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丁字形泪囊鼻腔吻合术(附8眼手术报告)

End-to-side anastomosis for obstruction of the nasolacrimal duct (With a report of 8 eyes)

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【作者】 王维兴

【Author】 Wang Weixing

【机构】 白求恩医科大学第二临床医学院眼科

【摘要】 本文报告8眼丁字形泪囊鼻腔吻合术,其中6眼追踪观察廿年获得完全治愈;1眼观察6个月效果良好 1眼愈后不详。同时对主要手术步骤做了介绍,鼻粘膜瓣环钻法改用十字切开法更易于吻合。

【Abstract】 Modified ead-to-side anastomosis for obstruction of nasolacrimal duct in 8 eyes are reported. Of these 8 eyes, 6 were completely cured and followed up for 20 years; the 7th eye was observed for 6 months and the result was good; the prognosis of the last patient was unknown.The main steps of the operation were introduced,the nasal mucosa opening was modified into a "crossed incision" which is easy to be sutured and closed better.Anatomy of the lacrimal sac, the advantage and disadvantage of the "T" shaped anastomosis as well as the conventional side-to-side anastomosis are also discussed

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