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溢泪多由外伤、炎症、先天畸形等引起泪道阻塞所致,常使患者蒙受长期流泪之苦。过去疗法甚多,如穿线法,插入塑料管、玻璃管、金属管,或移植皮肤,胎膜,静脉管唇粘膜等,疗效均不十分满意。近几年虽有新疗法,疗效仍不理想。作者采取自身结膜瓣,唇粘膜行泪小管改道或泪囊成形术,1984年以来共作3例,术后随访4月至2年余,疗效满意,介绍如下。适应症:1.各种原因所致下泪小管阻塞及总泪管阻塞(简称上泪道)。2.泪囊缺如,泪囊过
More tears overflowed by trauma, inflammation, congenital malformations caused by lacrimal duct obstruction, often make patients suffering from long-standing tears. In the past a lot of therapies, such as the threading method, the insertion of plastic tubes, glass tubes, metal tubes, or skin graft, fetal membranes, intravenous duct lip mucosa, efficacy are not very satisfied. In recent years, although new therapies, the effect is still not ideal. The authors take their own conjunctival flap, lacrimal duct laryngeal mucosa diversion or lacrimal ductoplasty since 1984, a total of 3 cases, followed up for 4 months to 2 years after surgery, the effect is satisfactory, described below. Indications: 1. Various causes of tear tube obstruction and the total tear duct obstruction (referred to as the lacrimal duct). Lack of lacrimal sac, lacrimal sac too