激光疗法在皮肤科的作用——临床方面。

Role of laser therapy in dermatology -- clinical aspects.

作者信息

Landthaler M, Ulrich H, Hohenleutner S, Wimmershoff M, Hohenleutner U

机构信息

Department of Dermatology, University of Regensburg, Regensburg, Germany.

出版信息

Dermatology. 2004;208(2):129-34. doi: 10.1159/000076486.

DOI:10.1159/000076486

PMID:15057002

Abstract

BACKGROUND

Laser therapy has become an integral part of therapeutic alternatives in dermatology. Nevertheless, there are only few statistical data on the role of lasers in everyday practice of dermatological clinics.

OBJECTIVE

Analysis of laser patients, indications and lasers used.

METHODS

We analysed 10244 patients treated with laser therapy in the Department of Dermatology at the University of Regensburg from 1992 to 2000. This figure represents 9.6 % of all patients seen during that period.

RESULTS

Vascular lesions (hemangiomas, port-wine stains, telangiectasias) represented the most common indication (more than 70%) followed by infectious disorders (mostly papillomavirus lesions) as well as the removal of hairs and tattoos. Accordingly, the most frequently used laser was the flashlamp-pumped pulsed dye laser (585 nm) followed by the argon ion, the long-pulse tunable flashlamp-pumped pulsed dye laser, the Q-switch ruby laser, and the CO(2)-laser. In recent years, the percentage of indications and lasers used has changed significantly, reflecting the development of new lasers and the introduction of new indications.

CONCLUSIONS

The results confirm the important role of laser therapy in dermatology.

摘要

背景

激光治疗已成为皮肤科治疗选择中不可或缺的一部分。然而，关于激光在皮肤科诊所日常实践中的作用，统计数据却很少。

目的

分析接受激光治疗的患者、适应证及所使用的激光。

方法

我们分析了1992年至2000年在雷根斯堡大学皮肤科接受激光治疗的10244例患者。这一数字占该时期所有就诊患者的9.6%。

结果

血管性病变（血管瘤、葡萄酒色斑、毛细血管扩张）是最常见的适应证（超过70%），其次是感染性疾病（主要是乳头瘤病毒病变）以及毛发和纹身的去除。相应地，最常用的激光是闪光灯泵浦脉冲染料激光（585nm），其次是氩离子激光、长脉冲可调谐闪光灯泵浦脉冲染料激光、Q开关红宝石激光和CO₂激光。近年来，适应证和所使用激光的百分比发生了显著变化，反映了新激光的发展和新适应证的引入。