睑黄瘤的病因、特点及治疗进展  

Etiology,Characteristics,and Treatment Progress of Xanthoma Palpebrarum

作　　者：张萌萌(综述) 王永前(审校) ZHANG Mengmeng;WANG Yongqian(Department of Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院整形一科,北京100144

出　　处：《中国美容医学》2023年第8期194-198,共5页Chinese Journal of Aesthetic Medicine

基　　金：北京协和医学院教学改革项目(名称:基于5G+虚拟现实技术的整形外科在线课程建设,编号:2021YXX006)。

摘　　要：睑黄瘤是一种在上眼睑内眦处形成的柔软的黄色丘疹或充满胆固醇的斑块。几种疾病与睑黄瘤的出现有关,包括高脂血症、糖尿病和甲状腺功能障碍等。睑黄瘤是由单核和多核泡沫细胞浸润并聚集于浅表网状真皮的脂质空泡内引起的。由于其发病位置的特殊性,对患者面容影响尤其明显,患者治疗愿望强烈。目前存在不同的治疗方式,如简单的手术切除、冷冻治疗、三氯乙酸化学剥离、射频和激光等。本文将从睑黄瘤的病因、特点及治疗进展对其做简要的回顾和综述。Xanthoma palpebrarum is a soft yellow papule or cholesterol-filled plaque that forms on the inner canthus of the upper eyelid.Several diseases are associated with the appearance of xanthomas palpebrarum,including hyperlipidemia,diabetes,and thyroid dysfunction.Xanthomas palpebrarum is caused by mononucleated and multinucleated foam cells infiltrating and accumulating within lipid vacuoles of the superficial reticular dermis.Due to the particularity of its onset location,it has a particularly obvious impact on the patient's face,and the patient has a strong desire for treatment.Different treatment modalities currently exist,such as simple surgical excision,cryotherapy,chemical stripping with trichloroacetic acid,radiofrequency,and laser.This article briefl y reviews the etiology,characteristics and treatment progress of xanthelasma palpebrarum.

关 键 词：眼睑 睑黄瘤 病因 临床特点 

分 类 号：R739.5[医药卫生—肿瘤]