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慢性泪囊炎疗法很多,但效果不—。就手术治疗来看,鼻腔泪囊吻合术较为理想。因其能保存导泪器的部分生理功能,但手术操作烦杂。手术时间过程长,一般受设备条件的限制一时难于广泛开展。我们在党的大跃讲的鼓舞下,于58年开始用尼龙管解决泪道的阻塞,以治疗慢性泪囊炎至今于临床巳使用27例效果尚为满意,现将操作方法和点滴体会报告如下: 手术前的准备1.清洁泪囊——①术前3—4日每日用1:2000青霉素溶液,四小时一次点眼,(卢药前先挤出泪囊的分泌物)点眼药后患者自己按摩泪囊部皮肤5—10分钟,以使药液能进入泪囊。③每日用1%的食盐水冲洗泪囊1—2次,冲洗干净后,用3%的红汞液注入泪囊内,以无粘稠分泌物为准则。2.尼龙管一条——口径为1—1.5毫米,长25—30毫米,半透明无色壁薄的较佳,于中段用小刀开3—5个小洞,以备植入泪囊中引流泪囊的分泌物和上泪点吸入的泪滚,导流入鼻腔内。
Chronic dacryocystitis a lot of treatment, but the effect is not -. Surgical treatment of nasal dacryocystorhinostomy is ideal. Because it can save the part of the physiological function of the guide, but the surgical operation is complicated. Long course of surgery, generally limited by the conditions of the device is difficult to carry out a temporary. Inspired by the party’s leap, we started with nylon tube in 58 to solve the obstruction of the lacrimal duct to treat chronic dacryocystitis. However, we are still satisfied with the results of the treatment of 27 cases. We are now operating methods and report As follows: Preoperative preparation 1. Clean the lacrimal sac - ① 3 to 4 days before surgery daily with 1: 2000 penicillin solution, four hours once the eye, (Lu medicine first out of the lacrimal sac secretion) after eye drops The patient massages the lacrimal sac for 5-10 minutes to allow the liquid to enter the lacrimal sac. ③ daily with 1% saline flushing lacrimal sac 1-2 times, rinsed with 3% Mercury into the lacrimal sac, with no sticky secretions as a criterion. 2. A nylon tube - a diameter of 1-1.5 mm, length 25-30 mm, translucent colorless thin wall is better, in the middle with a small knife to open 3-5 holes to prepare for implantation in the dacryocyst Flow of lacrimal sac secretions and tears on the tear inhalation, diverted into the nasal cavity.