PULSED DYE-LASER TREATMENT OF VASCULAR-LESIONS IN CHILDREN

PULSED DYE-LASER TREATMENT OF VASCULAR-LESIONS IN CHILDREN
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DOI:
10.1111/j.1524-4725.1993.tb00351.x
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发表时间:
1993-04-01
期刊:
JOURNAL OF DERMATOLOGIC SURGERY AND ONCOLOGY
影响因子:
--
通讯作者:
GERONEMUS, RG
GERONEMUS, RG
中科院分区:
其他
文献类型:
--
作者:
GERONEMUS, RG

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背景资料。闪光灯泵浦的脉冲染料激光(577,585 nm),脉宽300~450毫秒,已被证明可以安全有效地治疗儿童鲜红斑痣、毛细血管扩张症和浅表血管瘤。目的:本文回顾了脉冲染料激光治疗儿童血管病变的适应证。结论:脉冲染料激光治疗鲜红斑痣,可多次治疗,去除或减轻病变。蜘蛛状毛细血管扩张症完全缓解,通常在一到两个疗程内。浅层血管瘤对脉冲染料激光的反应非常容易和有效,而深层血管瘤、早期增生性病变和溃烂血管瘤的反应则更加不同。这种手术是安全的,疤痕和色素改变的发生率很低。
BACKGROUND. The flashlamp-pumped pulsed dye laser (577, 585 nm) with 300 to 450 musecond pulsewidths has been demonstrated to effectively and safely treat port-wine stains, telangiectases, and superficial hemangiomas in children.OBJECTIVE. The objective of this manuscript is to review the indications of the pulsed dye laser in the treatment of vascular lesions in children.CONCLUSION. Pulsed dye laser treatment of port-wine stains can remove or lighten the lesions with multiple treatment sessions. Spider telangiectases respond with complete resolution, usually within one to two treatment sessions. Superficial hemangiomas respond quite easily and effectively with the pulsed dye laser, while a more variable response is noted in deeper hemangiomas, early proliferative lesions, and ulcerated hemangiomas. This procedure is safe with a low incidence of scarring and pigmentary alteration.