论文部分内容阅读
目的比较单路泪道留置硬膜外麻醉导管和双路泪道留置硅胶管治疗外伤性泪小管断裂的效果。方法回顾性病例研究。2007年1月至2009年12月期间,娄底市中心医院收治53例(53只眼)外伤性下泪小管断裂患者,其中24例采用单路泪道留置硬膜外麻醉导管(A组),29例采用双路泪道留置硅胶管(B组),主要评价术后6个月时两组病例泪道冲洗通畅情况。结果术后6个月时泪道冲洗不通畅者:A组8例(33.3%),B组2例(6.9%),差异具有显著统计学意义(P=0.031)。结论采用双路泪道留置硅胶管行外伤性下泪小管断裂吻合术,术后外观及疗效更为满意,更易于被患者接受,值得临床推广。
Objective To compare the effect of single lacrimal duct indwelling epidural anesthesia catheter and double lacrimal canal indwelling silicone tube in the treatment of traumatic lacrimal canaliculus rupture. Methods Retrospective case study. From January 2007 to December 2009, 53 patients (53 eyes) with traumatic lower lacrimal ductal rupture were treated in Loudi Central Hospital. Twenty-four of them were treated with single lacrimal duct placement of epidural catheter (group A) Twenty-nine patients underwent bilateral lacrimal duct indwelling silicone tube (group B). The prevalence of lacrimal duct patency was evaluated in both groups at 6 months after operation. Results In 6 months after operation, lacrimal irrigation was not clear: 8 cases (33.3%) in group A and 2 cases (6.9%) in group B, the difference was statistically significant (P = 0.031). Conclusions The double lacrimal duct indwelling silicone tube was used to treat the traumatic lacrimal canaliculi rupture anastomosis. The postoperative appearance and curative effect were more satisfactory and easier to be accepted by the patients, which deserved clinical promotion.