[口腔颌面部静脉畸形和血管瘤激光治疗的临床研究]
[Clinical study on laser therapy of the venous malformations and hemangioma in oral and maxillofacial regions].
作者信息
Zhou Guo-yu, Zhang Zhi-yuan, Zhang Chen-ping, Zhu Han-guang, Sun Jian, Gu Ji-zhong
机构信息
Department of Oral and Maxillofacial Surgery, School of Stomatology, Affiliated Ninth People's Hospital, Shanghai Second Medical University, Shanghai 200011, China.
出版信息
Zhonghua Kou Qiang Yi Xue Za Zhi. 2005 May;40(3):200-2.
OBJECTIVE
To try to find the best method of laser therapy for the management of venous malformation and hemangioma in oral and maxillofacial regions.
METHODS
From June, 1999 to July, 2002, 2 481 cases of venous malformations and hemangiomas were treated by several kinds lasers in our department. The lesions included port-wine stains, venous malformations, telangiectasia and hemangioma. The lasers used were continuous wave CO(2), Nd:YAG and Krypton lasers, pulsed dye laser and ultra-pulsed CO(2) lasers. The treatment modalities were direct irradiation, irradiation after surgical flap raising and photodynamic therapy.
RESULTS
Follow up between 2 - 5 years revealed the treatment results as follows: excellent is 79.24%, good is 14.31% and poor is 6.45%.
CONCLUSIONS
Laser therapy is one of the best method to treat venous malformations and hemangiomas. The key point is to apply different lasers properly.
目的
探寻口腔颌面部静脉畸形和血管瘤的最佳激光治疗方法。
方法
1999年6月至2002年7月，我科采用多种激光治疗2481例静脉畸形和血管瘤。病变包括葡萄酒色斑、静脉畸形、毛细血管扩张和血管瘤。使用的激光有连续波CO₂、Nd:YAG和氪激光、脉冲染料激光及超脉冲CO₂激光。治疗方式有直接照射、手术掀起皮瓣后照射及光动力疗法。
结果
2至5年的随访显示治疗结果如下：优79.24%，良14.31%，差6.45%。
结论
激光治疗是治疗静脉畸形和血管瘤的最佳方法之一。关键是要正确应用不同的激光。
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