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黄色瘤多见于老年女性,发生在上下眼睑近内眦部皮肤上。尤以上睑多见,往往两侧对称生长,为一扁平的黄色或棕黄色斑块,稍隆起,生长缓慢,影响美观,有人认为本病与体内胆固醇增高有关。过去治疗本病以手术切除、电烙或以三氯醋酸烧灼方法为主,术后均不同程度地留有疤痕,效果不甚满意。我科十多年来用CO_2激光治疗眼睑黄色瘤108例,随访1～3年,收到满意效果。临床资料总数108例,其中男性16例,女性92例。病变部位在双眼79例,包括双上睑77例、双上下睑1例、双上睑及右下睑1例,单眼29例,包括左上睑12例、右上睑17例;病变范围0.2cm~2～1.5cm~2。年龄30～64岁,其中45～55岁的有87例,占80.6％。
Yellow tumor more common in older women, occurred in the upper and lower eyelid near the Ministry of skin. Especially in the upper eyelid more common, often symmetrical growth on both sides, a flat yellow or brown patches, slightly elevated, slow growth, affecting the appearance, some people think that the disease and increased cholesterol in the body. In the past treatment of the disease by surgical resection, electrocautery or trichloroacetic acid burning method mainly postoperative scarring to varying degrees, the effect is not satisfactory. Our department more than 10 years with CO2 laser treatment of eyelid xanthomas 108 cases, followed up for 1 to 3 years, received satisfactory results. The total clinical data of 108 cases, including 16 males and 92 females. The lesions in 79 eyes, including double eyelid in 77 cases, double eyelid in 1 case, double eyelid and right lower eyelid in 1 case, monocular in 29 cases, including left upper eyelid in 12 cases, right upper eyelid in 17 cases; lesion range of 0.2cm ~ 2 ~ 1.5cm ~ 2. Aged 30 to 64 years old, of which 45 to 55 years old, 87 cases, accounting for 80.6%.