泪道外插管泪液引流术临床应用
泪道外插管,,皮下;结膜鼻腔造瘘术;硅胶导管,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨下泪道破坏严重时泪液引流途径。方法 在结膜囊-鼻前庭间安置一个内径1mm、外径2mm的特制硅胶导管，此管置于鼻颊沟软组织下，上颌骨前突表面。结果 治疗32例，观察5年以上，其中1例因结膜乳头状瘤增生而拔管，1例因导管下滑而拔管，30例引流良好，病人亦能耐受。本文就引流机制、并发症、机体耐受问题和操作进行了详细地讨论。结论 泪道外插管是下泪道严重损害时泪液引流的一种较好的解决方法。【关键词】 皮下;结膜鼻腔造瘘术;硅胶导管
Drainage with inferior lacrimal passage
YU Chang-tai,TU Hui-fang,ZHANG Han-bin,et al.
Aier Eye Hospital of Wuhan,Wuhan 430063,China
【Abstract】 Objective To explore the drain way to tear with inferior lacrimal passage ruined critically.Methods The special silicon tube whose bore 1mm and diameter 2mm was inserted between conjunctival sac and nasal vestibule,the tube was placed under the soft tissue of bucco-nasal groove and in the surface of the protrusion of upper jaw bone.Results There were 32 patients who undergone tube above five years.One patient of them was pulled out the tube because of papilloma hyperplasia,the other patient was pulled out the tube with the tube slide below,and the rest 30 patients kept the drain well and could tolerant.There were particular discuss about the mechanism of drain,complication,patients tolerance and the operation in this paper.Conclusion Intubation outside the lacrimal passage is a better drain way to treat inferior lacrimal passage with ruined critically. ......
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