目的 初步探讨“经皮肤一针吻合并双泪小管置管法”治疗婴幼儿泪小管断裂手术的安全性和有效性。方法 回顾性分析9眼(9例)泪小管断裂的婴幼儿(≤3岁)应用“经皮肤一针吻合法并双泪小管置管术”的治疗效果。根据泪小管断裂的位置采用“经皮肤一针吻合法并双泪小管置管法”制定相应的手术方案,所有的患儿置管3个月后拔除人工泪管。结果 9例患儿年龄9个月~3岁,平均(1.64±0.30)岁,男5例(55.56%),女4例(44.44%)。4例行下泪小管断裂吻合并双泪小管人工泪管置入术,2例行上泪小管断裂吻合并双泪小管人工泪管置入术,3例行上下泪小管断裂吻合并双泪小管人工泪管置入术。治愈8例,好转1例,所有患儿均未出现眼睑及内眦畸形。术后3个月拔除人工泪管,随访时间为6~36个月。结论 “经皮肤一针吻合并双泪小管置管法”治疗婴幼儿泪小管断裂是安全、有效的。

Objective To investigate the safety and efficacy of “one-stitch anastomosis through the skin combined with bicanalicular intubation” in the treatment of canalicular laceration of infants.Methods A retrospective analysis was performed of 9 eyes (9 cases) of infants (≤3 year old)with canalicular laceration treated with “one-stitch anastomosis through the skin combined with bicanalicular intubation”. According to the location of canalicular laceration, a corresponding surgical plan was developed by using the method of one-stitch anastomosis through the skin combined with bicanalicular intubation. The lacrimal stent was removed after 3 months of intubation.Results The average age of these nine infants was (1.64±0.30) years, ranging from 9 months to 3 years. There were 5 males (55.56%) and 4 females (44.44%). Four cases underwent inferior canalicular laceration anastomosis and bicanalicular intubation, two cases underwent superior lacrimal canalicular laceration anastomosis and bicanalicular intubation, and three cases underwent inferior and superior canalicular laceration anastomosis and bicanalicular intubation .Eight cases were cured and one case was improved. All the patients had no orbital or medial deformity. The follow-up period was 6-36 months.Conclusions “One-stitch anastomosis through the skin combined with bicanalicular intubation” is safe and effective in the treatment of canalicular laceration of infants.