睑缘色素痣的临床特点和手术疗效观察  

The clinical characters and observation on the surgical therapeutic effect of palpebral margin pigmented nevus

作　　者：王越[1] 赵颖[1] 

机构地区：[1]首都医科大学附属北京同仁医院,北京同仁眼科中心,北京眼科学与视觉科学重点实验室,北京100730

出　　处：《中国实用眼科杂志》2011年第6期611-615,共5页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨睑缘色素痣的临床特点和手术治疗。方法回顾性分析32例（32只眼）睑缘色素痣患者的临床资料，包括患者的临床特征、治疗方法及疗效观察。8例长度小于4mm未累及睑板与睑结膜的睑缘色素痣，给予单纯切除并表面烧灼；9例长度大于4mm未侵及灰线、未累及睑板和睑结膜的睑缘色素痣，给予皮肤色素痣单纯切除，同时进行皮下分离，将皮肤拉向睑缘进行缝合，修复睑缘皮肤缺损；9例长度小于7mm、侵及灰线并累及睑结膜的睑缘色素痣，给予色素痣楔形切除，同时对眼睑睑缘进行水平或者垂直褥式缝合；6例长度大于7mm侵及灰线累及睑结膜的睑缘色素痣，给予皮肤色素痣连同累及的睑板及结膜一并切除，同时进行滑行睑板结膜瓣修复睑缘缺损。结果32例患者随访6～24个月，所有患者睑缘外观恢复良好，无成角等畸形。结论睑缘色素痣应根据色素痣的大小、侵及组织的深度和累及的范围，制定相应的手术方案，采用相应的手术方式，可以达到满意地治疗效果。Objective To investigate the clinical characters and surgical therapeutic methods of pigmented nevus at palpebral margin. Methods Retrospective analysis the clinical materials of 32 cases （32 eyes） of palpebral margin pigmented nevus, including clinical characters, therapeutic methods and effective observation. The length of the palpebral margin pigmented nevus were no more than 4 mm in 8 cases. They did not involve the tarsi and conjunctiva. We gave them simple excision and thermocauterization. The length of the palpebral margin pigmented nevus were more than 4 mm in 9 cases. But they also did not involve the tarsi and conjunctiva. We excised the pigmented nevus and repaired the defect of palpebral margin. The length of the palpebral margin pigmented nevus were no more than 7 mm in 9 cases. But they passed the grey line and in- volved the conjunctiva. We gave them wedged excision and mattress-suture. The length of the palpebral margin pigmented nevus were more than 7 mm in 6 cases and they passed the grey line and involved the conjunctiva. We excised the pigmented nevus with the tarsi and conjunctiva. We used tarsoconjunctival flap to repair the de- fect ofpalpebral margin. Results All 32 cases gain the excellent recovery for the appearance after following up from 6 months to 24 months. There were no abnormity ofpalpebral margin. Conclusion According to the size, depth, and position of palpebral margin pigmented nevus, we could get satisfying treatment effect by selecting the correspondence operation methods.

关 键 词：睑缘 色素痣 手术治疗 

分 类 号：R777.14[医药卫生—眼科]