鼻内镜引导下泪道引流管双路环形置入在泪小管断裂吻合术中应用

石磊; 温跃春; 王李松; 刘家佳; 季青山

doi:10.13898/j.cnki.issn.1000-2200.2019.08.022

鼻内镜引导下泪道引流管双路环形置入在泪小管断裂吻合术中应用

Application value of double annular placement of lacrimal duct drainage tube guided by nasal endoscope in lacrimal canaliculus fracture anastomosis

摘要

摘要:
目的评价鼻内镜引导下泪道引流管双路环形置入法在外伤性泪小管断裂吻合术中的应用效果。
方法选取外伤性泪小管断裂71例，显微镜直视下寻找到泪小管两断端，经上、下泪点并通过泪小管断端置入泪道引流管，再于鼻内镜引导下勾出泪道引流管后固定于鼻腔。术后随访并观察临床疗效和并发症发生情况。
结果71例全部吻合成功，术后随访12~30个月，治愈55例，好转5例，无效11例；随访泪小管豁裂2例，泪道引流管脱出4例，未发现眼睑位置异常。
结论鼻内镜引导下泪道引流管双路环形置入治愈率高，并发症少，是理想的治疗泪小管断裂的方法。

Abstract:
ObjectiveTo evaluate the application effects of double annular placement of lacrimal duct drainage tube guided by nasal endoscope in lacrimal canaliculus fracture anastomosis.
MethodsThe data of 71 patients with aumatic lacrimal canalicular rupture were retrospectively analyzed.The two ends of broken lacrimal canaliculus were found under the microscope.The lacrimal drainage tube was inserted through the upper and lower lacrimal points, and broken ends of lacrimal canaliculus.Then the silicone tube was drawn out under the guidance of nasal endoscopy, and fixed in the nasal cavity.The clinical efficacy and complications in all cases were observed after operation.
ResultsAll cases were successfully anastomosed, and followed up for 12 to 30 months.Fifty-five cases were cured(77.46%), 5 cases were improved(7.04%), and 11 cases were ineffective(15.49%).The lacrimal canalicular rupture in 2 cases, silica gel tube prolapse in 4 cases, and no abnormal eyelid position were found during the follow-up period.
ConclusionsThe double annular placement of lacrimal duct drainage tube guided by nasal endoscope is high cure rate, fewer complications, and an ideal method to treat lacrimal canalicular rupture.

HTML全文

参考文献(18)

施引文献

资源附件(0)