癌前期和恶性结膜肿瘤的显微手术治疗  

Microsurgical management of premalignant and malignant lesions of the conjunctiva

作　　者：杨华胜[1] 吴中耀[1] 艾思明[1] 毛羽翔[1] 陈智聪[1] 

机构地区：[1]中山大学中山眼科中心,广州市510060

出　　处：《中华显微外科杂志》2005年第1期32-34,共3页Chinese Journal of Microsurgery

摘　　要：目的探讨癌前期和恶性结膜肿瘤的显微手术治疗的方法和治疗效果. 方法在手术显微镜下进行手术切除治疗癌前期和恶性结膜肿瘤47例,包括黑色素瘤12例,鳞状细胞癌26例,Bowen病6例,原发性获得性黑病变症3例. 结果 47例的肿瘤均在显微手术中一次性完整切除,随访4个月～5年(平均17个月),未见复发. 结论显微手术下结合酒精烧灼和冷冻等方法切除癌前期和恶性结膜肿瘤是较好的治疗方法,手术前细致检查对作出正确的诊断和手术方案的设计非常重要.Objective To evaluate the methods and efficacy of microsurgical treatment for the premalignant and malignant lesions of the conjunctiva. Methods Forty-seven patients witn premalignant and malignant lesions of the conjuncitva were managed by microsurgical, these patients include 12 melanoma, 26 squamous cell carcinoma, 6 Bowen’ diseases, 3 primary acquired melanosis. The surgical method differs with limbal tumors, extralimbal tumors, and primary acquired melanosis. Results In all 47 patients, the tumor was completely removed in in one procedure. After follow-up for 4~60 months(mean 17 months), these were no tumor recurrence. Conclusion It is effective methods that premalignant and malignant lesions of the conjunctiva are managed by microsurgical resection, alcohol application, and supplemental cryotherapy. Careful propeirativa clinical evaluation of patient with a conjunctiva neoplasm is important in making the correct diagnosis and planning the surgical approach.

关 键 词：肿瘤 恶性 结膜 显微手术治疗 切除 前期 诊断 一次性 手术显微镜 酒精 

分 类 号：R739.7[医药卫生—肿瘤]