改进型探针在治疗泪小管断裂中“同步插管”的临床应用

发布时间：2018-04-01 20:19

本文选题：泪器疾病　切入点：创伤和损伤　出处：《重庆医学》2017年26期

【摘要】：目的评估以新型改进型探针吻合断裂泪小管的术中及术后的效果。方法纳入了49例下泪小管断裂患者,将"同步插管"方式的改进型探针和传统的猪尾探针行手术对比。观察术中效果差异,并在术后3个月及12个月进行临床效果评价。结果观察组平均置管时间(10.05±1.51)min,对照组为(32.30±4.70)min,比较差异有统计学意义(t=23.63,P0.01);观察组总体手术时间为(32.91±3.98)min,对照组为(53.74±5.48)min,比较差异有统计学意义(t=15.71,P0.01)。观察组的解剖通畅率及功能通畅率为100.0%(22例)和90.9%(20例),较对照组明显提高(70.4%,19例;59.3%,16例),差异有统计学意义(χ2=5.77、6.23,P0.05)。泪点扩张器在观察组中使用18次,对照组中13次,比较差异有统计学意义(χ2=5.91,P0.05),但均未使用泪小点切开。术后3个月测定的解剖及功能成功率、术中一次性探通成功率和最终探通成功率、术后的并发症等比较差异无统计学意义(P0.05)。结论改进型探针提供了一种"同步插管"的新型手术方式,简化了手术步骤,提高了手术成功率,减少了术后并发症的发生。
[Abstract]:Objective to evaluate the effect of anastomosis of lacrimal canaliculus with a new modified probe during and after operation.Methods 49 patients with lacrimal canaliculus rupture were treated with modified probe and traditional pig tail probe.The difference of intraoperative effect was observed, and the clinical effect was evaluated 3 and 12 months after operation.Results the mean time of catheterization was 10.05 卤1.51 min in the observation group and 32.30 卤4.70 min in the control group, the difference was statistically significant, and the total operative time was 32.91 卤3.98 minutes in the observation group and 53.74 卤5.48 minutes in the control group, with a significant difference between the two groups.The lacrimal point dilator was used 18 times in the observation group and 13 times in the control group. The difference was statistically significant (蠂 ~ 2 = 5.91) P 0.05, but no lacrimal dot incision was used.There was no significant difference in the anatomic and functional success rate, the intraoperative success rate of one-off exploration and the final successful rate of exploration, and the postoperative complications (P 0.05).Conclusion the improved probe provides a new type of "synchronous intubation", which simplifies the operation procedure, improves the success rate and reduces the incidence of postoperative complications.
【作者单位】：海南医学院第一附属医院眼科;
【基金】：海南省卫生计生行业科研项目[2016]34号(1601032037A2001)
【分类号】：R779.6

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