上睑内侧睑黄瘤切除术的临床应用

Clinical Application of Inner Xanthelasma Operation

目的:探讨上睑内侧睑黄瘤切除术的临床应用效果。方法:距上睑缘5～6 mm处设计重睑线,与外侧鱼尾纹自然延续;根据上睑皮肤松弛程度设计需切除皮肤的宽度,画出重睑上线。在超出瘤体边界1 mm处标出切除范围,沿标志线切除睑黄瘤和上睑松弛皮肤,间断缝合,加压包扎。结果:临床应用25例(45侧)患者,上睑黄色瘤面积最大为23 mm×5 mm,最小为8 mm×4 mm。随访3个月～2年,眼睑形态功能良好,重睑形态自然。结论:睑黄瘤特别是跨重睑线者的治疗,具有色泽、质地相近,不影响重睑外形,无须其他皮肤供区,治疗周期短,复发率低的优点。

Objective：To investigate the clinical effect of inner xanthelasma operation. Methods：The lower incision of the double eyelid was designed at 5 to 6 mm far away from upper - eyelid rim, naturally connecting with the crow＇s - feet. The incision of the new double eyelid was according to the lax degree of upper - eyelids. The removing scope was marked at 1 mm to the tumor. After removing the xanthelasma and the blepharohchalasis skin along the marking lines, the reconstruction of double eyelid was performed as usual. Results： After 3 months to 2 years follow - up on 25 cases （ 45 sides ）, all were satisfied with the natural double eyelids. Conclusions： The treatment of great xanthelasma crossing double eyelid have such advantages as similat color and texture, natural double eyelid as well as short treatment cycle and low recuITence,