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结膜淋巴管扩张症的新型手术疗法。

New surgical therapy for conjunctival lymphangiectasia.

作者信息

Song Jing, Yu Ji-Feng, Du Gai-Ping, Huang Yi-Fei

机构信息

Department of Excimer Laser Center, Clinical Division of Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.

出版信息

Int J Ophthalmol. 2010;3(4):365-7. doi: 10.3980/j.issn.2222-3959.2010.04.22. Epub 2010 Dec 18.

DOI:10.3980/j.issn.2222-3959.2010.04.22
PMID:22553595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3340737/
Abstract

AIM

To report 7 cases of conjunctival lymphangiectasia, introduce a simple operation method and discuss the result of the pathological examination.

METHODS

Clinical data including medical history, physical examination, previous surgery history were collected in 7 patients with conjunctival lymphangiectasia. Ocular data including visual acuity, Slit-lamp biomicroscopy were released, as were results of histopathology studies. Surgical method was also introduced by video.

RESULTS

Seven eyes of 7 patients (4 male and 3 female) with biopsy-proven conjunctival lymphangiectasia underwent the resection. Despite different surgical intervention, the optima method has been founding to treatment conjunctival lymphangiectasia. It is to reduce recurrence that the most concerned problem. In these 7 cases reported, patients kept healthy for 18 months without any one recurrence, whose visual acuity were not affected. Pathological report showed cystic tissue consists of squamous epithelium with significant hyperplasia.

CONCLUSION

This operation method is simple and easy to complete, as it is deserved to accept for surgeons and patients on the basis of its advantages.

摘要

目的

报告7例结膜淋巴管扩张症病例,介绍一种简单的手术方法并探讨病理检查结果。

方法

收集7例结膜淋巴管扩张症患者的临床资料,包括病史、体格检查、既往手术史。公布眼部数据,包括视力、裂隙灯生物显微镜检查结果以及组织病理学研究结果。还通过视频介绍了手术方法。

结果

7例经活检证实为结膜淋巴管扩张症的患者的7只眼接受了切除术。尽管手术干预方式不同,但已找到治疗结膜淋巴管扩张症的最佳方法。最受关注的问题是减少复发。在报告的这7例病例中,患者保持健康18个月,无1例复发,视力未受影响。病理报告显示囊性组织由显著增生的鳞状上皮组成。

结论

这种手术方法简单易完成,基于其优点值得外科医生和患者接受。

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本文引用的文献

1
Liquid nitrogen cryotherapy for conjunctival lymphangiectasia: a case series.液氮冷冻疗法治疗结膜淋巴管扩张症:病例系列
Trans Am Ophthalmol Soc. 2009 Dec;107:229-32.
2
Noncontact infrared meibography to document age-related changes of the meibomian glands in a normal population.非接触式红外睑板腺造影术记录正常人群睑板腺的年龄相关变化。
Ophthalmology. 2008 May;115(5):911-5. doi: 10.1016/j.ophtha.2007.06.031.
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Surgical management of conjunctival lymphangiectasis by conjunctival resection.
Am J Ophthalmol. 2003 Oct;136(4):735-6. doi: 10.1016/s0002-9394(03)00398-2.
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Chronic localized conjunctival chemosis.慢性局限性结膜水肿。
Cornea. 1996 May;15(3):295-300. doi: 10.1097/00003226-199605000-00011.
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Chronic lymphangiectasis in Turner's syndrome.特纳综合征中的慢性淋巴管扩张症。
Br J Ophthalmol. 1986 May;70(5):396-9. doi: 10.1136/bjo.70.5.396.