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目的:探讨眼睑黄色瘤特点与治疗情况。方法:选取眼睑黄色瘤患者24例(48眼),观察病情,根据眼睑及周围皮肤松弛度实施黄色瘤、眼睑皮肤切除与移植手术,观察治疗效果。结果:33眼黄色瘤分布于上眼睑皮肤内侧部分,15眼黄色瘤在上、下眼睑处对称分布,生成黄色瘤部分皮肤与周围正常皮肤分界明显,本组患者黄色瘤均未见自行吸收。经过规范手术治疗与优质护理,24例患者均顺利切除眼睑黄色瘤、眼睑张力恢复,术后随访2年,均眼睑外观形态良好,未见明显瘢痕组织,无病情复发。问卷测试结果显示,24例患者均对治疗满意。结论:眼睑黄色瘤在发病群体、分布位置、形态方面有明显特点,及时、规范的切除与移植手术治疗是消除黄色瘤、保持皮肤美观的重要手段。
Objective: To investigate the characteristics and treatment of eyelid xanthoma. Methods: Twenty-four cases (48 eyes) of eyelid xanthoma were selected. The condition was observed. The xanthomas and eyelid skin were removed and transplanted according to the degree of eyelid skin and surrounding skin slack. The treatment effect was observed. RESULTS: Thirty-three eyes were located in the medial part of the upper eyelid, and 15 eyes were symmetrically distributed in the upper eyelid and the lower eyelid. The xanthoma formed part of the skin and the surrounding normal skin was clearly demarcated. None of the patients in this group had spontaneous absorption. After standard surgical treatment and high-quality care, 24 patients were successfully treated with excision of orbital xanthomas and eyelid tension recovery. After 2 years of follow-up, both eyes had good appearance, no obvious scar tissue, and no recurrence of disease. Questionnaire test results showed that 24 patients were satisfied with the treatment. Conclusion: The eyelid xanthomas have obvious characteristics in the onset group, distribution location, and morphology. The timely and standardized resection and transplantation surgery is an important means to eliminate the xanthomas and keep the skin beautiful.