CAJ | 학술논문

目的：探讨睑缘各种色素痣临床特点和手术治疗。方法：回顾性分析26例(26只眼)各种睑缘色素痣患者的临床资料，包括患者的临床特征、治疗方法及疗效观察。7例直径长度＜4 mm，未累及睑板与睑结膜的睑缘色素痣，给予单纯切除并表面烧灼；6例直径长度＞4 mm，未侵及灰线、未累及睑板和睑结膜的睑缘色素痣，给予皮肤色素痣单纯切除，同时进行皮下分离，将皮肤拉向睑缘进行缝合，修复睑缘皮肤缺损；8例直径长度＜7 mm、侵及灰线并累及睑结膜的睑缘色素痣，给予色素痣楔形切除，同时对眼睑睑缘进行水平或者垂直褥式缝合；5例直径长度＞7 mm，侵及灰线累及睑结膜的睑缘色素痣，给予皮肤色素痣连同累及的睑板及结膜一并切除，同时进行滑行睑板结膜瓣修复睑缘缺损。结果：26例患者随访6～24个月，所有患者睑缘外观恢复良好，无成角、睑缘内外翻等畸形。结论：睑缘色素痣应根据色素痣的大小、侵及组织的深度和累及的范围，制定相应的手术方案，采用相应的手术方式，可以达到美观及功能满意的治疗效果。
목적：탐토검연각충색소지림상특점화수술치료。방법：회고성분석26례(26지안)각충검연색소지환자적림상자료，포괄환자적림상특정、치료방법급료효관찰。7례직경장도＜4 mm，미루급검판여검결막적검연색소지，급여단순절제병표면소작；6례직경장도＞4 mm，미침급회선、미루급검판화검결막적검연색소지，급여피부색소지단순절제，동시진행피하분리，장피부랍향검연진행봉합，수복검연피부결손；8례직경장도＜7 mm、침급회선병루급검결막적검연색소지，급여색소지설형절제，동시대안검검연진행수평혹자수직욕식봉합；5례직경장도＞7 mm，침급회선루급검결막적검연색소지，급여피부색소지련동루급적검판급결막일병절제，동시진행활행검판결막판수복검연결손。결과：26례환자수방6～24개월，소유환자검연외관회복량호，무성각、검연내외번등기형。결론：검연색소지응근거색소지적대소、침급조직적심도화루급적범위，제정상응적수술방안，채용상응적수술방식，가이체도미관급공능만의적치료효과。
Objective:To investigate the clinical characteristics and surgical operation treatment of various pigmented nevus in palpebral margin.Methods:We retrospective analyzed the clinical datas of 26 cases(26 eyes) of palpebral margin pigmented nevus patients,including clinical features,methods of the treatment and the curative effect.The diameter length of 7 cases were <4 mm;the palpebral margin pigmented nevus which was not involved the tarsal and palpebral conjunctiva;they were given simple excision and surface burning.6 cases of length to diameter >4 mm;nevus was not invaded the gray line,and not involved the tarsal plate and palpebral conjunctiva;they were given skin nevus resection,and subcutaneous separation;we pulled the skin to the palpebral margin to suture,then repaired the eyelid skin defect.8 cases of length to diameter <7 mm;palpebral margin pigmented nevus of invasion the gray line and involvement of palpebral conjunctiva;we gave a pigmented nevus wedge resection,at the same time,vertical or horizontal mattress suture of eyelid palpebral margin.5 cases of length to diameter >7 mm;palpebral margin pigmented nevus of invasion the gray line in palpebral conjunctiva;we gave pigmented nevus of skin together with the tarsus and conjunctival involvement resection,at the same time to repair eyelid sliding tarsoconjuctival flap.Results:26 patients were followed up for 6~24 months.The appearance of palpebral margin recovered well in all patients,no angular,blepharitis,valgus and other deformity.Conclusion:The palpebral margin pigmented nevus should according to the size of nevus,the depth of invasion and the range of involved,to make corresponding operation.We used corresponding operation mode,which can meet the aesthetic and functional satisfactory treatment effect.