医学研究与教育 ›› 2016, Vol. 33 ›› Issue (4): 7-10.DOI: 10.3969/j.issn.1674-490X.2016.04.002

• 临床医学 • 上一篇    下一篇

顺向泪道置管术治疗泪小管断裂的临床观察

陈光1,路艳军2,李丹1,彭新明1,陈建英1   

  1. 1.河北大学附属医院眼科, 河北 保定 071000;
    2.保定市满城区人民医院眼科, 河北 保定 072150
  • 收稿日期:2015-08-20 出版日期:2016-08-25 发布日期:2016-08-25
  • 通讯作者: 陈建英(1961—),女,河北望都人,主任医师,主要从事泪道疾病、白内障、眼底病治疗。E-mail: chenjy_1960@sina.com
  • 作者简介:陈光(1981—),男,河北容城人,主治医师,硕士,主要从事眼外伤、青光眼、泪道疾病方面的研究。 E-mail: gch747@163.com

Clinical observation of treating canaliculus laceration with consequent lacrimal intubation

CHEN Guang1,LU Yanjun2,LI Dan1,PENG Xinming1,CHEN Jianying1   

  1. 1.Department of Ophthalmology, Affiliated Hospital of Hebei University, Baoding 071000, China; 2.Department of Ophthalmology, People's Hospital of Mancheng District, Baoding 072150, China
  • Received:2015-08-20 Online:2016-08-25 Published:2016-08-25

摘要: 目的 观察并探讨顺向泪道置管术在泪小管断裂吻合手术中应用的安全性和有效性。方法 回顾性系列病例研究。收集2011年10月至2014年8月于河北大学附属医院行泪小管吻合联合顺向泪道引流管置入患者的病历资料和随访资料。根据患者随访过程中的眼部耐受及并发症情况评估带管的安全性,根据拔管后6个月的症状、泪道冲洗检查情况评估手术疗效。结果 共收集到完整的病历资料和随访资料84份,所有患者带管耐受情况良好,随访期间未产生严重的并发症,拔管后6个月手术成功率96.43%(81/84)。结论 顺向泪道置管在泪小管吻合术中的应用是安全、有效的。

关键词: 顺向泪道置管, 泪小管断裂, 泪小管吻合术

Abstract: Objective To investigate and discuss the safety and effectiveness of consequent lacrimal intubation on the treatment of canaliculus laceration. Methods In this retrospective cases series,patients with traumatic canaliculus laceration were treated with lacrimal canalicular anastomosis combined with consequent lacrimal intubation in Affiliated Hospital of Hebei University from October,2011 to August,2014,whose medical records and follow-up datas were collected.The safety of the wearing tube was evaluated according to the tolerance and complications of the patients during the follow-up.Effectiveness was evaluated according to the symptoms and syphilis of lacrimal passages at 6 months after tube removal. Results A total of 84 complete medical records and follow-up datas were collected.Severe complications were not found during the follow-up.The cure rate of the operation was 96.43%(81/84)at 6 months after tube removal. Conclusion Consequent lacrimal intubation is an effective and nontraumatizing procedure in the lacrimal canalicular anastomosis.

Key words: consequent lacrimal intubation, canaliculus laceration, lacrimal canalicular anastomosis

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