外伤性泪小管断裂泪道置管修复术43例疗效分析

目的:探讨在显微镜下行急诊泪小管断裂泪道置管修复术的疗效。方法:回顾性分析43例急诊外伤性泪小管断裂患者,在显微镜下寻找泪小管鼻侧断端、植入硬膜外麻醉导管、吻合修复泪小管。术后随访统计分析。结果:43例患者手术经过3~12个月随访,裂伤眼睑获得解剖复位,无流泪现象、冲洗泪道通畅39例(90.70%),冲洗不通者4例(9.30%)。结论:急诊行一期吻合术,在显微镜下找到鼻侧泪小管断端、支撑物的植入和固定是手术成功的关键。

Traumatic lacrimal canalicular laceration repair 43 cases of catheter efficacy analysis

Objective:To investigate the efficacy of catheter retaining repairment of emergency canalicular laceration under microscope.Methods:43 cases of emergency trauma patients with canalicular laceration were,under microscope to find the nasal lacrimal duct stump,epidural catheter was implanted,and anas tomosis was performed to repair the lacerated lacrimal canaliculus.Postoperative follow-up and statistical analysis were performed.Results:Ameng 43 patients,39 cases were successful;after 3 to 12 months follow-up,eyelid laceration obtained anatomic reduction,no lacrimation phenomenon,lacrimal patency in 39 patients(90.70%),and flushing barrier in 4 cases(9.30%).Conclusion: In emergency,primary anastomosis is performed.Under microscope to find ont the nasal lacrimal duct stump,and the implantation and fixation of supports is key to successful operation.