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目的探讨电解倒睫器对先天性泪囊瘘管的治疗作用。方法对13例先天性泪囊瘘管患者先以探针或冲洗针头了解瘘管走行、全长,并冲洗泪道,了解瘘管是否与泪囊相通。将与电解器负极相连的电解针沿瘘管走行轻轻插入瘘管,达瘘管全长,接通电解器电源,通电时间为15~20 s,见瘘管口有细小白色气泡冒出,即可取出电解针。术后局部涂抗生素眼膏。结果术后复查无1例出现溢泪症状,随访1~6个月,无复发。结论电解倒睫器治疗先天性泪囊瘘管,简便、安全、无出血、无感染、无瘢痕,效果好。
Objective To investigate the therapeutic effect of electrolytic trichomadesis on congenital lacrimal fistula. Methods Thirteen patients with congenital lacrimal sac fistula were treated with needles or rinsing needles to understand the course of fistula, the length of the fistula and the lacrimal duct. The fistula was communicated with the lacrimal sac. Electrolytic needles connected to the negative electrode of the electrolyzer should be gently inserted into the fistula along the fistula to reach the full length of the fistula and power on the electrolyzer. The power-on time is 15-20s. See the fistula mouth for small white bubbles to emerge, needle. Postoperative local antibiotic ointment. Results No postoperative recurrence occurred in 1 case of spilled tears symptoms, followed up for 1 to 6 months, no recurrence. Conclusion Electrolytic trocar treatment of congenital lacrimal duct fistula, simple, safe, no bleeding, no infection, no scars, the effect is good.