Hypertrophic Scarring in Argon Laser Treatment of Port‐Wine Stains
Hypertrophic Scarring in Argon Laser Treatment of Port‐Wine Stains
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氩激光治疗葡萄酒色斑中的肥厚性疤痕
DOI：
10.1097/00006534-198405000-00009
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发表时间：
1984
影响因子：
3.6
通讯作者：
R. Rotering
中科院分区：
文献类型：
--
作者：
J. Dixon;S. Huether;R. Rotering
氩激光（488至514 nm）在治疗葡萄酒色斑（PWS）中的使用频率越来越高。结果良好，但疤痕是所有系列的主要并发症。本文的目的是通过对146例连续随访1年以上的患者的瘢痕形成的大小、高度和颜色进行量化，以更明确的方式描述瘢痕形成的发生率和程度。瘢痕的严重程度评分为1至5分。研究中期评价导致治疗方法发生显著变化。因此，将患者人群分为两组。第I组包括前73名患者，包括30名男性和43名女性，年龄范围为7至81岁（M = 35岁）。第II组由接下来的73名连续患者组成，包括24名男性和49名女性，年龄范围为12至75岁（M = 43岁）。组II接受了与组I不同的治疗技术。在第一组中，12岁以下患者的瘢痕形成率为38%，12岁以上患者的瘢痕形成率为21%。在组II中，发生率为13.7%，同时严重程度降低。统计分析（M-HX 2）比较了第I组儿童和成人，P = 0.36;儿童和第II组成人，P = 0.08;第I组成人和第II组成人，P = 0.42。最常见和严重的疤痕发生在上唇和面部的中部。个体化的能量流畅性和关注独特的患者因素在愈合是重要的，以改善结果。
The argon laser (488 to 514 nm) is being used with increasing frequency in the treatment of port-wine stains (PWS). Good results are reported, but scarring is a major complication in all series. The purpose of this paper is to describe the incidence and extent of scarring in a more definitive fashion by quantitating this complication in terms of size, elevation, and color in a consecutive series of 146 patients followed for over 1 year. Scars were assigned a severity score of 1 through 5. A midstudy evaluation led to a significant change in treatment methodology. Therefore, the patient population was divided into two groups. Group I consisted of the first 73 patients and included 30 males and 43 females with an age range of 7 to 81 years (M = 35 years). Group II consisted of the next 73 consecutive patients and included 24 males and 49 females with an age range of 12 to 75 years (M = 43 years). Group II received a different treatment technique than group I. In group I the incidence of scarring was 38 percent for patients under 12 years and 21 percent for patients over 12 years. In group II the incidence was 13.7 percent with concomitant reduction in severity. Statistical analysis (M- HX2 ) compared group I children and adults, P = 0.36; children and group II adults, P = 0.08; group I adults and group II adults, P = 0.42. The most frequent and severe scarring occurred on the upper lip and central portion of the face. Individualization of energy fluency and attention to unique patient factors in healing are important in improving results.