硅胶插管联合组织胶吻合术治疗先天性鼻泪管阻塞
Silicone intubation with tissue glue anastomosis in the treatment of congenital nasolacrimal duct obstruction.
作者信息
Liao C L, Kao S C, Lin P R, Wu K C, Hou P K
机构信息
Department of Ophthalmology National Taiwan University Hospital, Taipei.
出版信息
Ophthalmic Surg Lasers. 1996 Mar;27(3):197-9.
BACKGROUND AND OBJECTIVE
To evaluate the advantages of tissue glue application for the anastomosis of silicone intubation in congenital nasolacrimal duct obstruction.
PATIENTS AND METHODS
Patients with congenital nasolacrimal duct obstruction were treated with silicone intubation with the aid of tissue glue for end-to-end anastomosis. The recurrence rate, complications, and the need for general anesthesia at tube removal were recorded.
RESULTS
The silicone tubes for all 18 eyes studied were removed smoothly on an outpatient basis. Early extrusion was noted in 3 eyes. No recurrence of epiphora was noted in any eye after more than 6 months of follow-up.
CONCLUSION
Tissue glue anastomosis is a beneficial modification that avoids the need for general anesthesia during stent removal in children and allows removal to be easily performed in an outpatient clinic.
背景与目的
评估组织胶应用于先天性鼻泪管阻塞硅胶插管吻合术的优势。
患者与方法
对先天性鼻泪管阻塞患者借助组织胶进行硅胶插管端端吻合术治疗。记录复发率、并发症以及拔管时是否需要全身麻醉。
结果
所研究的18只眼中的硅胶管均在门诊顺利拔除。3只眼出现早期脱出。随访6个月以上，所有眼均未出现泪溢复发。
结论
组织胶吻合术是一种有益的改良方法，可避免儿童拔管时需要全身麻醉，且能在门诊轻松完成拔管。
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