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目的探讨外伤性泪小管断裂吻合术的方法、疗效和治疗体会。方法在手术显微镜下寻找94例患者(94眼)的泪小管鼻侧断端,以硬膜外导管为支撑物,缝合泪小管断端,对术中失败病例(8眼)进行分析。结果94例(94眼)中80例术后泪道冲洗通畅,8例有少量流泪但加压冲洗泪道通畅,泪道不通6例,治愈率85.11%。结论总结泪小管断裂吻合术失败的原因,以提高手术成功率。
Objective To investigate the method, efficacy and treatment of traumatic ruptured anastomosis of lacrimal canaliculi. Methods 94 cases (94 eyes) of nasal end of the lacrimal canaliculi were searched under the operation microscope. The epidural catheter was used as the support to suture the broken end of the lacrimal canaliculus. The failure cases (8 eyes) were analyzed. Results In 94 cases (94 eyes), 80 cases of postoperative lacrimal duct patency, 8 cases of a small amount of tears but pressure irrigation lacrimal patency, lacrimal passage unreasonable in 6 cases, the cure rate was 85.11%. Conclusion The reason of failure of canalicular rupture anastomosis is summarized to improve the success rate of operation.