长脉冲翠绿宝石激光治疗微静脉畸形的临床分析  

Clinical Observation of 755 nm long-pulse pulsed alexandrite laser in the treatment of port wine stains

作　　者：李莉[1] Taro Kono William Frederick Groff Henry H Chan Yoshihiko Kitazawa Motohiro Nozaki 

机构地区：[1]青岛市市立医院医学美容科,山东青岛266000 [2]日本东京女子医科大学形成外科 [3]美国加利福尼亚州La Jolla美容中心美容皮肤科 [4]香港大学医学部皮肤科

出　　处：《中国美容医学》2011年第12期1936-1938,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨长脉冲翠绿宝石激光治疗微静脉畸形的临床疗效及并发症发生情况,并与长脉冲染料激光进行比较。方法:应用长脉冲翠绿宝石激光和长脉冲染料激光治疗微静脉畸形11例,其中一半皮损用长脉冲翠绿宝石激光治疗,另一半皮损用长脉冲染料激光进行治疗,观察皮损红斑消退及并发症发生情况。结果:长脉冲翠绿宝石激光可有效地治疗微静脉畸形,治疗后3例发生色素沉着,1例发生色素脱失;而长脉冲染料激光治疗后2例发生色素沉着。两者治疗后均无瘢痕形成。结论:应用长脉冲翠绿宝石激光治疗微静脉畸形疗效显著,主要适用于隆起性、暗紫色的皮损,而长脉冲染料激光适用于扁平的淡红色皮损。Objective To observe the long-pulse pulsed alexandrite laser（LPPAL） in the treatment of PWS and compare the efficacy and complications of the long-pulse pulsed dye laser（LPPDL）.Methods 11 patients were enrolled in this study.One lesion was treated with LPPDL and the other lesion with LPPAL.The patients were evaluated for efficacy of elimination of erythema and treatment related side effects.Results LPPAL is effective in the treatment of PWS.Hyperpigmentation was seen in 2 areas treated with LPPDL and in 3 areas treated with LPPAL.Hypopigmentation was seen in 1 area treated with LPPAL,but not in any of the areas treated with LPPDL.There was no scarring.Conclusion LPPAL is effective in treating PWS,best with hypertrophic,purple PWS,while LPPDL yields better clinical improvements with the flat,pink PWS.

关 键 词：微静脉畸形 长脉冲翠绿宝石激光 长脉冲染料激光 

分 类 号：R732.2[医药卫生—肿瘤]