目的:探讨不同情况下外伤性泪小管断裂吻合的简单有效方法。方法:回顾性分析住院治疗的73例外伤性泪小管断裂患者资料,归纳其手术方法和临床特点,并且随访。手术方法分别采用直接寻找法,弯针法,泪囊切开法。结果:经治疗73例患者中直接寻找法吻合56例,弯针法吻合15例,泪囊切开法吻合2例。泪小管断裂吻合治愈63例,好转9例,未愈1例。结论:大多数新鲜泪小管断裂可以直接找到鼻侧断端,少数可以用弯针法找到,个别解剖异常患者或陈旧性泪小管断裂患者需用泪囊切开法。

AIM:To study the effective method of traumatic lacrimal canaliculus anastomosis. METHODS:Seventy-three eyes with lacrimal canaliculus disease caused by trauma were analyzed retrospectively,and its surgical methods and clinical characteristics were summarized. And then the patients were followed up. Surgical methods included direct searching method,curved needle method and lacrimal sac incision.RESULTS:In 73 cases,56 cases underwent direct searching method,15 cases adopted curve needle method and 2 cases underwent incision of lacrimal sac. The operation was successfully performed in 63 cases,improved in 9 cases and ineffective in 1 case. CONCLUSION:Nasal stump of most of the fresh canalicular lacerations can be found directly,a few could be found by curved needle,stump in individual patients with anatomical abnormalities or old canalicular laceration need to be found with lacrimal sac incision.

R779.6