论文部分内容阅读
泪小管断裂多由创伤造成。单纯性断裂常由于利器切割伤或刺入伤;复杂性断裂则多由于内眦部皮肤撕脱伤所致,常同时伴有内眦韧带断裂、内眦角移位等严重畸形。泪小管断裂后造成泪道阻塞,引起溢泪及其它症状,给病员带来很大痛苦。过去,对本症的处理,特别是陈旧性病例,尚缺乏有效治疗方法。我们应用显微外科小血管吻合技术,将断裂的泪小管进行端端吻合(在泪小管有部分缺损的情况下,使用结合膜移植来进行泪小管再造),最后合并使用穿线插管法,使断裂的泪小管重新畅通。自1976～1977年共进行了21例手术,获得较好结果。
Tracheal rupture and more caused by trauma. Simple fracture often cut or hurt because of cutlery weapon; complex fracture is more due to avulsion of the skin caused by the Ministry of internal friction, often accompanied by fracture of the ligament, fracture, such as internal dislocation serious deformity. Lacrimal duct rupture caused by obstruction of lacrimal duct, causing overflow of tears and other symptoms, to the patient caused great pain. In the past, the treatment of this disease, especially the old cases, the lack of effective treatment. We use microsurgery small vessel anastomosis technology, the broken lacrimal duct end to end anastomosis (in the case of partial lacrimal ductal defects, the use of conjunctival transplantation for lacrimal duct reconstruction), the final combination of the use of threading intubation, so that The ruptured canaliculus reopens. From 1976 to 1977 a total of 21 cases of surgery, get better results.