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近年收治7例眼睑裂伤合并泪小管断裂,施行泪小管断裂吻合修复疗效佳,报告如下。临床资料一、一般资料本组7例中,男5例,女2例,年龄15~47岁,6例新鲜伤,1例陈旧伤。病因:铁钉划伤1例,骑车撞伤1例,牛角戳伤2例,拳击伤3例。二、手术方法局部麻醉后,按泪囊手术作切口,切断内眦韧带,剖开泪囊,插入泪道探针,逆行从泪小管内侧断端穿出,经泪小管外侧断端穿入,自泪小点探出,将一空心硅胶管套插在泪道探针上,用探针轻缓引入泪囊,继将硅胶管向下直达鼻泪管从鼻腔引出。缝合泪囊,内眦韧带,皮肤作褥式缝合。缝合断裂的结膜、皮肤。
In recent years, seven cases of eyelid laceration combined with canalicular rupture, rupture of the canaliculi repair good effect, the report is as follows. Clinical data First, the general information The group of 7 patients, 5 males and 2 females, aged 15 to 47 years old, 6 cases of fresh wounds, 1 case of old injuries. Etiology: Scratch nail in 1 case, 1 case of bicycle bruise, 2 cases of horn puncture, boxing injury in 3 cases. Second, the surgical method After local anesthesia, according to lacrimal sac incision, cut the ligament of the ligament, open the lacrimal sac, insert the lacrimal probe, retrograde from the punctured end of the canalicular puncture piercing, Teardrops from the small tears, a hollow silicone tube inserted in the lacrimal probe, with a gentle probe into the lacrimal sac, followed by the silicone tube down directly to the nasolacrimal duct leads from the nasal cavity. Stitched dacryocystorhinostomy, ligament, skin for mattress suture. Suture broken conjunctiva, skin.