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我们用头发穿留治疗泪道阻塞,操作简单,观察8年效果满意,现报道如下。临床资料手术治疗144例,男32例,女112例。年龄:13～19岁4例;20～30岁50例;31～40岁38例;41～50岁30例、51～60岁19例;61～65岁3例。病程:最长26年,最短一个月.泪点闭锁2例;泪总管阻塞80例;泪小管阻塞39例;鼻泪管阻塞10例;慢性泪囊炎11例;鼻泪道吻合术后失败2例.手术方法患者取端坐位,患眼点1%的卡因2次,鼻腔喷入2%麻黄素溶液。再次冲洗泪道后,用泪点扩张器扩张下小泪点。持1号带线探针,垂直插入泪小点,水平进入泪小管、泪总管至泪囊内壁,顶住鼻骨后把探针转为垂直,进入鼻泪管到下鼻道.在探针进针过程中,如遇阻力,可稍加用力即可通过泪道狭窄或阻塞区。左手持鼻镜撑开鼻前
We wear hair treatment lacrimal duct obstruction, simple operation, the observation of 8 years of satisfactory results are reported below. Clinical data 144 cases of surgical treatment, 32 males and 112 females. The age ranged from 13 to 19 years old in 4 cases, 20 to 30 years in 50 cases, 31 to 40 years in 38 cases, 41 to 50 years in 30 cases, 51 to 60 years in 19 cases, 61 to 65 years in 3 cases. Course of disease: up to 26 years, the shortest one month .2 cases of lacrimal punctum; tear duct obstruction in 80 cases; lacrimal duct obstruction in 39 cases; nasolacrimal duct obstruction in 10 cases; chronic dacryocystitis in 11 cases; nasolacrimal duct anastomosis failed 2 cases. Surgical approach to take the end of sitting, eyes with 1% of 2 times the caffeine, nasal injection of 2% ephedrine solution. After washing the lacrimal duct again, dilate the small punctum with dilator dilator. Hold the 1st line probe, insert the punctum perpendicularly, enter the lacrimal canaliculus horizontally, tear the dilator tube to the inner wall of the lacrimal sac, put the probe into the perpendicular to the nasal bone, enter the nasolacrimal duct to the lower nasal passage. Needle process, in case of resistance, can be a little force through the lacrimal duct stenosis or obstruction area. Left hand holding the nose propped nose