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目的探讨创伤性下泪小管断裂修复的方法及疗效。方法回顾性分析2000年1月至2009年1月在解放军第152医院接受治疗的创伤性泪小管断裂的患者64例,其中陈旧性30例,新鲜性34例。31例采用经泪总管逆行寻找断端联合新鲜羊膜修复泪小管吻合术(治疗组)3,3例单纯泪小管吻合术(对照组)。术后4月拔除置管,于拔管后第1,24,周,第2,3月复查,随访12～21个月,观察流泪,泪道冲洗及泪液清除率的变化,评价其疗效。结果至随访时间:治疗组治愈28例(90.32%);对照组治愈22例(66.67%);治疗组泪液清除率正常27例(88.00%),对照组泪液清除率正常22例(66.67%)。结论对创伤性泪小管断裂进行新鲜羊膜修复泪小管断裂吻合置管术治疗成功率高,无排斥反应、留置管暴露者、瘢痕收缩泪道粘连者,安全有效。
Objective To investigate the method and effect of traumatic lower tear canal repair. Methods A retrospective analysis of 64 patients with traumatic canalicular rupture treated in the 152 Hospital of PLA from January 2000 to January 2009 was retrospectively analyzed. Among them, 30 were old and 34 were fresh. In 31 cases, 3 cases of pure lacrimal duct anastomosis (control group) were treated by retrograde retrograde operation of the tear tube to find the repair of canalicular anastomosis with fresh amnion. The catheter was removed 4 months after operation. The patients were reviewed at the first, second, fourth and extubation after the extubation. The patients were followed up for 12 to 21 months. The changes of lacrimal duct, lacrimal duct and tear clearance were observed to evaluate the curative effect. Results The follow-up time was 28 cases (90.32%) in the treatment group, 22 cases (66.67%) in the control group, 27 cases (88.00%) in the control group and 22 cases (66.67%) in the control group with normal tear clearance rate . Conclusions The treatment of traumatic lacrimal duct rupture with fresh amniotic membrane repair lacrimal duct anastomosis and catheterization has a high success rate, no rejection, indwelling catheter and scars shrink lacrimal duct adhesions, safe and effective.