山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (6): 87-88.doi: 10.6040/j.issn.1673-3770.0.2013.123

• 论著 • 上一篇    下一篇

硅胶管双路置入法治疗上下泪小管断裂15例

靳文燕,张春侠,刘守丽,刘亚辉   

  1. 济南市明水眼科医院,山东 章丘  250200
  • 收稿日期:2013-04-21 发布日期:2013-12-16
  • 通讯作者: 张春侠。Email: sdfzzcx@126.com
  • 作者简介:靳文燕。 Email:jinwenyan698@126.com

Application of silicone tube double-passage intubation in anastomosis for superior and inferior lacrimal canalicular laceration (15 cases report)

JIN Wen-yan,  ZHANG Chun-xia,  LIU Shou-li,  LIU Ya-hui   

  1. Jinan Mingshui Eye Hospital,  Zhangqiu 250200, Shandong, China
  • Received:2013-04-21 Published:2013-12-16

摘要:

目的    探讨硅胶管双路置入法在上下泪小管断裂吻合术中的应用体会及价值。方法    回顾性分析15例(15眼)行硅胶管双路置入法治疗上下泪小管断裂患者的临床资料,随访3个月~2年。结果    双路置管稳定性良好,眼睑及内眦形态自然。术后3个月内15例患者存在轻度溢泪,无1例出现异物感、充血及分泌物,无置管脱落及其他并发症。拔管后所有患者冲洗上下泪道通畅,无溢泪。结论    此手术方式能达到上下泪小管断裂后的双路快速吻合的目的,泪小管断端对合牢靠,不影响美观,并发症少,疗效好。

关键词: 硅胶管, 双路置管, 上下泪小管断裂

Abstract:

Objective    To investigate the use and value of silicon tube double-passage intubation in anastomosis for superior and inferior lacrimal canalicular laceration. Methods    The clinical data of 15 patients (15 eyes) who underwent silicon tube double-passage intubation in anastomosis for superior and inferior lacrimal canalicular laceration were reviewed. The follow-up was from 3 months to 2 years. Results        The shape of eyelid and inner canthus were normal while the silicon tube was in place. Though mild epiphora was observed within the first three months after the surgery,  no foreign body sensation, hyperemia or secretions was noted in all cases. No prolapse of silicon tube and other complications occurred. Without epiphora in all  the patients, irrigation of lacrimal passage was easy and smooth after tube extraction. Conclusion    Silicone tube double-passage intubation could help link the canalicular ends firmly, which is satisfying method to treat superior and inferior lacrimal canalicular laceration, with few complications, good efficacy, and normal appearance.

Key words: Superior and inferior lacrimal canalicular laceration, Silicon tube, Double-passage intubation

中图分类号: 

  • R779.6
[1] 李秀贵,吴欣怡
. 泪道激光成型联合硅胶管植入术治疗泪道阻塞[J]. 山东大学耳鼻喉眼学报, 2009, 23(2): 89-90 .
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