Province, China |
| Abstract: | AIM: To explore the effect of anastomosis surgery for lacrimal canaliculi laceration combined with circular tube implantation. METHODS: A retrospective study was conducted on 59 cases(59 eyes)from June 2018 to December 2018 with lower lacrimal canalicular laceration. The nasal cut end of lacerated lacrimal canaliculi was found under the microscope, the circular tube was implanted as a support. The tube was removed 3mo after the surgery. All the patients were followed additional 3mo. The therapeutic effect and complications were observed. RESULTS: All patients were successfully operated. 46 cases(46 eyes)were cured, 5 cases(5 eyes)were improved, 8 cases(8 eyes)had no effect. The overall successful rate was 86%(51/59). No serious complications and eyelid deformity were found. CONCLUSION: The anastomosis surgery combined with circular tube implantation is an effective treatment for the lacrimal canaliculi laceration. |
| Keywords: | lacrimal canaliculi laceration anastomotic surgery circular tube nasal cut end microsurgery |
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