简介：目的观察眼睑再造术对眼睑缺损、疤痕性眼睑退缩的治疗效果.方法病倒选择31例(31眼),其中行眼睑鳞状细胞癌切除术后全眼睑缺损5例,严重化学性和热烧伤后眼睑退缩并全眼球暴露26例,其中上睑再造23例,下睑再造8例.结果眼睑再造31例手术中,手术成功29例,移植片溶解、脱出2例.结论眼睑再造术是眼表重建的重要手段之一,不仅保护眼球和改善患者的颜面外观,而且应尽可能在严重烧伤所致眼睑闭合不全的早期即行眼睑再造,稳定眼表,为进一步治疗创造条件.

简介：AIM:Toinvestigatethetreatmentstatusandprognosisofspace-occupyinglacrimalglandlesionsatonetertiaryeyecenterinChina.·METHODS:Aretrospectiveclinicalstudywasperformedon95patientswithspace-occupyinglesionsofthelacrimalglandsurgicallytreatedattheEye&ENTHospitalofFudanUniversityfrom2003to2007.Thereviewedclinicaldataincludedage,gender,sideofthelesion,durationofsignsandsymptoms,histopathologicaldiagnosis,treatmentmodality,recurrence(local,regional,anddistantmetastasis)andsurvival.·RESULTS:Ofthe95cases(99eyes),pleomorphicadenomaswerethemostcommonlesions(43cases),followedbylymphoiddisorders(14),inflammatorypseudotumors(11),carcinomaex-pleomorphicadenomas(11),andadenoidcysticcarcinomas(ACC,6).Therewere8patientswithrelapsedpleomorphicadenomas.Fiveofthese8caseshadmalignantpathologicalchanges.AllpatientswithACChadmetastasisandthreeofthemdiedduringtheirfollow-up.·CONCLUSION:Ourstudyindicatedthatthemostcommonlacrimalglandlesionswerepleomorphicadenomas.Multiplerecurrenceandsurgicalproceduresmayincreasetheriskoftumorprogression.ACChadahighincidenceoftumormetastasisandapoorprognosis.