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眼睑内眦部裂伤并发泪小管断裂的修复,关系到泪道功能的恢复,近年来在国内外颇受重视。我们对 33例新鲜性及陈旧性外伤性泪小管断裂修复报告之后,又进行了43例手术修复,并进行了随访,获得了良好效果,现报告如下: 1 临床资料 在73例泪小管断裂中,男59例,女14例,年龄最小者2岁,最大者60岁,30岁以下者46例占63％。右眼30例,左眼43例。伤后24～28小时就治者29例,列为新鲜伤。伤后1周至1年者25例,1年至17年者19例,共44例,均列为陈旧性裂伤。均合并有内眦部瘢痕畸形,锐器伤33例,钝器、跌打伤29例,狗猫抓伤3例,车祸伤8例。内眦裂伤合并上下泪小管断裂30例,单纯下泪小管断裂43例。
Department of eyelid laceration and lacrimal duct laceration rupture repair, related to the recovery of lacrimal passage function, in recent years, considerable attention at home and abroad. We have 33 cases of fresh and old Traumatic traumatic laceration repair reports, and then carried out 43 cases of surgical repair, and were followed up and achieved good results, are as follows: 1 clinical data in 73 cases of tear tube rupture , 59 males and 14 females, the youngest 2 years old, the largest of 60 years of age, 46 cases accounted for 63% of those under 30 years old. 30 cases of right eye, 43 cases of left eye. Twenty-nine to twenty-eight hours after injury, 29 cases were treated as fresh wounds. 25 cases were injured from 1 week to 1 year, 19 cases from 1 year to 17 years, a total of 44 cases, all of which were classified as old laceration. All were combined with Department of internal scar deformity, sharp injury in 33 cases, blunt, bruises in 29 cases, dogs and cats in 3 cases, car accident in 8 cases. Thirty cases of internal laceration combined with upper and lower canal rupture, simple rupture of canal in 43 cases.