眼睑恶性肿瘤35例手术治疗与临床体会  

Clinical evaluation of surgical treatment for eyelid malignant tumors

作　　者：修彩梅[1] 张凤兰[1] 

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院眼科,中国山东省烟台市264000

出　　处：《国际眼科杂志》2009年第11期2207-2208,共2页International Eye Science

摘　　要：目的:体会眼睑恶性肿瘤行Mohs法切除及即期修复的手术效果。方法:对35例35眼眼睑恶性肿瘤行Mohs法切除后根据眼睑缺损范围及部位采用不同方法即期行眼睑成形或再造手术治疗。结果:35例术后眼睑完整,形态及功能基本恢复正常,随访10mo～2.5a,有2例复发。结论:眼睑恶性肿瘤行Mohs法切除后造成眼睑缺损,通过成形或再造行眼睑重建,效果满意,睑板结膜瓣或硬腭黏膜瓣是替代睑板行眼睑再造的适用材料。AIM：To understand the therapeutic effect of eyelid malignant tumor excision by Mohs surgery and the reconstruction of eyelids simultaneoasly.·METHODS：Thirty-five cases underwent different manage-ment,including blepharoplasty and eyelid reconstruction according to eyelid defect simultaneoasly after eyelid malignant tumor excision by Mohs surgery.·RESULTS：All cases recovered well functionally and with good appearance.Follow-up lasted from 10 months to 2.5 years.2 cases relapsed.·CONCLUSION：Blepharoplasty and eyelid reconstruction have satisfied therapeutic effects after eyelid malignant tumor excision by Mohs surgery.Meibomian conjunctival flap and hard palate mucosa are applicable material for replacing tarsal plate and eyelid reconstructing.

关 键 词：眼睑恶性肿瘤 Mohs法 眼睑成形或再造 

分 类 号：R739.7[医药卫生—肿瘤]