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目的 观察下泪小管断裂Ⅰ期修复术 3种不同手术方式的效果。方法 下泪小管断裂在处理眼睑伤口时Ⅰ期行泪小管修复术 ,术中在手术显微镜下用直接寻找法、逆行寻找法或泪囊切开法寻找泪小管断端、行端端吻合插管修复术 ,留置直径 1mm的硅胶管 2～ 3月 ,拔管后行泪道冲洗 3周。结果 术后随访 2～ 8月 ,直接插管吻合法治愈率 92 86% ,逆行插管吻合法治愈率 75 0 % ,泪囊切开法治愈率 5 0 0 %。总治愈率 82 14 % ,好转率 10 72 % ,无效 7 14 %。结论 下泪小管断裂Ⅰ期修复术术中易发现泪小管断裂 ,便于吻合 ,成功率高 ,可避免再次手术。其中直接插管吻合法效果最好。
Objective To observe the effect of three different surgical methods for primary repair of lacrimal canaliculus rupture. Method of tear canal rupture in the treatment of eyelid wound Ⅰ stage tracheal repair, intraoperative under the operating microscope with the direct search method, retrograde search method or lacriminal sac resection method to find the canaliculus, the end of the line anastomosis intubation Repair, indwelling silicone tube diameter 1mm 2 to 3 months after lacrimal duct lavage 3 weeks. Results The patients were followed up for 2 ~ 8 months. The cure rate of direct intubation and anastomosis was 92.86%. The cure rate of retrograde intubation and anastomosis was 75%. The cure rate of lacrimal sac incision was 500%. The overall cure rate was 82.14%, the improvement rate was 10.72%, and the ineffective rate was 714%. Conclusions It is easy to find the rupture of canalicular canal in the repair of the canalicular laceration of the lacrimal canal in the first phase of repair. It is convenient for anastomosis, and the success rate is high, to avoid reoperation. Which direct intubation anastomosis best.