Vbeam激光治疗毛细血管扩张症  

Clinical application of Vbeam laser irradiation in facial telangiectasis

作　　者：李芍华[1] 滕雯[1] 王敏[1] 张建斌[1] 任秋实[2] 

机构地区：[1]哈尔滨医科大学附属二院康奥激光中心,哈尔滨150086 [2]上海交通大学激光与光子生物医学研究所

出　　处：《中华医学美学美容杂志》2004年第3期138-140,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探索Vbeam激光治疗仪治疗颜面部毛细血管扩张症的效果。方法　应用美国生产的Vbeam激光治疗仪 ,波长 5 95nm ,治疗颜面及鼻部毛细血管扩张症 2 5 2例。根据血管的粗细适当选择脉宽及能量密度 ,照射病变部位 ,观察皮肤反应 ,照射部位皮肤变紫灰色 ,扩张血管消失为适度。星芒状毛细血管扩张及鼻部毛细血管扩张治疗 1～ 7次 ,颜面部位的点状、线状、及红色和紫红色斑状毛细血管扩张治疗 1～ 3次痊愈。每次治疗间隔 1～ 2个月 ,治愈为止。结果　 2 5 2例毛细血管扩张症治愈率 10 0%。治疗后皮肤反应轻微 ,治愈后有 30 %留有暂时性色素沉着 ,1～ 6个月自然消退 ,并发现治疗后患者面部皮肤较前张力增加、光亮润泽、细小皱纹消失。结论　Vbeam激光治疗仪治疗毛细血管扩张症无瘢痕 ,皮肤反应轻微 ,疗效确切 ,不复发 ,效果满意。但对除皱嫩肤作用 ,有待进一步研究探讨。Objective To explore the effect of cosmetics on patients who have facial telangiectasis. Methods We treated 252 cases of facial and nasal telangiectasis with Vbeam laser machine made in USA. The wavelength is 595 nm. We chose proper pulse width and energy output according to the vascular diameter. The handle shaft should focus on the treatment locations when we treated the patients. The skin eruption turned grey and the telangiectasis disappeared after laser irradiation. The stellate telangiectasis and nasal telangiectasis could be cured after 1～7 times of laser irradiation. The puactate or filamentous telangiectasis and erythema, heliotrope patchy telangiecatasis could be cured after 1～3 times. The treatment interval was 1～2 months. Results All of the 252 cases of facial telangiectasis were cured. The cure rate was 100 %. The skin reaction to the laser irradiation was slight. 30 % of the patients showed hyperpigmentation, which could disappear spontaneously after 1～6 months. In addition, we found patients' faces become more smooth and less wrinkles. Conclusion Satisfied effects are archieved in facial telangiectasis with Vbeam laser machine. This treatment has no scar and no recurrence with only slight skin reaction. And the skin becomes smooth and less wrinkles. Therefore, it is a good choice to treat facial telangiectasis with Vbeam laser irradiation.

关 键 词：Vbeam激光 治疗 物理疗法 毛细血管扩张症 

分 类 号：R454.2[医药卫生—治疗学]