Cynergy双波长激光治疗儿童皮肤血管性病变的疗效分析  

Curative effect of Cynergy dual wavelength laser in treatment of skin vascular pathological changes in chil- dren

作　　者：李永红[1] 黄一锦[1] 林维嘉[1] 张启国[1] 柯晓苹[1] 赵小燕[1] 

机构地区：[1]厦门大学附属第一医院皮肤性病科,361003

出　　处：《中华医学美学美容杂志》2013年第4期279-282,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨Cynergy双波长激光治疗儿童皮肤血管性病变的疗效和不良反应。方法采用Cynergy双波长（595nm和1064nm）激光，对儿童皮肤血管性病变650例（草莓状血管瘤398例，鲜红斑痣252例）进行治疗，能量密度分别为5～15J／cm2和30～80J／cm2。并对其治疗效果及不良反应，以及鲜红斑痣疗效与患者年龄、部位、皮损颜色的关系进行分析。结果650例患者在适合的脉宽及能量密度下，经过3～7次治疗，草莓状血管瘤有效率92．2％，粉红型鲜红斑痣有效率77．9％，紫红型鲜红斑痣有效率38．9％，增厚型鲜红斑痣有效率14．3％，总体不良反应发生率2．3％。经χ2检验，鲜红斑痣疗效因患者年龄、部位、皮损颜色而异，患者年龄越小，皮损颜色越浅，疗效越好，眶周疗效好于额面和四肢。结论Cynergy双波长激光治疗儿童皮肤血管性病变，疗效显著，不良反应轻，是一种新的治疗技术，安全、可靠，值得推广应用。Objective To explore the curative effect and adverse reactions through Cynergy dual wavelength laser to cure skin vascular pathological changes in children. Methods Cynergy dual wave- length （595 nm and 1064 nm） laser were used to treat the skin vascular pathological changes in chil- dren （650 cases） including strawberry-shaped hemangioma （398 cases） and port wine stain （252 ca- ses）. Anergy density was 5-15 J/cm2 and 30-80 J/cm2. The curative effect and adverse reaction and also the relationship between the port wine stain curative effect and the age of patient, location, and colour of skin lesions were analyzed. Results In total 650 cases after 3-7 times treatments under suitable pulse width and energy density, the curative effect for strawberry-shaped hemangioma was 92.2 %, that for pink type port wine stain was 77. 9 %, that for purple type port wine stain was 38.9 %, and that for thickening type port wine stain was 14.3 % ; the overall adverse reaction rate was 2.3 0%. After test with χ2 analysis, the curative effect of port wine stain also varied depending on the age of patient, location, and colour of skin lesions. The younger the age of patient and shallower of colour of skin lesions, and the better the curative effect. The curative effect for location around the eyes was better than frontal face and limbs. Conclusions Application of Cynergy dual wavelength la- ser in treatment of the skin vascular pathological changes in children has notable curative effect and low adverse reaction. It is a new curative technology and also safe and reliable. It is worthy of popu- larization and application.

关 键 词：双波长激光 草莓状血管瘤 鲜红斑痣 

分 类 号：R739.5[医药卫生—肿瘤]