眼睑近泪小点肿物切除56例疗效分析

发布时间：2018-07-05 19:00

本文选题：肿物 + 眼睑　；参考：《眼科新进展》2015年02期

【摘要】：目的探讨并观察近泪小点的眼睑肿物切除的效果。方法门诊就诊的56例(56眼)眼睑近下泪小点肿物患者,局部麻醉后先行泪道环形硅胶管置管保护泪小点及泪小管,于手术显微镜下行肿物切除术,肿物行病理学检查,置管2~4周后将其拔除,术后观察眼睑肿物有无复发及泪小点位置和泪道是否通畅。结果术后病理报告显示:鳞状乳头状细胞瘤6例,色素痣26例,疣10例,炎性肉芽肿14例。追踪观察1 a以上,无一例复发。50例术后泪小点位置正常,冲洗泪道通畅,无溢泪现象;2例肿物较大,术后泪小点口向鼻侧稍有扩大,患者遇刺激时稍有溢泪现象。结论对眼睑近泪小点肿物,先行微创泪道环形硅胶管置管后再切除眼睑肿物,该方法可提高治愈率,值得在临床中推广应用。
[Abstract]:Objective to investigate and observe the effect of eyelid mass excision near lacrimal dot. Methods Fifty-six patients (56 eyes) with lacrimal proximal lacrimal spot mass were treated by local anesthesia. After local anesthesia, the lacrimal canaliculus and lacrimal canaliculus were protected by the annular silicone tube of lacrimal duct. The tumor was resected under the operation microscope, and the tumor was examined by pathology. After 2 weeks, the eyelid tumor was removed and the location of lacrimal dots and lacrimal passage were observed. Results 6 cases of squamous papilloma, 26 cases of pigmented nevus, 10 cases of verruca and 14 cases of inflammatory granuloma were reported. After 1 year or more, no recurrence occurred in 50 cases. The lacrimal ducts were well flushed, lacrimal spills were not seen in 2 cases, and the lacrimal dots were slightly enlarged to the nasal side after operation, and there was a slight lacrimal spilling when the patients were stimulated. Conclusion for eyelid proximal lacrimal spot mass, minimally invasive lacrimal duct annular silica gel tube is placed and then eyelid mass is resected. This method can improve the cure rate and is worth popularizing in clinic.
【作者单位】：河南省立眼科医院、河南省眼科研究所;
【基金】：国家自然科学基金资助(编号:81100650)~~
【分类号】：R779.6

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