Operative technique and clinical observation of anastomosis for disrupted canaliculus

中国实用眼科杂志 Pub Date : 2017-04-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.04.018

Hao Tang, Lan-Hua Shen

引用次数: 0

Abstract

Objective TTo study the fracture finding methods and inferior lacrimal canaliculus anastomosis techniques, choosing the right duct support tubes to improve success rate of anastomosis of the disrupted canaliculus in emergency. Methods Directly under the microscope, looking for broken ends of the lateral inferior lacrimal canaliculus fracture, using extradural catheter new RS for support broken lacrimal duct ends by anastomosis of lacrimal canal. Results Of 128 tears tubular break (112 cases of the lower disrupted canaliculus, 16 upper disrupted canaliculus), 125 cases were anastomosis successfully, 3 cases could not find lacrimal sac while using open retrograde intubation with success. Conclusions It is a simple, easy, reliable and worth promoting method for anastomosis of broken lachrymal canaliculus. Key words: Ruptured inferior lacrimal; Anastomosis; Microscope; New RS lacrimal canal; Epidural catheter

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小管断裂吻合术的手术技巧及临床观察

目的探讨泪下小管断裂的发现方法和吻合技术，选择合适的导管支撑管，提高急诊泪下小管断裂的吻合成功率。方法直接在显微镜下寻找外侧下泪小管骨折断端，采用新RS硬膜外导管经泪管吻合术支撑断端。结果泪管断裂128例(下小管断裂112例，上小管断裂16例)，吻合成功125例，开放逆行插管未找到泪囊3例，均成功。结论泪小管断裂吻合术简便、可靠，值得推广。关键词:下泪道破裂;吻合;显微镜;新RS泪道;硬膜外导管

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来源期刊

中国实用眼科杂志

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发文量

9101

期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.