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。
Abstract
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.
关键词
结膜血管畸形 /
眼眶 /
低温等离子消融术 /
微创性
Key words
conjunctiva vascular malformation /
orbit /
low-temperature plasma ablation /
minimally invasive
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参考文献
[1] 贾仁兵,范先群.重视眼眶血管性疾病病理和血液动力学分类的应用[J].中华眼科杂志,2009,45(4):293-295.
[2] Goldberg R A,Garcia G H,Duckwiler G R.Combined embolization and surgical treatment of arteriovenous malformation of the orbit [J].Am J Ophthahnol,1993,116(1):17-25.
[3] Arat Y O,Mawad M E,Boniuk M.Orbital venous malformations: current multidisciplinary treatment approach[J].Arch Ophthalmol, 2004,122(8):1151-1158.
[4] Schwarcz R M, Simon G J,Cook T,et al.Sclerosing therapy as first line treatment for low flow vascular lesions of the orbit [J].Am J Ophthalmol, 2006,141(2):333-339.
[5] 中华口腔医学会口腔颌面外科专业委员会脉管性疾病学组.口腔颌面部血管瘤及脉管畸形的诊断和治疗指南(草案)[J].中华口腔医学杂志,2005,40(3):185-186.
[6] Chen W,Wang J,Li J. Comprehensive treatment of arteriovenous malformations in the oral and maxillofacial region [J].Oral Maxillofac Surg, 2005,63(10):1484-1488.
[7] Lee B B, Do Y S, Yakes W,et al.Management of arteriovenous malformations: a multidisciplinary approach[J].J Vasc Surg, 2004,39(3):590-600.
[8] Carney A S,Evans A S,Mirza S,et al.Radiofrequency coblation for treatment of advanced laryngotracheal recurrent respiratorypapillomatosis [J].Laryngol Otol, 2010,124(5):510-514.
[9] 赵龙珠,焦宏彬,孙悍军,等.经支撑喉镜下低温等离子刀消融术治疗早期喉癌的疗效[J].武警医学,2019,30(11):976-978.
[10] 张庆丰,佘翠萍,宋 伟,等.鼻内镜下鼻腔内翻性乳头状瘤低温等离子射频手术治疗的初步观察[J].中华耳鼻咽喉头颈外科杂志,2009,44(7):543-545.
[11] Chen Y C,Lee S,Chen D.Intradiscal pressure study of percutaneous disc decompression with nucleoplasty in humancadavers [J].Spine (Phila Pa 1976), 2003,28(7):661-665.
[12] Di Rienzo Businco L,Angelone A M,Manei A.Paediatric adenoidectomy:endoscopic coblation technique compared to coldcurettage[J].Acta 0torhinolaryngol Ital,2012,32(2):124-129.
基金
院级临床类(推广应用)(WZ2014045)
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