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目的探讨双泪小管—鼻插硅胶管法治疗泪小管断裂的手术方法和疗效。方法16例(16眼)外伤性泪小管断裂,在手术显微镜直视下寻找断端,以硅胶管为支撑物,另一端自上泪小管插入,两端均插入鼻泪管,于鼻腔拉出后结扎固定并藏于鼻腔内。结果3个月后拔管冲洗泪道均通畅,所有患者均对外观满意,能顺利配合治疗至拔管。结论双泪小管—鼻插硅胶管术治疗泪小管断裂,其固定牢靠,术后不影响患者的工作生活,外观满意,受到患者欢迎,具有临床应用价值。
Objective To investigate the surgical method and curative effect of double lacrimal canaliculus-nasal silicone tube in the treatment of lacrimal canaliculus rupture. Methods Twenty-six cases (16 eyes) with traumatic rupture of the canaliculus were dissected and looked for the end under the microscope. The silicone tube was used as a supporter and the other end was inserted into the canaliculus. The nasolacrimal duct was inserted into both ends of the canal, After the ligation fixed and hidden in the nasal cavity. Results 3 months after laparotomy lacrimal duct are clear, all patients are satisfied with the appearance, smooth treatment with the extubation. Conclusions The double lacrimal duct - nasal silicone tube for the treatment of lacrimal canaliculus rupture, its fixation is solid, postoperative does not affect the working life of patients, the appearance of satisfaction, welcomed by patients with clinical value.