[1]庆惠玲,李晓华,张俊鸽,等. 眼睑近泪小点肿物切除56例疗效分析[J].眼科新进展,2015,35(2):141-143.[doi:10.13389/j.cnki.rao.2015.0037]
　QING Hui-Ling,LI Xiao-Hua,ZHANG Jun-Ge,et al. Surgical treatment of 56 cases of eyelid tumors close to lacrimal punctum[J].Recent Advances in Ophthalmology,2015,35(2):141-143.[doi:10.13389/j.cnki.rao.2015.0037]
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 眼睑近泪小点肿物切除56例疗效分析
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年2期
页码:
141-143
栏目:
应用研究
出版日期:
2015-02-05

文章信息/Info

Title:
 Surgical treatment of 56 cases of eyelid tumors close to lacrimal punctum
作者:
 庆惠玲; 李晓华; 张俊鸽; 邢枫; 杨慧丽; 赵素华
 450003　河南省郑州市，河南省立眼科医院、河南省眼科研究所
Author(s):
 QING Hui-Ling;  LI Xiao-Hua;  ZHANG Jun-Ge;  XING Feng;  YANG Hui-Li;  ZHAO Su-Hua
 Henan Eye Hospital , Henan Eye Institute , Zhengzhou 450003 , Henan Province , China
关键词:
 ; 肿物; 眼睑; 泪小点
Keywords:
 ; tumor ;  eyelid ;  lacrimal punctum
DOI:
10.13389/j.cnki.rao.2015.0037
文献标志码:
A
摘要:
 目的　探讨并观察近泪小点的眼睑肿物切除的效果。方法　门诊就诊的５６例（５６眼）眼睑近下泪小点肿物患者，局部麻醉后先行泪道环形硅胶管置管保护泪小点及泪小管，于手术显微镜下行肿物切除术，肿物行病理学检查，置管２～４周后将其拔除，术后观察眼睑肿物有无复发及泪小点位置和泪道是否通畅。结果　术后病理报告显示：鳞状乳头状细胞瘤６例，色素痣２６例，疣１０例，炎性肉芽肿１４例。追踪观察１ａ以上，无一例复发。５０例术后泪小点位置正常，冲洗泪道通畅，无溢泪现象；２例肿物较大，术后泪小点口向鼻侧稍有扩大，患者遇刺激时稍有溢泪现象。结论　对眼睑近泪小点肿物，先行微创泪道环形硅胶管置管后再切除眼睑肿物，该方法可提高治愈率，值得在临床中推广应用。
Abstract:
 Objective To analyze the therapeutic effects of the surgical treatment of eyelid tumors close to lacrimal punctum. Methods Fifty-six eyes of 56 cases with eyelid tumors close to lacrimal punctum were enrolled,the operation under microscope before taking local anaesthesia and intubation procedure for protection of lacrimal punctum and canaliculi was performed, the tumor tissue was pathological examined. and the tube was removed after 2 weeks. The reoccurrence of tumor and lacrimal ducts were observed. Results The postoperative pathological reports showed that 6 cases was squamous papillary cell tumor ,26 cases was pigmented nevus . 10 cases was warts ,14 cases was inflammatory granuloma. To follow-up observation of one year or more .no reoccurrence was seen. The location of lacrimal punctum were normal in 50 cases.the lacrimal ducts were unobstructed with no epiphora. The nasal opening of lacrimal punctum in 2 cases with large tumor was enlarged, and the epiphora appeared when facing the stimulation. Conclusion For the eyelid tumors close to lacrimal punctum.taking excision operation under microscope after intubating procedure to protect the lacrimal punctum and canaliculi can improve the curative rate .worthy for widely application in clinic.

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备注/Memo

备注/Memo:
 国家自然科学基金资助（编号：８１１００６５０）
更新日期/Last Update: 2015-02-03