儿童先天性眶周囊肿153例临床分析  

The clinical analysis of periorbital dermoid cyst in one hundred and fifty-three children

作　　者：任艳红[1] 金姬[1] 

机构地区：[1]浙江大学医学院附属儿童医院眼科,杭州310003

出　　处：《中国斜视与小儿眼科杂志》2011年第3期121-124,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨眶周皮样及表皮样囊肿的临床特点及评估不同手术切口的疗效。方法回顾性分析153例眶周皮样及表皮样囊肿患者的临床资料,对其发病特点、诊疗要点及手术切口位置选择进行分析,眶外侧缘及外上缘直径小于2cm的57例囊肿采用沿外眦角顺皮纹方向切口,眶外上缘及眶上缘直径大于2cm的15例囊肿采用重睑线切口,眶内侧缘及眶下缘的囊肿及直径小于2cm的眶上缘囊肿81例采用囊肿部位顺皮纹方向皮肤切口。结果皮样囊肿138例及表皮样囊肿15例,术后随访7个月~5年,均无明显手术并发症,采用囊肿表面皮肤切口者切口痕迹甚微;重睑线切口者睁眼时不显切口痕迹,闭眼时切口痕迹甚微;外眦角切口者已看不出手术切口痕迹不明显。结论采用沿外眦角顺皮纹方向切口治疗眶外缘及外上缘皮样及表皮样囊肿,手术创伤小,术后可达到更好的美容效果,较传统的囊肿表面皮肤切口及重睑线切口更可取。Objective To study the clinical characteristic of the periorbital（epi）dermoid cyst and evaluate the effect of different operative incision.Methods Retrospectively analyse the clinical data of 153 cases periorbital（epi）dermoid cyst,select different operative incision for the periorbital（epi）dermoid cyst in different position.57 cases cysts situate in the extraorbital margin and the diameter less than 2 centimeter choose the lateral canthus incision;15 cases cysts in the supraorbital margin and the diameter larger than 2 centimeter choose the upper eyelid crease incision;orther 81 cases choose the skin incision.Results In all cases there are 138 cases of dermoid cyst,15 cases of epidermoid cyst,no obvious complications could be found for all cases during the 7 months to 5 years follow-up,cases who choose the skin incision slight scar is visible,who choose the upper eyelid crease incision scar can not be seen when eye closed,slight scar is visible when eye open;who choose the lateral canthus incision scar can not be seen.Conclusions Lateral angular（epi） dermoid cyst excision using lateral canthus incision can provide excellent cosmesis and more desirable than traditional skin or upper eyelid crease incision.

关 键 词：眶周 皮样囊肿 手术 切口 

分 类 号：R779.6[医药卫生—眼科]