王婷婷 颛孙俊杰 段玉龙 关虹

    [摘要]目的：探討RS泪道再通硅胶软管在泪小管断裂吻合术后留置作支撑物的临床效果。方法：选取2017年1月-2020年12月笔者科室收治的223例泪小管断裂患者作为研究对象，均予以RS泪道再通硅胶软管作为支撑物行泪小管断裂吻合术，于显微镜直视下寻找鼻侧泪小管断端，将RS泪道再通硅胶软管置入上下泪小管，采用8-0可吸收缝线间断缝合断端3针，术后10 d拆线，RS泪道再通硅胶软管留置3个月后取出，术后随访1年。观察术中泪小管断裂吻合情况，术后3个月临床疗效及随访期间并发症发生情况。结果：术中泪小管断裂100.00%吻合。术后3个月，治愈215例(96.41%)，好转8例(3.59%)，无效0例(0.00%)。随访期间，出现泪小点及泪小管部分撕裂3例，下睑轻度外翻，导致术后轻度流泪2例，泪小管断端瘢痕2例，泪小点增生及息肉1例，并发症发生率为3.59%。结论：泪小管断裂吻合术中应用RS泪道再通硅胶软管作支撑物手术治疗效果较佳，术后并发症较少，安全性较高。

    [关键词]泪小管断裂；RS泪道再通硅胶软管；泪道；疗效；并发症

    [中图分类号]R777.2+2? ? [文献标志码]A? ? [文章编号]1008-6455(2023)05-0037-03

    Application of RS Lacrimal Duct Recanalization Silicone Hose as a Support after Lacrimal Canalicular Anastomosis

    WANG Tingting，ZHUANSUN Junjie，DUAN Yulong，GUAN Hong

    (Department of Ophthalmology，Hefei Purui Eye Hospital，Hefei 230000，Anhui，China)

    Abstract： Objective? To investigate the clinical effect of Rs lacrimal duct recanalization silicone hose as a support after lacrimal canalicular anastomosis. Methods? 223 cases of patients with lacrimal canalicular laceration admitted to the author's hospital from January 2017 to December 2020 were selected as the research objects ......