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目的探讨手术翻瓣联合Nd:YAG激光治疗非扩张型眼眶静脉畸形的临床疗效。设计回顾性病例系列。研究对象29例非扩张型眼眶静脉畸形患者。方法采用手术翻瓣暴露眼眶静脉畸形,直视下采用Nd:YAG激光连续并分层照射眼眶静脉畸形,完整切除挛缩病灶。主要指标术后病灶消退情况、术后复发和并发症的发生率。结果随访观察6～24个月,平均10.1个月。所有患者均获得满意疗效。27例病灶完全消退,治愈率为93.1%。2例术后复发,经再次手术联合激光治疗后效果良好。所有病例均无严重并发症发生。结论手术翻瓣联合Nd:YAG激光治疗非扩张型眼眶静脉畸形疗效满意,安全可靠。
Objective To investigate the clinical effect of surgical flap combined with Nd: YAG laser in the treatment of non-dilated orbital venous malformation. Design retrospective case series. 29 cases of non-dilated orbital venous malformation patients. [Methods] The orbital venous malformations were exposed with surgical flaps. Nd: YAG laser was used to irradiate the orbital venous malformations in a continuous and stratified manner under direct vision, and complete contracture lesion was excised. The main indicators of subsided postoperative lesions, postoperative recurrence and the incidence of complications. Results Follow-up observation of 6 to 24 months, an average of 10.1 months. All patients received satisfactory results. 27 cases completely subsided, the cure rate was 93.1%. 2 cases of recurrence, after reoperation combined with laser treatment effect is good. No serious complications occurred in all cases. Conclusions Surgical flap combined with Nd: YAG laser is effective and safe in the treatment of non-dilated orbital venous malformations.