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目的:探讨急诊泪小管断裂伴严重眼睑全层撕裂伤的临床特点及手术修复技巧。方法:回顾性分析河南省立眼科医院2015年1月至2019年4月泪小管断裂伴严重眼睑全层撕裂伤30例(30眼)，均行泪小管断裂吻合。泪道环形支撑管置入，及眼睑清创缝合修复术。术后3～6个月拔管，随访6～12个月。观察泪小管是否通畅、眼睑形态、眼睑位置及眼睑运动功能。结果:术后28例(93.34%)泪小管保持通畅，眼睑外观形态自然、眼睑闭合自如及眼睑运动良好，其中1例(3.33%)术后并发泪点息肉，经手术切除后息肉无复发无溢泪，泪道冲洗通畅；1例(3.33%)不同程度溢泪伴下睑瘢痕性外翻，术后6个月行下睑外翻矫正术，术后恢复良好，泪道通畅，溢泪症状消失。结论:对于泪小管断裂伴严重眼睑全层撕裂伤患者，行泪小管断裂吻合的同时，利用整形技术修复眼睑撕裂伤，效果良好。“,”Objective:To investigate the clinical characteristics and surgical repair techniques of laceration of lacrimal canaliculus with severe full layer laceration of eyelid.Methods:This was a retrospective study.The data of 30 eyes of 30 cases of laceration of lacrimal canaliculus with severe full layer laceration of eyelid from Jan.2015 to Apr.2019 in Henan Eye Hospital were analyzed.All cases underwent lacrimal duct anastomosis, stent implantation, eyelid debridement and suture repair under microscope in emergency operation.The stent was removed 3-6 months after surgery.All the patients were followed up for 6-12 months.The lacrimal canaliculus patency, eyelid shape, eyelid position and eyelid movement function were observed.Results:After surgery, the lacrimal irrigation was unobstructed in 28 cases (93.34%)with natural eyelid shape and good eyelid movement.One case (3.33%) had recurred lacrimal polyp postoperatively and received polypectomy.There was no other recurrence or epiphora, and the lacrimal passage was flushed smoothly.One case (3.33%) had epiphora with cicatricial ectropion of lower eyelid and underwent correction of ectropion at 6 months postoperatively.The postoperative recovery was good, the lacrimal passage was unobstructed, and the symptoms of epiphora were disappeared.Conclusion:Anastomosis of lacrimal canaliculus combined with repair of eyelid laceration of plastic technology for the patients with laceration of lacrimal canaliculus and severe eyelid full layer laceration is effective.