多功能电离子手术治疗机治疗睑黄瘤60例临床观察

Clinical Observation of 60 Cases of Xanthelasma Palpebrarum Treated by Multi-Functional Ionization Surgery

摘要: 睑黄瘤是脂质代谢紊乱的重要临床表现之一，是眼睑真皮中内含脂质的泡沫状巨噬细胞浸润所致，因病变部位特殊，严重影响患者的美观和身心健康。目前对睑黄瘤治疗方法较多，常用的有激光疗法、多功能电离子疗法，微波疗法、手术切除疗法、冷冻疗法、化学药物腐蚀疗法和药物注射疗法等。但各种方法都存在一些弊端，如不易精准操作，不便于靶向根除病变组织，色素脱失或色素沉着，复发率高致多次重复治疗等。随着医疗设备的不断更新和临床经验的不断积累，临床医生通过选择理想、合适的方法，结合长期积累的临床经验，能尽可能避免上述一些弊端。近年来我们采用多功能电离子手术治疗机，结合长期积累的临床经验治疗睑黄瘤，取得良好效果。该方法操作简便，安全性高，无辐射损害，一次性治愈率高等。治疗中能精准控制治疗范围，视野清晰，创面不出血，对病变周围正常组织损伤轻微，术后组织修复再生迅速，术后无明显后遗症等，值得推广。

Abstract: Xanthelasma palpebrarum is one of the important clinical manifestations of lipid metabolism dis-order, which is caused by the infiltration of foamy macrophages containing lipids in the eyelid der-mis. Because of the special location of the lesion, it seriously affects the aesthetic and physical and mental health of patients. At present, there are many treatment methods for xanthelasma pal-pebrarum, including laser therapy, multi-functional ionization therapy, microwave therapy, surgi-cal resection therapy, cryotherapy, chemical corrosion therapy and drug injection therapy. However, there are some disadvantages of various methods, such as difficulty in precise operation, inconven-ient for targeted eradication of the lesion tissue, pigment loss or pigmentation, and multiple re-peated treatments due to high recurrence rate. With the continuous update of medical equipment and the continuous accumulation of clinical experience, clinicians can avoid some of the above dis-advantages as much as possible by selecting ideal and appropriate methods combined with long-term accumulated clinical experience. In recent years, we have adopted multi-functional ioni-zation surgery therapy combined with long-term accumulated clinical experience to treat xan-thelasma palpebrarum, and achieved good results. This method is simple, safe, without radiation damage, and has a high one-time cure rate. The treatment can precisely control the treatment range, clear visual field, no bleeding wound, slight damage to the normal tissue around the lesion, rapid postoperative tissue repair and regeneration, no obvious postoperative sequelae, etc., which is worthy of promotion.