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泪道探通置管术在外伤性泪道断裂患儿泪道重建中的应用效果研究(1)
http://www.100md.com 2018年5月1日 《中国美容医学》 2018年第9期
     [摘要]目的:探究淚道探通置管术在外伤性泪道断裂患儿泪道重建中的临床效果。方法:将2017年5月-2018年5月在笔者科室接受治疗的16例因外伤引起的泪道断裂患儿作为研究对象,所有患儿均给予泪道探通吻合置管术治疗,对患儿治疗前后眼表疾病指数(Ocular surface disease index,OSDI)评分、眼部不适发生频率评分、对日常生活影响评分、治疗总有效率以及并发症发生情况等进行综合评价。结果:患儿治疗后OSDI评分为(5.21±3.24)分,显著低于治疗前的(25.35±11.24)分,且患儿眼部不适发生频率评分、对日常生活影响评分均得到明显改善,显著优于治疗前,差异有统计学意义(P<0.05)。患儿平均手术时间为(51.24±3.65)min;治疗总有效率达93.75%(15/16);术后有1例患儿出现鼻腔流血,1例导管提前脱落,1例下睑肿胀,并发症发生率为18.75%,经对应处理后,均好转。结论:泪道探通吻合置管术应用于外伤性泪道断裂患儿泪道重建中,能够促进患儿症状改善,并发症少,效果显著。

    [关键词]泪道探通置管术;外伤性泪道断裂;泪道重建;眼表疾病指数
, 百拇医药
    [中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)09-0075-02

    Clinical Study on Lacrimal Duct Probing in Reconstruction of Lacrimal Duct in Children with Traumatic Lacrimal Duct Rupture

    WANG Jie,LOU Bin,ZHOU Jing

    (Department of Ophthalmology,Children's Hospital of Nanjing Medical University,Nanjing 210000,Jiangsu,China)

    Abstract: Objective To explore the clinical effect of lacrimal duct probing in the reconstruction of lacrimal duct in children with traumatic lacrimal duct rupture. Methods 16 cases of lacrimal duct fracture due to trauma were treated in our hospital from May 2017 to May 2018. All the children were treated with lacrimal duct exploration and intubation. The index of ocular surface disease index (OSDI), the frequency of eye discomfort, and the impact on daily life were evaluated before and after the treatment. The total effective rate and the incidence of complications were comprehensively evaluated. Results After treatment, the OSDI score was (5.21±3.24), significantly lower than that before treatment (25.35±11.24), and The frequency score of ocular discomfort and the influence score on daily life of the children were significantly improved, which was significantly better than that before treatment, the differences were statistically significant(P<0.05). The mean operative time was (51.24±3.65) min, and the total effective rate was 93.75% (15/16). There was one case of nasal bleeding, one case of catheter shedding ahead of time, one case of lower eyelid swelling, the incidence of complications was 18.75%. After corresponding treatment, they all improved. Conclusion The application of lacrimal duct exploration and anastomosis in the reconstruction of lacrimal duct in children with traumatic lacrimal duct rupture can improve the symptoms of the children, with fewer complications and significant effect.

    Key words: probing of lacrimal passage; traumatic lacrimal passage rupture; lacrimal passage reconstruction; ocular surface disease index, 百拇医药(汪洁 娄斌 周静)
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