论文部分内容阅读
眼睑恶性肿瘤发病率较高,临床表现复杂多样,术前难以确诊,针刺活检有助于判断眼睑恶性肿瘤类型,指导手术选择。手术切除是治疗眼睑肿瘤的首要方法,但对手术方法选择和切缘控制等仍存在不同看法。快速病理控制切缘的手术方法(Mohs法)能保证在完整清除肿瘤的前提下,掌握组织的最佳切除量。术中眼组织缺损即期修复是眼睑恶性肿瘤治疗的重要环节,手术医生需具备良好的眼整形外科技术,根据缺损的范围、部位和层次等灵活选用合理的修复方法,才能取得肿瘤根治和眼睑功能重建并举的效果。术后应长期随访,及时发现肿瘤复发情况并积极处理,可明显降低患者的转移率和致死率。
The incidence of malignant eyelid is high, the clinical manifestations are complex and diverse, it is difficult to diagnose before operation. Acupuncture biopsy can help to determine the type of malignant eyelid and guide the choice of surgery. Surgical resection is the primary method of treatment of eyelid tumors, but there are still different views on the surgical method selection and margin control. The rapid method of pathology margin surgery (Mohs method) can ensure the best removal of the tissue under the premise of complete tumor removal. Intraoperative ophthalmic defect repair is an important part of the treatment of malignant eyelid tumors, surgeons need to have good eye plastic surgery, according to the scope of the defect, location and level of flexible use of reasonable methods of repair in order to obtain radical tumor and eyelid Function to reconstruct the effect of both. Long-term follow-up after surgery, timely detection of tumor recurrence and active treatment, can significantly reduce the patient’s transfer rate and mortality.