摘要
目的：总结睑板腺癌切除联合异体巩膜移植眼睑重建术的疗效。方法：对31例睑板腺癌患者进行恶性肿瘤TNM分期,在Mohs切除法切除肿瘤的同时,Ⅰ期利用局部睑板、结膜做滑行瓣,结膜瓣内移植异体巩膜替代缺损睑板;再利用移行皮瓣或游离植皮修复缺损皮肤,睑缘缝合。结果：术后随访0.5-5年无一例复发,所有患者眼睑外形满意,除再造睑缘区睫毛缺失外,眼睑活动自如,闭合完全,取得既切除肿瘤又不毁容的效果,手术成功率达100%。结论：该手术方法简便易行,手术时间短,患者痛苦少,创伤小,并发症轻,术后外观及功能满意。
Objective：Conclusion allogeneic sclera transplantation combining meibomian gland carcinoma the curative effect of supracricoid laryngectomy with reconstruction of eyelid. Methods：31 cases of meibomian gland carcinoma,the performer elaborate design,removal of the tumor at the same time the Mohs excision method,use a local meibomian and palpebral conjunctiva for slide valve,conjunctival flap transplantation in allogeneic sclera meibomian replace defect;Reuse the transitional flap or free skin graft to repair defect of skin,eyelid edge stitching. Results：Postoperative follow-up of six months to 5 years without recurrence in 1 case,all patients with eyelid shape,besides reengineering eyelid margin area lack of eyelashes,eyelid activities freely,closed completely,achieved the effect of the excision of tumor and not disfigured 100% success rate of surgery. Conclusion：The surgical method is simple and easy,shorter operation time,less pain,small trauma,complications,postoperative satisfactory appearance and function.
出处
《现代临床医学》
2014年第5期351-353,共3页
Journal of Modern Clinical Medicine
关键词
睑板腺癌切除
异体巩膜移植
眼睑再造
meibomian gland carcinoma resection
allogeneic sclera transplantation
eyelid reconstruction
