A new method for locating the proximal lacerated bicanalicular ends in Chinese preschoolers and long-term outcomes after surgical repair.
A new method for locating the proximal lacerated bicanalicular ends in Chinese preschoolers and long-term outcomes after surgical repair.
复制标题
定位中国学龄前儿童近端撕裂双小管末端的新方法及手术修复后的长期结果
DOI：
10.1097/md.0000000000007814
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发表时间：
2017-08
期刊：
影响因子：
1.6
通讯作者：
Shi W
中科院分区：
文献类型：
--
作者：
Zhuang A;Jin X;Li Y;Fan X;Shi W
摘要本报告旨在探讨中国学龄前儿童双管撕裂伤手术修复的远期疗效。本报告对2010年9月至2015年9月期间12例双管撕裂伤患者进行了研究。术前记录从穿刺点到小管远端撕裂的距离，以区分不同类型的创伤。所有患者均在创伤发生后48小时内由一名外科医生进行小管撕裂的手术修复。治疗后，根据点距撕裂小管远端距离将病变分为外侧、内侧、中央3种类型。基于这种分类，每个撕裂的小管都成功修复。近一半的病变（46%）位于外侧，42%位于中央，12%位于内侧。定位小管近端裂伤的平均时间为3.33±1.52分钟（范围1.0-7.0分钟）。随访时间为6.0个月至4.5年（中位25个月）。我们的研究显示96%（23）的小管完全通畅。一侧侧病变表现为在寒冷天气中继发于左下小管狭窄的残余室外显色。12例患者均有良好的美容效果。我们的研究显示，基于三种类型病变的手术处理有助于找到小管近端撕裂，并提供良好的长期引流功能。
Abstract This report is to explore the long-term outcomes of surgical repair of bicanalicular lacerations in Chinese preschool patients. In this report, 12 patients with bicanalicular lacerations were studied between September 2010 and September 2015. The distance from the punctum to the distal canalicular lacerated end was recorded before surgery to classify different types of trauma. All patients underwent surgical repair of the lacerated canaliculi by 1 surgeon within 48 hours after the trauma occurred. After treatment, the lesions were divided into 3 types according to the distance from the punctum to the distal lacerated canalicular end as follows: lateral, medial, and the central. Based on this classification, each lacerated canaliculus was successfully repaired. Nearly half of the lesions (46%) were lateral, 42% were central, and 12% were medial. The average time for locating the proximal lacerated end of the canaliculus was 3.33 ± 1.52 minutes (range, 1.0–7.0 minutes). The follow-up time ranged from 6.0 months to 4.5 year (median, 25 months). Our study showed that 96% (23) of the canaliculi were completely patent. One lateral lesion presented with residual outdoor epiphora in cold weather secondary to left lower canalicular stenosis. All 12 patients had excellent cosmetic results. Our study displayed a surgical management based on the 3 types of lesions helped to find the proximal lacerated end of the canaliculus, and provided excellent long-term outcomes of drainage function.