目的:探讨寻找近端断裂泪小管的方法和引线硅胶管植入在泪小管吻合术中的应用效果。方法:回顾研究我院近5a的18例泪小管断裂的病例资料,采用显微镜下直接暴露泪小管,引线硅胶管作为支撑行泪小管吻合,分析其预后。结果:患者18例手术均顺利成功,随访6mo,泪道冲洗均通畅。结论:显微镜下直接暴露泪小管能快速找到近端断裂泪小管,使用硅胶管作为支撑可以有效提高舒适度和降低手术并发症。

AIM:To discuss the method of finding the rupture point of the lacrimal canaliculus and the result of applying the line-drafted silicone tube in the nasolacrimal anastomosis. ·METHODS:Retrospectly 18 cases 18 eyes with lacrimal canaliculus rupture in our hospital in the past five years were studied,the research contained the method of seeking the rupture point of the lacrimal canaliculus under the operating microscope and the result of using of the silicone tube as a support for lacrimal canaliculus for nasolacrimal anastomosis. ·RESULTS:Totally 18 cases were all successful and irrigation of lacrinal passages was good in half a year. ·CONCLUSION:Seeking the rupture point of the lacrimal canaliculus under the operating microscope is easy and implanting the silicone tube as a support can make patients more comfortable and reduce postoperative complications.

R779.6