[1]苏杰,刘岩,黄帅,等.下泪小管断裂吻合术中内眦韧带减张修复的应用效果[J].眼科新进展,2018,38(2):143-145.[doi:10.13389/j.cnki.rao.2018.0031]
 SU Jie,LIU Yan,HUANG Shuai,et al.Effects of medial canthus ligament relaxation suture in anastomosis of lacrimal canaliculus laceration[J].Recent Advances in Ophthalmology,2018,38(2):143-145.[doi:10.13389/j.cnki.rao.2018.0031]
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
38卷
期数:
2018年2期
页码:
143-145
栏目:
应用研究
出版日期:
2018-02-05

文章信息/Info

Title:
Effects of medial canthus ligament relaxation suture in anastomosis of lacrimal canaliculus laceration
作者:
苏杰刘岩黄帅杨馥宇
063000 河北省唐山市,华北理工大学附属医院眼科
Author(s):
SU JieLIU YanHUANG ShuaiYANG Fu-Yu
Department of Ophthalmology,Affiliated Hospital of North China University of Science and Technology,Tangshan 063000,Hebei Province,China
关键词:
减张修复内眦韧带泪小管断裂
Keywords:
tension reduction repairmedial canthus ligamentlacrimal canalicular laceration
分类号:
R777.2
DOI:
10.13389/j.cnki.rao.2018.0031
文献标志码:
A
摘要:
目的 探讨外伤性下泪小管断裂吻合术中预置内眦韧带减张缝线的应用效果。方法 采用回顾性研究法,收集2014年9月至2016年9月我院眼科收治的32例(32眼)下泪小管断裂合并内眦韧带断裂的病例,找到鼻侧断端后先将内眦韧带断端间预置4-0缝线,确认伤口断端对位满意后,松开预置缝线植入泪道支撑管,8-0可吸收缝线吻合泪小管断端,6-0可吸收缝线缝合皮肤等。术后2~3个月拔管,随访6~12个月,观察泪道通畅情况及溢泪等症状。结果 治愈29眼,好转2眼,无效1眼;治愈率达90.62%,有效率达96.88%。术后泪小点撕裂2眼(6.25%),内眦切迹1眼(3.12%)。结论 采用减张修复法修复内眦韧带,可以为泪小管断端创造低张力的愈合环境,使泪小管断端对合整齐,效果显著。
Abstract:
Objective To investigate the effects of preset medial canthus ligament relaxation sutures in traumatic inferior canalicular laceration anastomosis.Methods A retrospective study was conducted in 32 patients (32 eyes) with inferior lacrimal canaliculus laceration who admitted to the Department of Ophthalmology from September 2014 to September 2016.In the procedures,after the broken end of the lower lacrimal canaliculus was found,4-0 suture was immediately placed between the ends of medial canthus ligament.After ensuring the satisfaction of the broken ends of the duct,the preset suture was released and the lacrimal stents were implanted.Anastomosis of lacrimal canaliculus laceration was performed with 8-0 absorbable suture,and subcutaneous tissue and skin were sutured with 6-0 absorbable suture.Then the lacrimal stents were removed 2-3 months after the operation.The patients were followed up 6-12 months for analysis of success rate and complications.Results Totally 29 patients were cured,2 patients improved,and 1 patient did not get better,with cure rate of 90.62% and the effective rate of 96.88%.After surgery,lacrimal point tear presented in 2 eyes (6.25%),and notch within medial canthus was found in 1 eye (3.12%).Conclusion Medial canthus ligament relaxation suture can create a low tension healing environment for lacrimal canalicular laceration and improve the cure rate of canalicular laceration anastomosis.

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备注/Memo

备注/Memo:
河北省教育厅基金资助项目(编号:QN2017124)
更新日期/Last Update: 2018-02-02