改良睑板腺囊肿手术的长期疗效

Long-term clinical efficacy of modified chalazion surgery

目的:探讨改良的睑板腺囊肿手术的长期临床效果。方法:选择广东省中西医结合医院确诊睑板腺囊肿的手术125例患者(139眼)实施改良的手术方式,观察术后并发症、术后1周治愈率及术后6个月内的复发率。结果:125例(139眼)患者均实施睑板腺囊肿切开及刮除术;其中84眼(60.4%)患者囊壁无增厚,囊腔内0.5%聚维酮碘棉片烧灼囊壁;55眼(39.6%)患者囊壁增厚,联合部分囊壁剪除术。术后14例(10.1%)的患者发生皮下淤血,术后1周治愈率为100%,术后6个月内复发率为4.2%。复发的5例患者实施二次手术后治愈率为100%,术后6个月再无复发。结论:实施改良的睑板腺囊肿手术,能一期有效治愈,且术后并发症较少,复发患者可行二期手术治疗,亦能达到临床治愈的效果。

Objective:To evaluate the long-term clinical efficacy of modified chalazion surgery.Methods:A total of 139 eyes from 125 patients with chalazion were included in this study.The postoperative complications,the cure rate at 1 week after operation and the recurrence rate within postoperative 6 months were observed.Results:The incision and curettage were performed in 125 cases(139 eyes);84 eyes(60.4%)had no thickening of the cystic wall,which were cauterized with 0.5%povidone-iodine solution;55 eyes(39.6%)had thickening of the cystic wall,and combined with partial excision of the cystic wall;14 patients(10.1%)presented with subcutaneous congestion.At postoperative 1 week,the cure rate was 100%,and the recurrence rate was 4.2%within postoperative 6 months.Five recurrent patients underwent second chalazion surgery.The cure rate was 100%at postoperative 1 week,and no recurrence was observed within postoperative 6 months.Conclusion:The modified chalazion surgery is effective,and yields mild postoperative complications.The recurrent patients can be cure by the second surgery.