葡萄酒色斑的Waner分型与治疗  

Classification and treatment of port-wine stains

作　　者：何葆华[1] 金珏[1] 俞锡娟[1] 黄荣[1] 

机构地区：[1]杭州整形医院激光美容中心,浙江杭州310014

出　　处：《中国美容整形外科杂志》2006年第6期423-425,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨葡萄酒色斑（PWS）的Waner分型、治疗选择及临床疗效。方法137例PWS按wane，分型，其中Ⅰ～Ⅲ型129例，采用Vbeam染料激光治疗；Ⅳ型8例，采用病灶切除全厚皮片移植或扩张皮瓣移位术。结果Ⅰ、Ⅱ型PWS103例，治愈率24．27％（25／103），有效率51．45％（53／103）；Ⅲ型PWS26例，治愈率3．84％（1／26），有效率11．53％（3／26）。并发症：水泡17例，浅表瘢痕7例，铁锈样色斑13例。Ⅳ型PWS8例，手术后外形明显改善。结论Vbeam染料激光对Ⅰ、Ⅱ型PWS疗效较好，Ⅲ型疗效较差；Ⅳ型手术是最佳的选择。Objective To explore the classification of the port - wine stains（PWS）, the choice and the clinic efficacy of its treatment. Methods One hundred and thirty- seven cases of PWS were classified with Waner＇s standard, in which 129 cases of type 1 or 3 were treated by Vbeam dye laser and 8 cases of type 4 were accepted skin grafting or expanded skin flaps transferring operation after local lesion resection. Results In 103 cases of type 1 or 2 PWS, the cure rate was 24.27% （25/103） and the effective rate was （53/103）; while in 26 cases of type 3 PWS the cure rate was 3.84% （1/26） and the effective rate was 11.53 % （3/26）. The complications included blister in 17 cases, superficial scars in 7 cases, and rusty- colored stains in 13 cases. In 8 cases of type 4 PWS, the appearance were obviously improved postoperatively. Conclusion The treatment with Vbeam dye laser in type 1 or 2 PWS was more effective than that in type 3. This operation is the best choice for treating type 4 PWS.

关 键 词：葡萄酒色斑 分型 染料激光 

分 类 号：R654.3[医药卫生—外科学]