临床眼科杂志Issue(4)：355-357,3.DOI:10.3969/j.issn.1006-8422.2015.04.023
泪小点肿物的手术方法探讨
Surgical treatment of peripunctal neoplasm
摘要
Abstract
Objective To explore the surgical treatments for peripunctal neoplasm.To observe the effects of tumo-rectomy and lacrimal punctoplasty.Methods Fourteen patients (14 eyes) received the surgical treatments in our hospital between January 2011 and May 2014.All surgeries were performed under microscope.The neoplasm was completely ex-cised with 1mm edge.The opening of the remaining canaliculus was recognized and separated, as well the palpebral con-junctiva and the eyelid skin.Canaliculus, palpebral conjunctiva and eyelid skin were then sutured together with 9-0 nylon to maintain the patency of the puncta.Crawford cannula was intubated in 5 patients.Excised neoplasm was sent to patholo-gists to confirm the diagnosis.Results Stiches were removed 1 week after the surgery.The tube was removed at 1 month. The lacrimal puncta maintained patent.The patient with intubation had a big and round puncta after removing the tube.No recurrence occurred.Histopathology showed nevus in 10 cases, papilloma in 2 cases, dermal cyst in 1 case and granuloma in 1 case.Conclusion Tumorectomy combined with lacrimal punctoplasty is a good choice to treat peripunctal neoplasm. It improves the appearance and restores the drainage function of lacrimal puncta.Combination with intubation can prevent the punctal stenosis.关键词
泪小点肿物/泪小点成形Key words
Peripunctal neoplasm/Punctoplasty引用本文复制引用
..泪小点肿物的手术方法探讨[J].临床眼科杂志,2015,(4):355-357,3.
