Zala L, Wanner H, Faessler R, Krebs A
Dermatologica. 1976;153(2):82-5.
The treatment of hemangiomas with X-rays has been sharply criticized because of their tendency to involute spontaneously. It has been the aim of this catamnestic study to re-examine for X-ray injury those patients, whose hemangiomas were irradiated 15-20 years ago. The findings indicate that signs of roentgenoderma can appear already with 800 r and increase rapidly over 1,500 r. The observed irreversible damages, however, were mostly not grave, but admonish a certain amount of restraint. An assessment of the effectiveness of low X-ray doses still requires verification considering a faster spontaneous involution.
由于血管瘤有自然消退的倾向,用X射线治疗血管瘤受到了严厉批评。这项随访研究的目的是,对那些15至20年前接受过血管瘤X射线照射的患者重新检查是否有X射线损伤。研究结果表明,800伦琴的照射剂量就可能出现放射性皮肤损伤迹象,超过1500伦琴时损伤会迅速加重。不过,观察到的不可逆损伤大多并不严重,但仍需有所节制。考虑到血管瘤更快的自然消退,低剂量X射线照射有效性的评估仍需验证。