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目的探讨采用不同方法对不同的泪小管断裂的治疗效果。方法新鲜泪小管断裂及陈旧性泪小管断裂病人75例(75眼),采用直接发现法,弯针法治疗。结果新鲜泪小管断裂的治愈率86.0%。其中直接发现法为89.0%,弯针法为81.0%,有效率93.0%。其中直接发现法为94.5%,弯针法为90.5%。陈旧性泪小管断裂采用弯针法,治愈率61.1%,有效率83.3%。结论泪小管断裂应尽早根据断裂部位和损伤的具体情况选择适当的方法进行泪小管吻合术,新鲜泪小管断裂手术效果优于陈旧性泪小管断裂。(P<0.05)直接发现法较弯针法治愈及有效率高。
Objective To explore the treatment effect of different methods on different canalicular rupture. Methods Seventy-five patients (75 eyes) with fresh ruptured canalicular laceration and old canalicular canal rupture were treated by direct finding method and bending needle method. Results The cure rate of fresh canalicular rupture was 86.0%. Among them, 89.0% were found by direct method, 81.0% by looper method, and the effective rate was 93.0%. Among them, the direct finding method was 94.5% and the looper method was 90.5%. The old laceration of lacrimal duct using curved needle method, the cure rate was 61.1%, the effective rate was 83.3%. Conclusions The canalicular canal rupture should be performed according to the site of the fracture and the specific conditions of the injury as soon as possible. The operative effect of the canalicular canal rupture is better than that of the old canalicular canal rupture. (P <0.05) found that the method is more effective than the curved curettage and high efficiency.