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目的 :探索恶性眼睑肿瘤组织学控制性切除和自体足底皮移植修补眼睑缺损的远期效果。方法 :治疗 9例 (9只眼 )眼睑肿瘤患者 ,7例恶性肿瘤采用组织学控制性切除 ,2例良性肿瘤采用常规方法切除。眼睑完全缺损 7例 ,2 / 3缺损 1例 ,1/ 2缺损 1例。取自体足底皮片代替睑板修补眼睑缺损。结果 :术后随访平均 39 3个月。治愈 7例 ,好转 2例 ,眼睑肿瘤无复发 ,供皮足无功能障碍。结论 :组织学控制性切除恶性眼睑肿瘤疗效确切 ,自体足底皮移植重建眼睑有利于恢复眼睑的形态和功能。
Objective: To explore the long-term effect of controlled excision of malignant eyelid tumors and repair of eyelid defects with autologous plantar skin grafts. Methods: Nine patients (9 eyes) with eyelid tumors were treated. Seven of the malignant tumors were removed by histology and two of the benign tumors were resected by conventional methods. Eyelid complete defect in 7 cases, 2/3 defect in 1 case, 1/2 defect in 1 case. Autologous soles of the skin flap instead of tarsal repair eyelid defect. Results: The average follow-up was 393 months. Seven cases were cured, improved in 2 cases, no recurrence of eyelid tumors, no functional impairment for the skin. Conclusions: Histologically controlled excision of malignant eyelid tumors is effective. Reconstruction of the eyelids with autologous soles of the feet helps to restore the eyelid morphology and function.