眼睑恶性肿瘤57例手术修复方法与经验探讨

Method and experience of eyelid repair in 57 patients with malignant eyelid tumor

目的探讨眼睑恶性肿瘤术后修复方法及临床效果。方法对57例眼睑恶性肿瘤患者根据肿瘤类型、累及部位及范围采取不同修复方法重建眼睑。结果本组57例患者中,51例随访6个月至5年。其中47例术后眼睑外形及功能恢复良好;3例睑板腺癌患者术后出现腮腺区转移,其中2例经再次手术后恢复良好,1例未入院治疗;1例眼睑低分化鳞癌患者术后复发并转移,经综合治疗后死于多处转移。结论眼睑恶性肿瘤应根据肿瘤类型、累及部位及范围,采取不同的方法修复,可获得较为满意的疗效。

Objective To explore the methodology and clinical efficacy of malignant eyelid tumor repair in different patients.Methods According to the types,location,and involved scope of the tumor,different repair methods were adopted to reconstruct the eyelids of 57 patients with malignant eyelid tumors.Results Of the 57 patients,51 patients were followed-up from 6 month to 5 years.Forty-seven patients achieved good eyelid appearance and function postoperatively.Parotid region metastasis occurred in three patients with meibomian gland carcinoma,2 cases recovered well after a secondary operation,and 1 case was not hospitalized.One patient with eyelid low differentiated squamous cell carcinoma experienced recurrence and metastasis postoperatively,and died of multiple metastases after comprehensive treatment.Conclusion Different repair methods were chosen according to the type,location,and involved scope of the tumor.This approach can achieve relatively satisfactory clinical results.