Five years' experience of treating port wine stains with the flashlamp‐pumped pulsed dye laser
Five years' experience of treating port wine stains with the flashlamp‐pumped pulsed dye laser
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五年使用闪光灯泵浦脉冲染料激光治疗葡萄酒色斑的经验
DOI：
10.1046/j.1365-2133.1997.19462061.x
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发表时间：
1997
影响因子：
10.3
通讯作者：
S. Lanigan
中科院分区：
文献类型：
--
作者：
G. Katugampola;S. Lanigan
摘要在过去的5年中，640名患者接受了闪光灯泵浦的脉冲染料激光治疗鲜红斑痣(PWS)。156名患者因不同原因出院，其中59名(38%)胎记减轻良好(至少75%)。在其余患者中，第六次和第12次来诊所治疗的患者也进行了评估，以确定葡萄酒斑块的褪色程度。我们的研究结果证实，闪光灯泵浦的染料激光治疗PWS是安全有效的，而且并发症很少。然而，实现的衰落程度是可变的，而且通常是不可预测的。52%的不同肤色的面部病变实现了75%以上的褪色，而非面部病变的褪色比例为18%。在50岁以上的人中，64%的人反应良好，而在5岁以下的人中，只有19%的人能够达到类似的结果。波尔图葡萄酒污渍的颜色被发现没有预测价值。寻找一种准确和非侵入性的方法来预测闪光灯泵浦的脉冲染料激光治疗PWS的结果是有必要的。
Summary During the last 5 years, 640 patients had treatment to their port wine stains (PWS) with a flashlamp‐pumped pulsed dye laser. One hundred and fifty‐six patients have been discharged for varying reasons, of which 59 (38%) achieved excellent (at least 75%) lightening of their birthmark. Of the remaining patients, those who attended the clinic for the sixth and 12th time for treatment were also assessed to determine the degree of fading achieved in the port wine stain. Our findings confirm that flashlamp‐pumped dye laser treatment is safe and effective for the treatment of PWS and that complications are rare. However, the degree of fading achieved is variable and often unpredictable. Fifty‐two per cent of facial lesions of different colours achieved over 75% fading as against 18% of non‐facial lesions. Sixty‐four per cent of those over the age of 50 years had an excellent response whereas only 19% of those below the age of 5 years were able to achieve a similar result. The colour of the port wine stain was found to be of no prognostic value. A search for an accurate and non‐invasive method to predict the outcome of flashlamp‐pumped pulsed dye laser therapy for PWS is warranted.