Abstract：Objective To observe the clinical effect of lacrimal canaliculi fracture anastomosis combined with artificial RS-lacrimal intubation implantation in pediatric patients. Methods A total of 138 pediatric patients who underwent lacrimal canaliculi fracture anastomosis combined with artificial RS-lacrimal intubation in Department of Ophthalmology, the Fourth People’s Hospital of Shenyang from January 2015 to January 2020 were collected. Extubation was performed nine months after operation, followed up three months after extubation to observe the surgical results. Results Among the 138 patients, 133 patients were cured, with a success rate of 96.38%. During the follow-up, the lacrimal duct was flushed unobobstructed, the position of lacrimal petits was normal, and there was no obvious ectopion of the eyelid and no symptom of lacrimatorrhea. One patient removed the drainage tube by himself one month after the operation, and the follow-up after the second operation reached the cure standard. One patient showed prolapse of the drainage tube six months after operation, but reached the cure standard at three months follow-up. Nine months after extubation, the lacrimal passages of three patients were flushed but not smooth, with mild lacrimatorrhea. Conclusion The artificial RS-lacrimal intubation has high success rate, does not interfere with the nasal cavity of patients, reduces the pain of patients, has less postoperative complications and simple tube drawing. It is an ideal support for children’s lacrimal canaliculi fracture, and is worthy of clinical promotion.
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