儿童快速增大的结膜黑色素肿块22例临床分析  

Fast-growing conjunctival nevi clinical analysis in 22 Children patients

作　　者：金姬[1] 冯佳[1] 任艳红[1] 史彩平[1] 袁路[1] 郑晓雨[1] 朱慧慧[1] 

机构地区：[1]浙江大学医学院附属儿童医院眼科,杭州310052

出　　处：《中国斜视与小儿眼科杂志》2017年第2期36-36,I0007,共2页Chinese Journal of Strabismus & Pediatric Ophthalmology

基　　金：国家自然科学基金资助项目(81070704/H1201;81270973/H1201)

摘　　要：目的总结儿童快速增大的结膜黑色素肿块临床特点,以利于早期正确诊断和合理的治疗。方法对浙江大学医学院附属儿童医院2005年7月至2016年12月诊治的22例结膜黑色素肿块患儿回顾性分析。22例患者年龄4~9岁,平均5.5岁;均为单眼发病。5例肿块位于睑结膜和睑缘、6例肿块位于下方球结膜、2例肿块位于上方球结膜、9例肿块位于睑裂部球结膜及角膜缘。睑裂部的9例均手术。结果病理报告为黑色素痣。随访时间半年~3年。其中9例肿块切除术后均未复发,其他的随访未见明显扩大。结论儿童结膜黑色素肿块良性为主,手术只要将肿块切除干净,不用扩大切除范围,术后少有复发。Objective To improve the knowledge of clinical and pathological features of fast-growing conjunctival nevi in Children, in favour of early diagnosis and treatment.Method Retrospective cases analysis.The clinical and pathological features of 22 cases of fast-growing conjunctival nevi were analyzed.The children cases were treated from July in 2005 to December in 2016 in Zhejiang University School of Medicine Children＇s Hospital.Results The mean age was 5.5 years and ranging from 4-9 years.In these cases,5 cases involved palpebral conjunctiva and the limbus,6 cases involved inferior bulbar conjunctiva,2 cases involved upside bulbar conjunctiva,9 cases involved palpebral fissure of bulbar conjunctiva and corneal limbus.The 9 cases treated surgical excision and were conjunctival nevi on pathology.The follow-up period was 0.5-3 years postoperatively.Among them,9 cases showed no recurrence,others had no significant increase in lesion size.Conclusions There are mainly conjunetival nevi in children.Surgical treatment removes only conjunctival nevi without expanding the scope of the resection.

关 键 词：结膜色素痣 外科治疗 

分 类 号：R779.6[医药卫生—眼科]