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
2015年
6期
458-460
,共3页
欧阳明%刘桂琴%秦波%周凤
歐暘明%劉桂琴%秦波%週鳳
구양명%류계금%진파%주봉
眼睑肿瘤,恶性%眼睑缺损%睑板重建术%眼睑成形术
眼瞼腫瘤,噁性%眼瞼缺損%瞼闆重建術%眼瞼成形術
안검종류,악성%안검결손%검판중건술%안검성형술
Malignant tumor,eyelid%Eyelid defect%Tarsus plate reconstruction%Eyelid reconstruction
目的 分析眼睑恶性肿瘤切除后的眼睑缺损进行睑板重建的方法.方法 回顾性分析2007年1月至2013年12月深圳市眼科医院收治的68例(68眼)眼睑恶性肿瘤的临床资料,其中基底细胞癌46例、睑板腺癌12例、眼睑鳞状细胞癌10例.所有患者均用Mohs法手术切除,根据切除术后睑板缺损的位置和范围,分别采用了不同的重建方法:对于缺损范围等于和大于1/2者,采用硬腭黏膜移植的方法代替睑板;对于缺损范围等于和大于1/4且小于1/2者,采用滑行睑板结膜瓣修复睑板;对于缺损范围小于1/4者,采用直接缝合的方法修复睑板.结果 在68例中有42例得到了随访观察,随访观察时间最短为3个月,最长为72个月.其中3例出现睑缘切迹,4例出现倒睫现象,2例基底细胞癌复发再次手术治疗,其余患者眼睑外形及功能基本恢复,睑缘弧度自然,眼睑开闭自如,取得较好的疗效.结论 对于眼睑恶性肿瘤切除后的睑板缺损,根据其范围及位置,采取恰当的重建方式,均可取得较好的效果.
目的 分析眼瞼噁性腫瘤切除後的眼瞼缺損進行瞼闆重建的方法.方法 迴顧性分析2007年1月至2013年12月深圳市眼科醫院收治的68例(68眼)眼瞼噁性腫瘤的臨床資料,其中基底細胞癌46例、瞼闆腺癌12例、眼瞼鱗狀細胞癌10例.所有患者均用Mohs法手術切除,根據切除術後瞼闆缺損的位置和範圍,分彆採用瞭不同的重建方法:對于缺損範圍等于和大于1/2者,採用硬腭黏膜移植的方法代替瞼闆;對于缺損範圍等于和大于1/4且小于1/2者,採用滑行瞼闆結膜瓣脩複瞼闆;對于缺損範圍小于1/4者,採用直接縫閤的方法脩複瞼闆.結果 在68例中有42例得到瞭隨訪觀察,隨訪觀察時間最短為3箇月,最長為72箇月.其中3例齣現瞼緣切跡,4例齣現倒睫現象,2例基底細胞癌複髮再次手術治療,其餘患者眼瞼外形及功能基本恢複,瞼緣弧度自然,眼瞼開閉自如,取得較好的療效.結論 對于眼瞼噁性腫瘤切除後的瞼闆缺損,根據其範圍及位置,採取恰噹的重建方式,均可取得較好的效果.
목적 분석안검악성종류절제후적안검결손진행검판중건적방법.방법 회고성분석2007년1월지2013년12월심수시안과의원수치적68례(68안)안검악성종류적림상자료,기중기저세포암46례、검판선암12례、안검린상세포암10례.소유환자균용Mohs법수술절제,근거절제술후검판결손적위치화범위,분별채용료불동적중건방법:대우결손범위등우화대우1/2자,채용경악점막이식적방법대체검판;대우결손범위등우화대우1/4차소우1/2자,채용활행검판결막판수복검판;대우결손범위소우1/4자,채용직접봉합적방법수복검판.결과 재68례중유42례득도료수방관찰,수방관찰시간최단위3개월,최장위72개월.기중3례출현검연절적,4례출현도첩현상,2례기저세포암복발재차수술치료,기여환자안검외형급공능기본회복,검연호도자연,안검개폐자여,취득교호적료효.결론 대우안검악성종류절제후적검판결손,근거기범위급위치,채취흡당적중건방식,균가취득교호적효과.
Objective To analyse the tarsus plate reconstruction methods after eyelid malignant tumor excision.Methods From January 2007 to december 2013, 68 eyes of 68 cases of eyelid malignant tumor treated in Shenzhen Eye Hospital were retrospectively analysed.Among those patients, 46 cases were basal cell carcinoma, 12 cases were meibomian glands cancer and 10 cases were eyelid squamous cell carcinoma.According to the location and scope of tarsus defect after resection, different reconstruction methods were adopted.For the defect range larger than 1/2 of the tarsus, the hard palate mucosa transplantation was performed;For the defect range greater than 1/4 and less than 1/2, the sliding tarsoconjunctival flap forming the opposing lid for repair of tarsus plate was used.For the defect range less than 1/4, direct suture was performed to fix tarsus.Results In the 68 patients, 42 patients got a follow-up observation.The shortest time of observation was 3 months, and the longest time was 72 months.Palpebral margin notch occurred in 3 cases, trichiasis occurred in 4 cases, and the operation was performed again in 2 cases because of recurrence of basal cell carcinoma.The eyelid contour and function were recovered in all the other patients.Conclusion For tarsal defect after eyelid malignant tumor excision, according to the range and position, taking appropriate reconstruction methods can obtain the ideal effect.
