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18例泪小管断裂吻合术患者,拔管后观察3～14个月,16例泪道冲洗通畅,无溢泪,成功率88.9%,现就其手术方法和我们的体会报告如下。1 手术方法1.1 麻醉:1%的卡因液滴眼3次;筛前神经、眶上神经及眶下神经阻滞麻醉,0.75%布比卡因+2%利多卡因(1:1)混合液,分别注射1.0ml。1.2 寻找泪小管的断端:泪小管的颞侧断端容易找到,而鼻侧断端不易找到。为了找到鼻侧断端,可采用以
18 cases of anastomosis lacrimal duct rupture, extubation after 3 to 14 months, 16 cases of lacrimal duct patency, no tears, the success rate of 88.9%, now on its surgical methods and our understanding of the report is as follows. 1 Surgical Procedures 1.1 Anesthesia: 1% caffeine drops 3 times; anterior ethmoidal nerve, supraorbital nerve and infraorbital nerve block anesthesia, 0.75% bupivacaine + 2% lidocaine (1: 1) Liquid, were injected 1.0ml. 1.2 Finding the stump end of the canaliculus: The stump side of the canaliculus is easy to find, while the stump side of the nose is not easy to find. In order to find the nasal stump, can be used to