Сryosurgery睑缘间隙痣的可能性

A. N. Steblyuk, V. Gunter, S. N. Sahnov, P. Khloponin, Е.V. Bykova, Z.G. Litvinova
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摘要

目的。现代冷冻设备对眼睑真皮痣冷冻破坏后眼附件及眼球功能状态的评价。材料和方法。对17例(17只眼)眼睑缘间区痣进行了临床研究,采用多孔透性镍化钛自主冷冻器对痣进行冷冻破坏。结果。与已知的低温设备相比,新一代低温系统具有显着的新性能。它们可以显著提高冷冻治疗的手术质量,因为冷冻治疗的定位更加明确,并且在不损伤周围组织的情况下,从改变的组织表面去除热量的速度很高。根据病理形成的大小、暴露时间、每次使用的重复次数,痣消退在1.5-2.0个月内发生,保留了眼睑边缘空间的完整性和眼睛功能状况。结论。通过对数据的分析,获得了应用多孔透性镍化钛自主冷冻器对眼睑痣缘间隙进行低温手术具有较高临床和美容效果的证据。关键词:冷冻手术,真皮眼睑痣,镍化钛冷冻器。
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Сryosurgery possibilities for nevus in intermarginal eyelid space
Purpose. Assessment of the functional state of eye adnexal apparatus and eyeball after cryodestruction of the dermal eyelid nevus using modern cryosurgical equipment. Material and methods. The clinical studies were conducted in 17 patients (17 eyes) with nevus in the eyelid intermarginal space, with conducting nevus cryodestruction using an autonomous cryoapplicator of porous-permeable titanium nickelide. Results. The new generation cryogenic systems are remarkable for new properties compared to the known cryogenic apparatuses. They can significantly improve the surgery quality in cryotherapy due to a more distinct localization of cryotherapy and a high rate of heat removal from the altered tissue surface without damaging the surrounding tissues. Depending on the size of the pathological formation, exposure duration, the frequency of application repetitions per session, the nevus regression occurred within 1.5–2.0 months with preserving the integrity of the eyelid intermarginal space and the eye functional condition. Conclusion. The analysis of the data obtained evidences for a high clinical and cosmetic cryosurgery effectiveness for the eyelid nevus intermarginal space using an autonomous cryoapplicator of porous-permeable titanium nickelide. Key words: cryosurgery, dermal eyelid nevus, cryoapplicator of titanium nickelide.
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