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目的探讨外伤性泪小管断裂吻合术的临床护理。方法回顾分析我科2005年1月至2009年6月收治的65例患者的临床资料。结果 65例患者65眼,拔管后随访3～6个月,治愈60例,好转4例,未愈1例。结论外伤性泪小管断裂吻合术的手术目的是恢复泪液引流系统正常的解剖结构与生理功能,同时使美容缺陷减少到最低限度。吻合的成功与否,寻找近侧断端是关键。泪小管断裂吻合后皮肤的缝合也很重要,可防止影响泪小管愈合及术后瘢痕收缩引起眼睑和泪点外翻、溢泪。术后插入导管放置时间也很重要,围术期的护理是手术成功的关键。
Objective To investigate the clinical nursing of traumatic ruptured anastomosis of lacrimal canaliculus. Methods The clinical data of 65 patients admitted from January 2005 to June 2009 in our department were retrospectively analyzed. Results 65 cases of 65 patients, followed up after extubation 3 to 6 months, 60 cases were cured, improved in 4 cases, healed in 1 case. Conclusion The purpose of surgery for traumatic rupture of the canalicular laceration is to restore the normal anatomy and physiological function of the tear drainage system while minimizing cosmetic defects. Anastomosis of success or failure, looking for proximal stump is the key. Stitched canalicular laceration of the anastomosis of the skin is also very important to prevent the impact of lacrimal ductal healing and scar contraction caused by eyelid and punctate valgus, overflowing tears. Postoperative catheterization time is also important, and perioperative care is the key to successful surgery.