三种红外波长激光治疗面部草莓状血管瘤的疗效  

Efficacy of three different infrared wavelength lasers on strawberry hemangioma in face

作　　者：卞学平[1] 卞玉洁[2] 张志宏[3] 王军辉[1] 王利君[1] 夏飞飞[1] 

机构地区：[1]山东省荣成市人民医院、泰山医学院附属荣成医院皮肤激光科,264300 [2]山东省荣成市人民医院、泰山医学院附属荣成医院呼吸内科,264300 [3]山东省荣成市人民医院、泰山医学院附属荣成医院门诊部,264300

出　　处：《中华医学美学美容杂志》2011年第5期348-351,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的对比观察3种红外波长激光治疗小儿面部草莓状血管瘤（strawberry hemangiogila．SH）的疗效及容貌结果。方法5～12岁面部SH患儿300例．随机分为半导体激光组，Nd：YAG激光组和CO2激光组，每组100例。3组治疗参数相同（功率10W、光斑直径0．2cm、功率密度318W／cm2），根据皮损面积大小，半导体激光组和Nd：YAG激光组分别行非接触式扫描凝固术．CO2激光组行气化术。治疗后6个月复查评定疗效及容貌结果。结果治愈率半导体激光组89％，Nd：YAG激光组83％。CO2激光组69％（P〈0．05）；容貌优良率CO2激光组87．0％，半导体激光组86．5％，Nd：YAG激光组57．8％（P〈0．01）；平均治疗次数、治疗时间和治疗中出血量半导体激光组均少于Nd：YAG激光组和CO2激光组（P〈0．01）。结论波长830nm的半导体激光（功率密度318W／cm2），治疗小儿面部SH具有1次治愈率高、治疗时间短、治疗中出血少和容貌结果好等优点，为治疗小儿面部SH的首选方法。Objective To observe the effect of treatment and cosmetology in children patients with strawberry hemangioma （SH） on face by three kind of infrared wavelength lasers. Methods In 300 children patients aged from 5 to 12 years with SH on face were randomly divided into a semi conductor laser group （100 cases）, a Nd ： YAG laser group （100 cases） and a CO2 laser group （100 cases）. The parameters of laser were the same in the three groups, such as 10 W, light spot 0.2 cm in diameter and 318 W/cm2. According to size of area in the semiconductor laser and Nd ： YAG laser groups SH were coagulated by semiconductor laser and Nd ： YAG laser, and in the CO2 laser group it were gasified by CO2 laser, respectively. Children patients with SH were followed up for observation of cicatrzation and evaluation of the effect of therapeutics and cosmetology at six months after laser treatment. Results The cure rates were 89 % in the semiconductor laser group, 83 % in the Nd ： YAG laser group and 69 0% in the CO2 laser group （P〈0.05）. The excellent and favorable rates of cosmetic effect were 87.0 % in the CO2 laser group, 86.5% in the semiconductor laser group and 57.8 % in the Nd ： YAG laser group （P〈0.01）. The analysis also sbowed that average therapeutic time, operative time and quantity of bleeding in the semiconductor laser group were less than that of in the Nd ： YAG laser and CO2 laser groups （P〈0.01）. Conclusions The semiconductor laser （wave length 830 nm and power 318 W/cm2） for the treatmet of children patients withSH on face has many advantages, such as higher cure rate, shorter operative time, less bleeding in operation and better cos metic effects. It might become a first selective therapy for children patients with SH on face.

关 键 词：激光 草莓状血管瘤 疗效 容貌效果 

分 类 号：R739.5[医药卫生—肿瘤]