【摘要】 目的探讨渔民外伤性泪小管断裂治疗方法。方法在手术显微镜下根据断端离泪点距离、外伤时间、创面肿胀程度及污染情况,采用直接寻找法、逆行寻找法、泪囊切开寻找法,寻找泪小管鼻侧断端,行端端吻合插管修复术。术后用重组牛碱性成纤维细胞生长因子滴眼液(贝复舒)滴眼,1周后用贝复舒、庆大霉素溶液泪道带管冲洗。创面Ⅰ期愈合留硅胶管3个月,Ⅱ期愈合或创面缺损留管4 —6个月,最长留管9个月。结果术后随访0．5—2年,治愈32例(76．19％),好转8例(19．05％),无效2例(4．76％)。结论渔民外伤性泪小管断裂采取正确的修复方法和有效的药物治疗,有助于手术成功。更多还原

【Abstract】 Objective To explore therapy methods for the treatment of traumatic lacrimal canaliculi laceration in fishermen.Methods 42 cases of broken lacrimal canaliculi was connected under microscope,finding the nasal ends by direct seek method,retrograde seek method and sac-splitting seek method according to the distance between broken site and lacrimale,time after trauma,inflammation and the pollution of wound.The lacrimal canaliculi was connected site to site with the aid of intubatton.Treated by Recombinant Bovine Basic Fibroblast Growth Factar ( rb-bfgf) Eye Drops after operation,the lacrimal canaliculi was washed with tube one week later.Silica gel tube was kept for 3 months for class Ⅰ cure ,4-6 months or even 9 months for class Ⅱ cure or wound with defect.Results According to 6 months to 2 years follow-up visits,32 cases were cured (76.19% ),8 cases were improved (19.05% ),2 cases were not improved (4.76% ).Conclusions Right repair method and efficient drug therapy were helpful for the anastomosis of traumatic lacrimal canaliculi laceration in fisherman.更多还原