临床眼科杂志
臨床眼科雜誌
림상안과잡지
JOURNAL OF CLINICAL OPHTHALMOLOGY
2015年
4期
355-357
,共3页
泪小点肿物%泪小点成形
淚小點腫物%淚小點成形
루소점종물%루소점성형
Peripunctal neoplasm%Punctoplasty
目的：探讨泪小点肿物切除并喇叭状泪小点成形的手术方法。方法2011年1月至2014年5月在我院手术的泪小点肿物患者14例（14只眼）。显微镜下手术，沿肿物外1 mm完整切除肿物，分离泪小管并向内分离睑结膜，向外分离眼睑皮肤，用9-0尼龙线将泪小管口与移行的睑结膜、皮肤对位缝合，使泪小管开口呈喇叭状敞开，其中5例置入Crawford泪道引流管。肿物做病理检查。随访3～6个月。结果术后1周拆线，1个月后拔出泪道引流管。术后泪小点开口呈喇叭状开放，置入泪道引流管者泪小点圆且大，泪道冲洗通畅。睑缘位正，无肿物复发。14例泪小点肿物病理报告色素痣10例，乳头状瘤2例，表皮样囊肿1例，肉芽肿1例。结论泪小点肿物切除并喇叭状泪小点成形术，既改善眼睑外观，又恢复泪小点引流功能；置入泪道引流管，可避免泪小点狭窄，术后疗效佳，是很好的手术方式。
目的：探討淚小點腫物切除併喇叭狀淚小點成形的手術方法。方法2011年1月至2014年5月在我院手術的淚小點腫物患者14例（14隻眼）。顯微鏡下手術，沿腫物外1 mm完整切除腫物，分離淚小管併嚮內分離瞼結膜，嚮外分離眼瞼皮膚，用9-0尼龍線將淚小管口與移行的瞼結膜、皮膚對位縫閤，使淚小管開口呈喇叭狀敞開，其中5例置入Crawford淚道引流管。腫物做病理檢查。隨訪3～6箇月。結果術後1週拆線，1箇月後拔齣淚道引流管。術後淚小點開口呈喇叭狀開放，置入淚道引流管者淚小點圓且大，淚道遲洗通暢。瞼緣位正，無腫物複髮。14例淚小點腫物病理報告色素痣10例，乳頭狀瘤2例，錶皮樣囊腫1例，肉芽腫1例。結論淚小點腫物切除併喇叭狀淚小點成形術，既改善眼瞼外觀，又恢複淚小點引流功能；置入淚道引流管，可避免淚小點狹窄，術後療效佳，是很好的手術方式。
목적：탐토루소점종물절제병나팔상루소점성형적수술방법。방법2011년1월지2014년5월재아원수술적루소점종물환자14례（14지안）。현미경하수술，연종물외1 mm완정절제종물，분리루소관병향내분리검결막，향외분리안검피부，용9-0니룡선장루소관구여이행적검결막、피부대위봉합，사루소관개구정나팔상창개，기중5례치입Crawford루도인류관。종물주병리검사。수방3～6개월。결과술후1주탁선，1개월후발출루도인류관。술후루소점개구정나팔상개방，치입루도인류관자루소점원차대，루도충세통창。검연위정，무종물복발。14례루소점종물병리보고색소지10례，유두상류2례，표피양낭종1례，육아종1례。결론루소점종물절제병나팔상루소점성형술，기개선안검외관，우회복루소점인류공능；치입루도인류관，가피면루소점협착，술후료효가，시흔호적수술방식。
Objective To explore the surgical treatments for peripunctal neoplasm.To observe the effects of tumo-rectomy and lacrimal punctoplasty.Methods Fourteen patients (14 eyes) received the surgical treatments in our hospital between January 2011 and May 2014.All surgeries were performed under microscope.The neoplasm was completely ex-cised with 1mm edge.The opening of the remaining canaliculus was recognized and separated, as well the palpebral con-junctiva and the eyelid skin.Canaliculus, palpebral conjunctiva and eyelid skin were then sutured together with 9-0 nylon to maintain the patency of the puncta.Crawford cannula was intubated in 5 patients.Excised neoplasm was sent to patholo-gists to confirm the diagnosis.Results Stiches were removed 1 week after the surgery.The tube was removed at 1 month. The lacrimal puncta maintained patent.The patient with intubation had a big and round puncta after removing the tube.No recurrence occurred.Histopathology showed nevus in 10 cases, papilloma in 2 cases, dermal cyst in 1 case and granuloma in 1 case.Conclusion Tumorectomy combined with lacrimal punctoplasty is a good choice to treat peripunctal neoplasm. It improves the appearance and restores the drainage function of lacrimal puncta.Combination with intubation can prevent the punctal stenosis.
