文章摘要
王娜 杨静雯△ 赵丽萍 景美玲.亚甲蓝在泪小管断裂手术中的应用[J].,2015,15(36):7121-7123
亚甲蓝在泪小管断裂手术中的应用
Application of Dilute Methylene Blue Solution in Lacrimal Duct Anastomosis
  
DOI:
中文关键词: 泪小管  断裂吻合  亚甲蓝稀释溶液  Worst的猪尾巴探针
英文关键词: Lacrimal duct  Anastomosis  Dilute methylene blue solution  Worst pig tail probe
基金项目:陕西省宝鸡市卫生局科研立项(2012-16 号)
作者单位
王娜 杨静雯△ 赵丽萍 景美玲 陕西省宝鸡市中心医院眼科 
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中文摘要:
      目的:探讨泪小管断裂实施手术修复时,利用亚甲蓝的粘膜染色功能寻找泪小管断端,从而提高泪小管吻合成功率的临床治 疗效果。方法:将65例眼睑撕裂伤伴泪小管断裂患者随机分为两组。A 组使用亚甲蓝为染色剂,B 组使用Worst 的猪尾巴探针,术 中帮助寻找泪小管鼻侧断端,比较两组患者的临床治疗效果。结果:两组患者手术治愈率比较,差异无统计学意义(P>0.05);A 组 手术时间比B组短,差异具有统计学意义(P<0.05)。结论:亚甲蓝的粘膜染色功能有助于术中顺利找到泪小管鼻侧断端,减少术 源性再损伤,缩短手术时间,提高手术成功率,操作简便,患者耐受性较好。
英文摘要:
      Objective:To explore the clinical outcomes of dilute methylene blue solution on the treatment of lacrimal duct anastomosis.Methods:65 cases with lacrimal canalicular laceration were randomly divided into GroupA (n=35) andB (n=30). The patients in Group A were treated with the methylene blue, while the patients in Group B were treated with Worst pig tail probe. Then the clinical effects of the two groups were evaluated and compared.Results:There was no statistically significant difference about the curative rate between the two groups (P>0.05). The operation time in Group A was shorter than that of Group B, and the difference was statistically significant (P<0.05).Conclusion:Mucosa staining function of methylene blue could help the surgeon successfully find the tear small tube nasal side broken end, reduce operation-induced injury, shorten the operation time and improve the success rate of operation. It is easy to use and responded with good tolerance.
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