长脉冲1064 nmNd:YAG激光治疗皮肤血管性疾病(1)
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【摘要】 目的 探讨应用长脉冲1064 nm Nd:YAG 激光治疗皮肤血管性疾病的治疗效果。方法 自 2005 年 2 月至2009年 2 月,应用长脉冲1064 nm Nd:YAG 激光治疗皮肤血管性疾病285 例,对鲜红斑痣、草莓样血管瘤、混合性血管瘤、皮肤毛细血管扩张、血管痣及充血性增生瘢痕等皮肤血管性疾病,根据皮损的不同性质选定不同能量的光束进行照射,视情况重复治疗 1～5次。治疗结束6 个月后随访,评价治疗效果。结果 285例中,有效245例,有效率为85.9%,治愈153例,治愈率为53.7%,出现色素性改变52 例(18.2%),均在数月至半年后恢复,遗留浅表性瘢痕 10例(3.51%),增生性瘢痕 2 例(0.7%)。结论 长脉冲长脉冲1064 nm Nd:YAG 激光治疗皮肤血管性疾病具有起效快、疗效显著、不良反应小的优点,具有重要的临床应用价值。
【关键词】 皮肤血管性疾病; 长脉冲1064nmNd:YAG激光
Long pulsed 1064nm Nd: YAG Laser Treatment of Dermovascular Disease
HUANG Wei.
Department of Buns and Plastic Surgery,Zaozhuang Municipal Hospital,Zaozhuang Shangdong,Zaozhuang 277102,China
【Abstract】 Objective Evaluation Of long pulsed 1064nmNd: YAG laser treatment of dermovascular disease treatment effects.Methods A total of 285 cases of dermovascular disease were treated with long pulsed 1064nmNd: YAG laser including port wine stains,strawberry hemangiomas,expanded capillary and congested hypertrophic scar. from February 2005 to February 2009. During the management,different energy levels were decided on the basis of the reaction of each lesion and the treatment repeated 1 to 5 times. The treatment effect were evaluated after six months follow-up.Results 245 cases(85.9%) in 285 cases patients gained effective therapy. 153 cases (53.7%) obtained healing. There are 52 cases (18.2%) with temple pigment alteration after the courses of treatment which can recover in several months or half a year,superficial depressed scar were remained in 10 patients (3.51%),two patients (0.7% ) showed hyperplastic scar.Conclusion Treatment of dermovascular disease with long pulsed 1064 nm Nd: YAG laser has the qualities of quick and remarkable action and few side effect. This method has important clinical application value.
【Key words】 Dermovascular disease; Long pulsed 1 064 nm Nd:YAG laser
鲜红斑痣、草莓状血管瘤、混合性血管瘤、毛细血管扩张、血管痣、充血性增生瘢痕是常见的皮肤血管性疾病。常规治疗皮肤血管性疾病的方法有:冷冻治疗、高频电刀治疗、同位素或放射治疗及注射硬化剂等,对于表浅的皮肤血管性疾病有一定疗效,但易伴有溃疡、疤痕、放射性坏死等并发症,影响皮肤外观[1]。本科自2005年2月至2009年2月采用长脉冲1064 nm Nd:YAG激光治疗各类血管性疾病285例以观察其临床疗效,现将结果总结报告如下。
1 临床资料
1.1 一般资料
本组患者共285例,其中男112例,女173例;年龄1个月～65岁,中位数年龄为17岁。鲜红斑痣46例,草莓状血管瘤79例,混合性血管瘤37例,毛细血管扩张54例,血管痣42例,充血性增生性瘢痕27例 ......
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