睑缘色素痣的手术切除及Ⅰ期修复

Operation and one stage repair of palpebral margin pigmented nevus

目的探讨睑缘色素痣的手术切除及Ⅰ期修复缺损的方法。方法根据36例睑缘色素痣的大小、位置，采取相应的手术方法切除；利用眼睑周围皮瓣Ⅰ期修复缺损区；切除标本行病理检查。结果36例术后随访3～6个月，外观良好，双眼对称，无明显眼睑瘢痕、畸形形成。结论睑缘结构精细，利用一些手术技巧切除睑缘痣并Ⅰ期修复缺损，恢复睑缘正常形态，在维持眼睑外形及睑缘弧度上有举足轻重的意义。

Objective To study the method of operation and one stage repair of palpebral margin pigmented nevus. Methods According to the size and position of palpebral margin pigmented nevus, we selected the correspondence operation methods on 36 cases. And we utilized eyelid flaps to repair the defect. The specimens were examined with pathology. Results The appearance of 36 cases was fine. The scars of eyelid were not obviously. 36 cases were follow-up from 3 months to 6 months. Conclusions The structure of palpebral margin was refined. The operation and repair skills on the palpebral margin pigmental nevus were influential to maintain the eyelid shape and palpebral margin radian.