直接削除法治疗未侵及睑板和结膜的睑缘色素痣的6个月疗效观察  

Six months efficacy of shave excision on lid margin nevus without invasion of tarsus or conjunctiva

作　　者：胡一凡 何月晴 侯志嘉 Hu Yifan;He Yueqing;Hou Zhijia(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Ophthalmology and Visual Science,Beijing 100730,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,北京100730

出　　处：《眼科》2024年第1期67-71,共5页Ophthalmology in China

摘　　要：目的观察直接削除法治疗未侵及睑板和结膜的睑缘色素痣的临床效果。设计回顾性病例系列。研究对象2019年8月至2023年3月于北京同仁医院眼科诊断为良性睑缘色素痣的患者106例(106眼)。方法回顾患者的病历资料。所有患者均采用直接削除法治疗睑缘色素痣,随访至术后6个月。记录患者性别、年龄,肿物位置、形态、大小,手术时长,术后外观、病理结果、有无复发及手术并发症。主要指标手术时长,术后外观、病理结果、有无复发及手术并发症。结果106例(106眼)患者的平均手术时间为(4±1)分钟(2~11分钟)。术后随访期间患者外观良好,瘢痕不明显,未见出血或感染。所有患者的肿物均被完整切除,其中有病理回报结果者81例,其中皮内痣76例,复合痣5例。随访期间未见复发。无睑缘畸形、睑外翻、睑内翻、秃睫、睫毛乱生等并发症。术后仅有2例患者出现倒睫,并在治疗后好转。患者对手术效果满意。结论未侵及睑板、结膜的睑缘色素痣采用直接削除法治疗是安全、简易、有效的。Objective To observe the efficacy of the shave excision on the benign lid margin nevus without invasion of tarsusor or conjunctiva.Design Retrospective case series.Participants 110 eyes of 106 patients diagnosed as benign lid margin nevus without invasion of tarsusor or conjunctiva between August 2019 and March 2023 in the Beijing Tongren Hospital.Methods The clinical data of the patients were retrospectively described and analyzed.All patients were treated with shave excision,and were followed up for 6 months after operation.Age and gender of the patients,the location,shape,size of the nevus,the duration of the operation,pathological results,the complications and recurrence of the nevus were recorded.Main Outcome Measures The duration of the operation,pathological results,the complications and recurrence of the nevus.Results The average operation time was 4±1 minute(2~11 minutes).After operation,all patients had good appearance,no obvious scar,no bleeding or infection.Complete removal of nevus was achieved in all patients.Pathological examinations revealed 76 intradermal nevus and 5 compound nevus.No recurrence was found during the follow-up period.There was no complication such as eyelid deformities,ectropion,entropion,or baldness postoperatively.Only 2 patients developed trichiasis after operation,and their symptoms relieved after treatment.Conclusion For the benign lid margin nevus that have no invasion of tarsus or conjunctiva,shave excision is a safe,effective and rapid surgical method.

关 键 词：色素痣/外科学 眼睑肿瘤 

分 类 号：R739.7[医药卫生—肿瘤]