一种新型改良双泪小管插管修复外伤性泪小管断裂的研究
The Study of a New Modified Bicanalicular Intubation for the Repairment of Traumatic Canalicular Laceration.
作者信息
Zhang Miaomiao, Li Bin, Zhang Ning
机构信息
Department of Ophthalmology, The Second People's Hospital of Jinan, 148# Jingyi Road, Jinan 250001, China.
出版信息
J Ophthalmol. 2019 Jan 27;2019:8435185. doi: 10.1155/2019/8435185. eCollection 2019.
INTRODUCTION
To investigate the efficacy and safety of a modified bicanalicular intubation (MBCI) used in canalicular laceration.
MATERIALS AND METHODS
This study is a retrospective consecutive chart review. A total of 43 eyes from 43 patients (36 males and 7 females) who underwent canalicular intubation were enrolled. Success rate was determined at 6 months after the surgery. Anatomical success was determined by diagnostic probing and irrigation; functional success was determined by asking patients about tearing.
RESULTS
Irrigation of the lacrimal passages in all 43 eyes showed that they were free from obstruction. The anatomical success was 100%, and 37 eyes (86%) achieved functional success. 6 eyes (14%) could not achieve functional success because there were some residual symptoms under irritating conditions, such as wind or winter weather, among which 2 eyes had bicanalicular lacerations and 4 eyes had lower canalicular laceration before surgery. There were no other complications observed in this study.
CONCLUSIONS
The MBCI was simple and safe for using in canalicular laceration.
引言
探讨改良双泪小管插管术（MBCI）用于泪小管断裂的疗效及安全性。
材料与方法
本研究为回顾性连续病例分析。共纳入43例（36例男性，7例女性）接受泪小管插管术的患者的43只眼。术后6个月确定成功率。通过诊断性探通和冲洗确定解剖学成功；通过询问患者流泪情况确定功能成功。
结果
43只眼中所有泪道冲洗均显示通畅。解剖学成功率为100%，37只眼（86%）获得功能成功。6只眼（14%）未能获得功能成功，因为在吹风或冬季等刺激条件下仍有一些残留症状，其中2只眼术前为双泪小管断裂，4只眼术前为下泪小管断裂。本研究未观察到其他并发症。
结论
MBCI用于泪小管断裂简单且安全。
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