脉冲染料激光治疗儿童匐行性血管瘤20例的疗效观察  

Observation on therapeutic effect of pulsed-dye laser on 20 children with angioma serpiginosum

作　　者：万毅 甘立强[1] WAN Yi;GAN Liqiang(Department of Dermatology,Children's Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/National Clinical Research Center for Child Health and Disorders/China International Science and Technology Cooperation base of Child development and Critical Disorders/Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院皮肤科/儿童发育疾病研究教育部重点实验室/国家儿童健康与疾病临床医学研究中心/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室,重庆400014

出　　处：《重庆医学》2020年第14期2377-2379,共3页Chongqing medicine

基　　金：2019重庆市科卫联合医学科研项目(面上项目)(2019MSXM049)。

摘　　要：目的观察脉冲染料激光治疗儿童匐行性血管瘤(AS)的疗效。方法回顾性分析20例AS患儿临床资料,所有患儿均有典型的临床表现,其中3例皮损分布于双侧,其余17例患儿的皮损分布于单侧。给予脉冲染料激光(585 nm)治疗1~3次,观察疗效及不良反应发生情况。结果治疗1~3次后,20例患儿均取得满意疗效。其中,3例患儿经过1次激光治疗后皮损基本消退,10例患儿经过2次激光治疗后皮损基本或完全消退,7例患儿经过3次激光治疗后皮损基本或完全消退。其中16例患儿出现紫癜、20例出现红肿、6例出现色素沉着、1例出现色素减退斑,无水疱、瘢痕发生。结论脉冲染料激光(585 nm)是一种治疗儿童AS的安全且有效的方法。Objective To investigate the effect of pulsed-dye laser in the treatment of children with angioma serpiginosum(AS).Methods The clinical data of 20 children with AS were retrospectively analyzed.All children had typical clinical manifestations.Among them,3 cases had skin lesions on both sides,and the remaining 17 cases had skin lesions on one side.Results 20 children with angioma serpiginosum were treated with pulsed dye laser(585 nm).After treatment for 1 to 3 times,20 children achieved satisfactory results.Among them,the skin lesions of 3 children had basically disappeared after 1 time of laser treatment,and the skin lesions of 10 children after 2 times and 7 children after 3 laser treatments had basically or completely disappeared.Among them,16 children had purpura,20 cases had redness and swelling,6 cases had hyperpigmentation,1 case had hypopigmented spots,and no blister or scar occurred.Conclusion Pulsed-dye laser(585 nm)is a safe and effective method for the treatment of children with AS.

关 键 词：儿童 匐行性血管瘤 激光 脉冲 585 nm波长 治疗结果 

分 类 号：R732.2[医药卫生—肿瘤]