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黄色瘤又名睑黄瘤、睑黄疣,为眼科中老年常见病.发展缓慢,长期存在而无症状,属良性瘤,为美观计常有求治者.资料与方法本组32例53处,男11例,女21例;年龄37~76岁,平均50.7岁.病程1~15年.单眼睑内眦19例,双眼睑内眦9例,双上下眼睑4例.瘤体最大面积4×0.5CM,呈索条状,最小面积0.3×0.5cm,呈斑块状,5例患者伴上眼睑松弛下垂.采用北京产KF—Ⅱ型CO_2激光器,输出功率1~3W.连续可调,波长10.6/μm.洗必泰常规消毒(勿用酒精或强力碘.避免刺激眼睛),1%普鲁卡因或2%利多卡因局麻,然后用CO_2激光聚焦逐层烧蚀皮损区.烧蚀要领是:边烧灼边用洗必泰棉签轻轻擦拭黄色焦痂,
Yellow tumor, also known as palpebral xanthoma, yellow dysentery, is a common disease in middle and old eyes of ophthalmology .Development of slow, long-term existence and asymptomatic, is a benign tumor, often for the aesthetic plankers.Materials and methodsIn this group of 32 cases 53, 11 males and 21 females, aged 37 to 76 years old, average 50.7 years old.The course of disease ranged from 1 to 15 years.There were 19 cases of single eyelid, 9 cases of double eyelid, 4 cases of double upper and lower eyelids.The maximum area of tumor was 4 × 0.5CM, a strip shape, the smallest area of 0.3 × 0.5cm, plaque, 5 patients accompanied by eyelid sagging.Using Beijing KF-Ⅱ CO_2 laser output power of 1 ~ 3W. Continuously adjustable wavelength 10.6 / μm. Chlorhexidine routine disinfection (do not use alcohol or strong iodine to avoid eye irritation), 1% procaine or 2% lidocaine local anesthesia, and then CO_2 laser focus ablation layer lesions. Ablation essentials are: While burning side with cotton swab gently wipe the yellow eschar,