泪道冲洗针头联合睑板腺夹在内眦部局限性睑缘色素痣切除术中的应用效果  

Preliminary application of lacrimal irrigation needle combined with meibomian gland clip in excision of localized pigmented nevus of eyelid margin involved inner canthus

作　　者：王越 宋斌 侯志嘉 章征 Wang Yue;Song Bin;Hou Zhijia;Zhang Zheng(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Ophthalmology&Visual Science,Beijing 100730,China;Department of Ophthalmology,Zhangqiu District People's Hospital,Jinan 250200,China)

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,眼科学与视觉科学北京市重点实验室,100730 [2]山东省济南市章丘区人民医院眼科,250200

出　　处：《眼科》2022年第4期312-314,共3页Ophthalmology in China

摘　　要：目的探讨泪道冲洗针头联合睑板腺夹在内眦部局限性睑缘色素痣切除术中的应用效果。设计回顾性非比较性病例系列。研究对象2017-2021年北京同仁医院眼科诊为内眦部局限性睑缘色素痣患者16例(16眼)。方法回顾患者的病历资料。所有患者显微镜下手术切除睑缘色素痣。利用睑板腺夹固定睑缘部位色素痣,借助插入泪道中的泪道冲洗针头观察泪道的位置及其与色素痣的毗邻关系,结膜面缺损旷置,眼睑前层缺损局部皮瓣修复。主要指标术后泪道情况,眼睑位置及外观。结果术后平均随访(8±1.5)个月。16例患者术中视野均清晰,出血量少。最后复查时均无溢泪,冲洗下泪道均通畅。无明显瘢痕、成角畸形、眼睑内外翻、泪小点闭锁,睑缘色素痣无复发。结论内眦部局限性睑缘色素痣切除术中使用泪道冲洗针头及睑板腺夹术中视野清晰且止血效果好,同时可保护泪道避免损伤。Objective To explore the application effect of lacrimal irrigation needle combined with meibomian gland clip in the excision of localized pigmented nevus on the eyelid margin of inner canthus.Design Retrospective non-comparative case series.Participants 16 patients(16 eyes)with localized pigmented nevus of eyelid margin in inner canthus were collected in Beijing Tongren Hospital from 2017 to 2021.Methods All cases were resected under microscope,and the pigmented nevus of eyelid margin was fixed with meibomian gland clip.The position of lacrimal passage and its adjacent relationship with pigmented nevus on eyelid margin with the aid of lacrimal passage irrigation needle inserted into lacrimal passage were observed.Conjunctival surface defect was treated with not repaired method,and eyelid anterior layer defect was repaired with skin transposition flap.Main Outcome Measures Situation of postoperative lacrimal passage,eyelid position and appearance.Results The average postoperative follow-up period was 8±1.5 months.16 patients had clear visual field and less bleeding during surgery.At last follow-up,all 16 patients had no epiphora and the lower eyelid lacrimal passage was smooth.There was no obvious scar,angular deformity,eyelid entropion,ectropion,punctum atresia,and no recurrence of pigmented nevus at eyelid margin.Conclusions Using lacrimal irrigation needle and meibomian gland clip during surgery of localized pigmented nevus of the inner canthus can got effect of clear visual field and good hemostasis.It can also protect the lacrimal passage from injury.

关 键 词：睑缘色素痣/外科学 

分 类 号：R779.6[医药卫生—眼科]