Therapeutic effects of two anastomoses of lacrimal passage on canalicular laceration

WANG Zun-jing; KONG Qing-lan; XIE Ying-bin; LI Ting

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Therapeutic effects of two anastomoses of lacrimal passage on canalicular laceration

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Objective: To evaluate the therapeutic effects of two anastomoses (canaliculus-to-lacrimal sac anastomosis and end-to-end anastomosis) on nasolacrimal laceration for over 7 mm from the broken end to the dacryon. Methods: A total of 71 patients (44 males and 27 females, aged 16-55 years, mean=34.32 years) with fresh canalicular laceration were treated in our hospital from March 2003 to April 2008. Under a microscope, 37 patients were treated with lacrimal sac anastomosis (the treatment group) and 34 with end-to-end anastomosis (the control group), detaining silicone tubes till 3 months later. Results: The cure rate of the treatment group (89.19%) was significantly higher than that of the control group (55.56%). Class I cure rates were 70.27% in the treatment group and 47.06 % in the control group, and the difference between the two groups was significant (P<0.05). Postoperative in-flammatory reactions had significant influences on the two kinds of anastomosing methods, but no significant difference was found between the two groups (P>0.05). Conclusions- When the distance from the broken end to the dacryon is over 7 mm, especially when it is necessary to find the paranasal broken end of the lacrimal canaliculus with dacryocystotomy, canaliculus-to-lacrimal sac anasto-mosis is a better treatment method than end-to-end anasto-mosis for laceration of lacrimal canaliculus.

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《中华创伤杂志（英文版）》 |2008年第6期|347-351|共5页
作者
WANG Zun-jing; KONG Qing-lan; XIE Ying-bin; LI Ting;
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作者单位

Department of Ophthalmology, Affiliated Hospital, Qingdao Medical College, Qingdao University, Qingdao 266003, China;

Department of Ophthalmology, Affiliated Hospital, Qingdao Medical College, Qingdao University, Qingdao 266003, China;

Department of Ophthalmology, Affiliated Hospital, Qingdao Medical College, Qingdao University, Qingdao 266003, China;

Department of Ophthalmology, Affiliated Hospital, Qingdao Medical College, Qingdao University, Qingdao 266003, China;

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原文格式 PDF
正文语种 chi
中图分类外科学;
关键词
Lacerations; Lacrimal apparatus; Anastomosis, surgical;

机译：裂伤;泪器;解剖性手术;

Therapeutic effects of two anastomoses of lacrimal passage on canalicular laceration

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