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目的:观察比较worst泪道探针法与双路泪道插管法在泪小管断裂修复术中的临床效果。方法:59例泪小管断裂吻合术中,36例采用双路泪道插管法,23例采用worst泪道探针法环形置管,观察术后不同阶段临床效果。结果:术后观察早期吻合口豁裂者:双路组3例(8.33%),worst泪道探针组2例(8.69%),两组差异无显著意义(x2=0.002,P>0.05);硅胶管留置期间罹患泪小管炎者:双路组9例(25.00%),worst泪道探针组1例(4.35%),两组差异有显著意义(x2=4.261,P<0.05);术后6个月拔管泪道冲洗通畅者:双路组32例(88.89%),worst泪道探针组20例(86.96%),两组差异无显著意义(x2=0.050,P>0.05)。结论:泪小管断裂吻合术中,worst泪道探针法操作简便,留置期间稳定性佳,并发症少,治疗效果好,是一种理想的手术方式。
OBJECTIVE: To observe the clinical effect of comparing the worst lacrimal duct probe method and the double lacrimal duct intubation method in the repair of lacrimal duct rupture. Methods: Fifty-nine cases of anastomosis of lacrimal canaliculi were dissected. Thirty-six cases were treated by lacrimal duct intubation. Twenty-three cases were treated by the technique of the worst lacrimal duct probe, and the clinical effects were observed at different stages. Results: In the early stage of anastomotic spondylolisthesis, there were 3 cases (8.33%) in the dual group and 2 cases (8.69%) in the group of the worst lacrimal duct probe, there was no significant difference between the two groups (χ2 = 0.002, There was a significant difference between the two groups (x2 = 4.261, P <0.05). There were 9 cases (25.00%) in the duodenum group and 1 case (4.35%) in the lacrimal duct probe group. Six months after operation, lacrimal duct laparotomy was performed in 32 cases (88.89%) in the duo group and 20 cases (86.96%) in the lacrimal duct probe group, with no significant difference between the two groups (x2 = 0.050, P> 0.05 ). Conclusions: In the lacrimal duct rupture anastomosis, the technique of the terminal lacrimal duct probe is simple and convenient, and has good stability during ligation, less complications and good curative effect. It is an ideal surgical method.