目的:探讨新型泪小管断端寻找器治疗复杂性泪小管断裂的手术效果。方法:复杂外伤性泪小管断裂患者45例,采用新型泪小管断端寻找器,寻找泪小管断端,置硬膜外麻醉导管吻合泪小管断裂。结果:55例经6mo~1a随访观察,获得解剖复位,自觉不流泪,冲洗通畅者49例(89%);自觉轻微流泪,冲洗泪道通而不畅者3例(7%);冲洗泪道不通者2例(4%)。结论:新型泪小管断端寻找器,寻找泪小管断端,置硬膜外麻醉导管是一种治疗复杂性泪小管断裂的有效方法。

AIM:To apply a new type canaliculus breakage finding apparatus in treating the complicated lacrimal canaliculi laceration. METHODS:Fifty-five cases with complicated traumatic lacrimal canaliculi laceration were treated by new type canaliculus breakage finding apparatus. RESULTS:After the follow-up of 6-12 months,49 cases (89%) obtained the anatomic reposition with unobstructed irrigation, without self-lacrimatoin. 3 cases (7%) got light self-lacrimation and little obstructed irrigation, and 2 cases (4%) got obstructed irrigation. CONCLUSION:The therapeutic method with a new type canaliculus breakage finding apparatus is an effective treatment for complicated lacrimal canaliculi laceration.

R779.6