论文部分内容阅读
眼睑海绵状血管瘤以往多采用硬化剂注射、激光照射、冷冻、放射治疗等,疗效欠佳,各有其弊端。近年我科采用瘤体周围环扎术、治疗眼睑海绵状血管瘤14例,效果满意。临床资料一、一般情况:本组14例,男9例、女5例。年龄11个月～8岁。均为出生后不久发现眼睑隆起进行性长大。所有病例均在他院做过激光、冷冻、皮质激素或硬化剂注射等治疗,无明显效果。临床检查:单发性血管瘤上眼睑5例,下眼睑4例,穹窿结膜部2例;多发性血管瘤3例;并发上睑下垂2例,睑内翻2例,睑外翻1例。瘤体最大为10mm×10mm×8mm。二、手术方法环绕血管瘤体外1mm处缝扎皮肤至睑板或深至穹窿结膜。用3-0丝线自皮肤进针达结膜后返回原针孔3mm皮肤处,再由此针孔潜行于
Eyelid cavernous hemangioma in the past to use sclerotherapy, laser irradiation, freezing, radiation therapy, poor efficacy, each with its drawbacks. In recent years, our department used cerclage around the tumor, treatment of eyelid cavernous hemangioma in 14 cases, the effect is satisfactory. Clinical data First, the general situation: The group of 14 patients, 9 males and 5 females. Age 11 months to 8 years old. Not long after birth were found eyelid uplift progressive growth. All cases were done in his hospital laser, frozen, corticosteroids or sclerotherapy and other treatment, no significant effect. Clinical examination: single hemangioma on the upper eyelid in 5 cases, 4 cases of lower eyelid, fornix conjunctiva in 2 cases; 3 cases of multiple hemangiomas; complicated by ptosis in 2 cases, 2 cases of ectropion, ectropion in 1 case. The largest tumor is 10mm × 10mm × 8mm. Second, surgical methods Surround around the hemangioma 1mm Department sutured the skin to the tarsal or deep fornix conjunctiva. With 3-0 silk thread from the skin into the conjunctiva returned to the original pinhole 3mm skin, and then the pinhole sneak in