论文部分内容阅读
本文简略分析报道了５６眼单侧下泪小管断裂修复术。常规手术３６眼，显微镜下手术２０眼；术后留置硬膜外麻醉导管３－４月，拔管后随防１／２～５余年，全部由第一作者施术；最后均以泪道冲洗了解泪道是否通畅，第一染色试验判断泪道排流功能，根据解剖和功能二者来判定效果。获得２项结论：（一）早期断端≤６ｍｍ及显微镜下施术，寻找断端较容易；按直视法注水法、注空气法、注肥皂水法，切开泪囊逆插针法循序寻找断端有效，晚期病例辅以切除疤痕组织，则全部可以找到断端。（二）手术效果与是否找到近侧断端、早期手术，断端与泪点间距较短及显微镜下施术明显相关。
A brief analysis of this report reported 56 cases of unilateral lacrimal canaliculi repair. 36 cases of conventional surgery, 20 cases under the microscope surgery; postoperative epidural anesthesia catheter 3-4 months, after extubation with anti-1/2 to 5 years, all by the first author; finally were lacrimal irrigation Learn lacrimal patency, the first staining test to determine lacrimal drainage function, both to determine the effect of anatomy and function. Obtain two conclusions: (A) early stump less than 6mm and under microscope surgery, looking for the stump is easier; according to direct injection water method, air method injection, soap and water method, incision lacrimal capsule reverse pin method Find stump effective, advanced cases accompanied by excision of scar tissue, you can find all the stump. (B) the surgical results and whether to find the proximal stump, early surgery, stump and punctate spacing is shorter and microscopic surgery significantly related.