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目的探讨结膜下脂肪瘤的诊断及手术治疗方法。方法通过对12例儿童眼部结膜下脂肪瘤的临床表现、手术、病理报告及术后随访情况进行汇总分析,总结结膜下脂肪瘤的诊断及手术方法。结果术中摘除瘤体后予结扎断端,随访2个月~6年,均未见复发,亦未见眼球运动障碍。结论结膜下脂肪瘤多位于颞侧,单眼多发,手术为首选的治疗方法,适当的手术方法可避免复发。应与结膜下脂肪疝及皮下脂肪瘤等其它结膜肿瘤鉴别。
Objective To investigate the diagnosis and surgical treatment of subconjunctival lipoma. Methods The clinical manifestations, surgical and pathological reports and follow-up of 12 cases of suboccipital lipoma in children were summarized and analyzed, and the diagnosis and surgical methods of sub-lingual lipoma were summarized. Results After operation, the tumor was excised and ligatured. The patients were followed up for 2 months to 6 years. No recurrence was found and no eye movement disorder was found. Conclusions Subconjunctival lipoma are mostly located in the temporal side and multiple eyes. Surgical operation is the preferred treatment method. Appropriate surgical methods can prevent recurrence. Subconjunctival fatty hernia and subcutaneous lipoma and other conjunctival tumors should be identified.