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目的 探讨癌前期和恶性结膜肿瘤的显微手术治疗的方法和治疗效果。 方法 在手术显微镜下进行手术切除治疗癌前期和恶性结膜肿瘤 47 例,包括黑色素瘤 12 例,鳞状细胞癌 26 例,Bowen病6例,原发性获得性黑病变症3例。 结果 47 例的肿瘤均在显微手术中一次性完整切除,随访4个月~5年(平均17个月),未见复发。 结论 显微手术下结合酒精烧灼和冷冻等方法切除癌前期和恶性结膜肿瘤是较好的治疗方法,手术前细致检查对作出正确的诊断和手术方案的设计非常重要。
Objective To investigate the method and treatment of microsurgical treatment of precancerous and malignant conjunctival tumors. Methods Surgical resection was performed in 47 cases of precancerous and malignant conjunctival tumors, including 12 cases of melanoma, 26 cases of squamous cell carcinoma, 6 cases of Bowen’s disease and 3 cases of primary acquired degenerative disease. Results Totally 47 cases of tumors were all underwent one-time complete resection in microsurgery. The patients were followed up for 4 months to 5 years (average 17 months) without recurrence. Conclusion Microsurgical treatment of precancerous and malignant conjunctival tumors with microsurgery combined with alcohol cauterization and cryosurgery is a good treatment. The careful examination before operation is very important to make the correct diagnosis and the design of surgical plans.