摘要
目的分析低温等离子刀射频消融术治疗结膜血管畸形的临床效果及安全性,探讨结膜血管畸形的新型治疗方法。方法回顾性分析2011-05至2018-07解放军总医院第三医学中心眼眶病研究所诊治的35例结膜血管畸形患者手术前后病变范围、视力,术后并发症及复发情况。结果术后随访1年以上,手术创面光滑,无明显异物感,无视力下降,所有患者均无复发情况,35例患者治愈和显效率为100%(其中治愈率71.4%,显效率28.6%,总有效率100.0%)。平均手术时间为13.44 min。1例患者术后3个月复查发现睑球粘连,1例患者术后3个月出现睫毛不生及睑缘皮肤瘢痕。结论结膜血管畸形可采用低温等离子刀射频消融术治疗,安全有效。
Objective To explore the efficacy and safety of radiofrequency ablation with the low-temperature plasma knife in the treatment of conjunctiva vascular malformations.Methods The clinical data of 35 patients with conjunctiva vascular malformations who underwent plasma ablation in our hospital between May 2011 to July 2018 was retrospectively analyzed.All these cases were closely followed up for information on their scope of lesions,vision,complications and recurrence.Results All the patients were followed up for more than one year.The surface of surgical wounds was smooth,without any foreign body sensation or vision loss.There was no recurrence.The curative and effective rate of the thirty-five patients was 100%(of which the curative rate was 71.4%,and the effective rate was 28.6%).The average duration of surgery was 13.44 min.Blepharosphere adhesion was found in one case 3 months after operation,while eyelashes were not born and skin scars on the eyelid margin appeared in another case 3 months after operation.Conclusions Conjunctiva vascular malformations can be treated with low-temperature plasma surgery,which is fast,safe and effective.
作者
马瑞
苏帆
李月月
丁琢
张葳
杨新吉
MA Rui;SU Fan;LI Yueyue;DING Zhuo;ZHANG Wei;YANG Xinji(Orbital Pisease institute The Third Medical Center of Chinese PLA Hospital,Beijing 100039,China)
出处
《武警医学》
CAS
2020年第2期150-152,156,共4页
Medical Journal of the Chinese People's Armed Police Force
基金
院级临床类(推广应用)(WZ2014045).
关键词
结膜血管畸形
眼眶
低温等离子消融术
微创性
conjunctiva vascular malformation
orbit
low-temperature plasma ablation
minimally invasive
