中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2014年
8期
604-608
,共5页
肿瘤,眼睑,分析,病理学%手术%癌,基底细胞%成形术,眼睑,皮瓣,移植
腫瘤,眼瞼,分析,病理學%手術%癌,基底細胞%成形術,眼瞼,皮瓣,移植
종류,안검,분석,병이학%수술%암,기저세포%성형술,안검,피판,이식
Tumors,eyelid%Pathology%Surgery%Carcinoma,basal cell%Plasty,palpebral,flap,transplant
目的 分析眼睑肿物的临床及病理学分类,探讨手术方法及肿物切除术后眼睑及其周围组织缺损的修复.方法 回顾性分析我院73例眼睑肿物基本资料、病理分类、治疗方式、治疗结果,探讨肿物切除术后眼睑缺损个体化修复方式.结果 73例(73眼)眼睑肿物中,良性病变62例(84.9％),恶性肿瘤11例(15.1％).良性病变类型中,以皮样、表皮样囊肿25例,基底细胞乳头状瘤12例,炎性肉芽肿6例,皮脂腺囊肿6例,皮内痣、混合痣5例等为多见.恶性病变中基底细胞癌9例,鳞状细胞癌2例.73例眼睑肿物均行手术切除,切除后眼睑缺损修复方法有:44例直接缝合切缘皮肤,15例游离松解切缘皮肤后对位缝合,5例取左上臂内侧皮肤植皮修复,7例行颧颞部皮瓣移植修复,1例行鼻唇沟皮瓣移植修复,1例行滑行睑板结膜瓣修复,植皮及皮瓣移植均成功存活,疗效良好.恶性肿瘤随访期间尚未见转移.结论 眼睑肿物中良性病变多于恶性病变,恶性病变中以基底细胞癌最为常见,手术切除是治疗的有效方式,术后眼睑缺损的个体化修复重建在维持眼睑形态、防止眼睑畸形、保护眼表功能方面具有重要意义.
目的 分析眼瞼腫物的臨床及病理學分類,探討手術方法及腫物切除術後眼瞼及其週圍組織缺損的脩複.方法 迴顧性分析我院73例眼瞼腫物基本資料、病理分類、治療方式、治療結果,探討腫物切除術後眼瞼缺損箇體化脩複方式.結果 73例(73眼)眼瞼腫物中,良性病變62例(84.9％),噁性腫瘤11例(15.1％).良性病變類型中,以皮樣、錶皮樣囊腫25例,基底細胞乳頭狀瘤12例,炎性肉芽腫6例,皮脂腺囊腫6例,皮內痣、混閤痣5例等為多見.噁性病變中基底細胞癌9例,鱗狀細胞癌2例.73例眼瞼腫物均行手術切除,切除後眼瞼缺損脩複方法有:44例直接縫閤切緣皮膚,15例遊離鬆解切緣皮膚後對位縫閤,5例取左上臂內側皮膚植皮脩複,7例行顴顳部皮瓣移植脩複,1例行鼻脣溝皮瓣移植脩複,1例行滑行瞼闆結膜瓣脩複,植皮及皮瓣移植均成功存活,療效良好.噁性腫瘤隨訪期間尚未見轉移.結論 眼瞼腫物中良性病變多于噁性病變,噁性病變中以基底細胞癌最為常見,手術切除是治療的有效方式,術後眼瞼缺損的箇體化脩複重建在維持眼瞼形態、防止眼瞼畸形、保護眼錶功能方麵具有重要意義.
목적 분석안검종물적림상급병이학분류,탐토수술방법급종물절제술후안검급기주위조직결손적수복.방법 회고성분석아원73례안검종물기본자료、병리분류、치료방식、치료결과,탐토종물절제술후안검결손개체화수복방식.결과 73례(73안)안검종물중,량성병변62례(84.9％),악성종류11례(15.1％).량성병변류형중,이피양、표피양낭종25례,기저세포유두상류12례,염성육아종6례,피지선낭종6례,피내지、혼합지5례등위다견.악성병변중기저세포암9례,린상세포암2례.73례안검종물균행수술절제,절제후안검결손수복방법유:44례직접봉합절연피부,15례유리송해절연피부후대위봉합,5례취좌상비내측피부식피수복,7례행권섭부피판이식수복,1례행비진구피판이식수복,1례행활행검판결막판수복,식피급피판이식균성공존활,료효량호.악성종류수방기간상미견전이.결론 안검종물중량성병변다우악성병변,악성병변중이기저세포암최위상견,수술절제시치료적유효방식,술후안검결손적개체화수복중건재유지안검형태、방지안검기형、보호안표공능방면구유중요의의.
Objective To analyze the clinical type and the pathological classification of eyelid tumor,and investigate the method of surgical resections and the repair approaches for the eyelid defects following extensive excision of eyelid tumor.Methods 73 eyes of 73 cases of eyelid tumor were retrospectively analyzed,according to histopathological diagnosis,treatment,prognosis,individual repair approaches for the eyelid defects.Results 62 cases were diagnosed with benign eyelid tumors,of which the common types are dermoid and epidermoid cyst,basal cell papilloma,granuloma,sebaceous cyst,intradermal nevi and compound nevi.11 cases were with malignant tuomrs,including 9 cases of basal cell carcinoma and 2 cases of aquamous cell carcinoma.All eyelid tumors underwent surgical resection,the repair approaches for the eyelid defects were:direct suturing skin (44 cases),suturing the release of cutting edge (15 cases),skin graft from the inside of the left upper arm (5 cases),lateral flap repairing (7 cases),inside flap repairing (1 cases),sliding tarsal conjunctival flap (1 case).All skin grafts and flaps were successful.During the followup,the malignant eyelid tumors hadn' t metastasized.Conclusion The majority of eyelid tumors is benign lesions.Basal cell carcinoma is the most common malignant lesions,surgical resection is an effective treatment.The repair approach for the eyelid defects following extensive excison is impomnant in maintaining eyelid shape,preventing eyelid deformities,keeping ocular surface function.
