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595nm可变脉冲染料激光治疗皮肤血管性疾病临床分析

595nm variable Pulsed Dye Laser in the Treatment of Vascular Diseases of Skin

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摘要

目的:观察595nm可变脉冲染料激光治疗皮肤血管性疾病的临床疗效。方法:皮肤血管性疾病患者145例,其中鲜红斑痣42例,草莓状血管瘤10例,海绵状血管瘤2例,面部毛细血管扩张45例 ,血管痣15例 ,蜘蛛痣9例 ,酒糟鼻 15例 ,疤痕增生7例。应用595nm可变脉冲染料激光 ,针对不同病变类型 ,采用不同治疗参数进行激光辐射治疗。结果:经过1-10次治疗 ,不同血管性疾病的有效率分别为 :草莓状血管瘤、面部毛细血管扩张、血管痣、蜘蛛痣、酒糟鼻100 % ,鲜红斑痣97% ,疤痕增生85 % ,海绵状血管瘤 5 0 %。所有病例在治疗后均未遗留瘢痕。结论:应用595nm可变脉冲染料激光治疗皮肤血管性疾病,具有无痛苦、不损伤表皮 ,不留疤痕 ,疗效显著等优点 ,是目前治疗皮肤血管性疾病较安全、有效的方法。

Abstract

Objective:To study the clinic therapeutic effects of vascular diseases of skin by 595nm variable pulsed dye laser. Methods:145 patients of skin vascular diseases were treated with 595nm pulsed dye laser with different therapeutic parameters according to different disease types, including 42 cases of nevus flammeus, 10 cases of strawberry nevus, 2 cases of cavernous hemangioma, 45cases of facial telangiectasis, 15 cases of angioma, 9 cases of spider angioma, 15 cases of rosacea and 7 cases of keloid. Results:After laser therapy for 1-10 times, the effective rate was as follows: strawberyy nevus, facial telangiectusis, angioma, spider angioma and rosacea 100%, nevus flammeus 97%, keloid 85%, and cavernous hemangioma 50% respectively. No scar formation was observed in any patients treated.Conclusion:The using of 595nm variable pulsed laser in the treatment of vascular diseases is a securing and effective method with good cured results, no scar and less pains.

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所属栏目:激光医学

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作者单位    点击查看

蔡慧敏:上海市黄浦区中心医院浦江整形外科门诊部,上海200002
张少渊:上海市黄浦区中心医院浦江整形外科门诊部,上海200002
翁玲达:上海市黄浦区中心医院浦江整形外科门诊部,上海200002
王培晶:上海市黄浦区中心医院浦江整形外科门诊部,上海200002

【1】Jeffrey S. Dover, MD, FRCPC and Kenneth A. Arndt,MD. , Laser in Surgery and Medicine, 2000,26,158

【2】Jerome M.Garden著,张慧国译,脉冲染料激光治疗血管性损害的临床疗效,激光医学,1999,7(3),125

【3】杨国亮,王侠生主编,现代皮肤医学,上海医科大学出版社,1998.5,989-990,671

引用该论文

蔡慧敏,张少渊,翁玲达,王培晶. 595nm variable Pulsed Dye Laser in the Treatment of Vascular Diseases of Skin[J]. APPLIED LASER, 2004, 24(6): 418-420

蔡慧敏,张少渊,翁玲达,王培晶. 595nm可变脉冲染料激光治疗皮肤血管性疾病临床分析[J]. 应用激光, 2004, 24(6): 418-420

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