359例眼睑肿瘤临床分析  

Clinical studies on 359 cases of eyelid tumors

作　　者：徐玲[1] 吴晓梅[1] 蒋永强[1] 

机构地区：[1]四川大学华西医院眼科,四川成都610041

出　　处：《四川医学》2011年第3期324-327,共4页Sichuan Medical Journal

摘　　要：目的初步探讨眼睑肿瘤的临床特点及治疗方法。方法对359例经组织病理学确诊的眼睑肿瘤患者的临床资料进行回顾性分析。结果眼睑肿瘤以眼睑新生物342例(95.26%)为主要就诊原因。眼睑良性肿瘤170例,其中以色素痣69例(40.59%)和血管瘤46例(27.06%)最多见。恶性肿瘤189例,占前三位的分别是:基底细胞癌92例(48.68%),皮脂腺腺癌49例(25.93%),鳞状细胞癌24例(12.70%)。良性肿瘤均手术切除,面积较大者采用局部皮瓣(39例)或游离植皮(24例)修复创面。恶性肿瘤151例(79.89%)单纯手术切除,肿瘤侵及眼眶(15例)或伴有淋巴结转移者(8例),行眶内容物剜出术。结论眼睑良性肿瘤采用单纯手术切除,效果理想。恶性肿瘤手术切除后,有13例复发,需再次手术或辅以放、化疗。同种异体巩膜是较为理想的睑板修复材料。Objective To analyze the clinical type of eyelid tumors and their treatment and prognosis.Methods 359 patients in recent 15 years from West China Hospital（Apr.1995 to Apr.2010） were retrospectively reviewed and analyzed,according to their pathological types.Results Neoplasm of eyelid was the major manifestation and main reason for ophthalmic examination.170 cases of benign eyelid,of which the most common are nevi and vascular tumors.189 cases of malignant tumors,accounting for the top three were：92 cases of basal cell carcinoma,sebaceous adenocarcinoma 49 cases,24 cases of squamous cell carcinoma.Stimulating history were found in all of the 87 cases.Benign tumor resection are used,covering an greater area with local flaps or free skin graft.Malignant tumor with surgical resection alone is the most common method used.However,if the tumor invade the orbit or associated with lymph node metastasis,orbital contents enucleation is necessary.Conclusion The result of benign tumor with simple surgical excision is satisfactory.Malignant tumors after surgical treatment,13 patients are recurrent,and needed to be complemented with further surgery or radiotherapy and chemotherapy.Allogeneic sclera is the ideal material for tarsus repairment.

关 键 词：眼睑肿瘤 临床特点 治疗 

分 类 号：R739.71[医药卫生—肿瘤]