泪小管断裂伤的临床流行病学分析

摘要

目的 分析泪小管断裂伤的临床流行病学特征.方法 对我院近3年来收治的外伤性泪小管断裂病例进行回顾性分析.结果 2007年1月至2010年4月期间,共收治泪小管断裂155例,男123例,女32例.0～14岁32例(20.65%);15～45岁98例(63.23%);45岁以上25例(16.12%).右眼80例、左眼75例.受伤原因:交通事故65例(41.94%)、打架斗殴34例(21.94%)、家务活动24例(15.48%)、玩耍意外22例(14.19%)、工作中10例(6.45%).断裂部位,下泪小管断裂153例中,断裂处距泪点＜4 mm46例(30.07%),4～7 mm 83例(54.25%),＞7mm24例(15.68%).结论 泪小管断裂伤患者以男性青壮年为多;交通事故、打架斗殴是主要致伤原因:道路、家庭、工作场所是主要损伤环境.断裂部位多在距泪点4～7 mm处.%Objective To analyse the clinic epidemiological characteristics of canaliculus laceration. Methods We retrospectively analyzed the traumatic canaliculus laceration in our hospital in the past three years. Results There were 155 cases with canaliculus laceration from Jan. 2007 to Apr. 2010 in our hospital, in which 123 cases were male, 32 cases were female. There were 32 cases of 0 ～ 14 years old (20.65% ), 15 ～45 years old in98 cases (63.23%) ,above 45 years in25 cases ( 16.12% ). 80 cases at the right eye, 75 cases at the left eye. Cause of injury: traffic accident in 65 patients (41.94%), fighting in 34 cases ( 21.94% ), household activity in 24 cases ( 15.48% ), playing accident in 22 patients ( 14.19% ), workplace in 10 cases (6.45%). Laceration sites: Under canaliculus disruption in 153 patients. The distance between the lacerated site and the tear point was ＜4 mm in 46 cases (30.07%), between 4～7 mm in 83 cases (54.25% ) , ＞ 7 mm in 24 cases (15.68% ) . Conclusions Canaliculus laceration occurred mostly in young men. Traffic accident and fighting were the main injury causes. Road and steet,family, workplace were the main injury environment. Laceration site was mainly 4 ～ 7 mm from punctum.