Bergh A, Ridderstråle Y, Ekman S
Department of Anatomy and Physiology, Division of Pathology, Pharmacology and Toxicology, Swedish University of Agricultural Sciences, SE- 750 07 Uppsala, Sweden.
Equine Vet J. 2007 Mar;39(2):114-9. doi: 10.2746/042516407x164019.
No studies have been published on effects of treatment with a defocused beam carbon dioxide (CO2) laser on equine skin histology. A better understanding of this will help to define how lasers should be used, in order to reduce potential side effects.
To describe the acute effects of different doses of defocused CO2 laser, ranging from therapeutic to surgical levels, on equine skin.
Defocused CO2 laser was administered to the skin in the hamstrings (91 J/cm2), fetlock (137 J/cm2) and loin (450 J/cm2) areas of 13 Standardbred horses. The acute effects on skin histology were examined 90 min after the end of therapy.
Mild changes with focal spongiosis and subepidermal clefts were found after 91 J/cm2 irradiation and more severe changes with diffuse subepidermal clefts after the 137 J/cm2 dose. A homogeneous eosinophilic acellular zone of dermis and destruction of adnexal structures, and significant thinning of the epidermis was observed after the 450 J/cm2 dose.
The present study indicates acute dose-dependent changes in equine skin histology after laser treatment Severe tissue damage was induced using a 450 J/cm2 dose.
To reduce the potential side effects of defocused CO2 laser treatment, the laser parameters must be carefully evaluated. Caution should be taken if doses higher than 91 J/cm2 (16 W, 4 min, and 42 cm2) are used in irradiation of equine skin.
目前尚未有关于散焦光束二氧化碳(CO2)激光治疗对马皮肤组织学影响的研究发表。深入了解这一点将有助于明确如何使用激光,以减少潜在的副作用。
描述不同剂量的散焦CO2激光,从治疗水平到手术水平,对马皮肤的急性影响。
对13匹标准赛马的腘绳肌(91 J/cm2)、球节(137 J/cm2)和腰部(450 J/cm2)区域的皮肤进行散焦CO2激光照射。在治疗结束90分钟后检查对皮肤组织学的急性影响。
91 J/cm2照射后发现轻微变化,有局灶性海绵形成和表皮下裂隙,137 J/cm2剂量后出现更严重的变化,有弥漫性表皮下裂隙。450 J/cm2剂量后观察到真皮均匀嗜酸性无细胞区和附属结构破坏,以及表皮明显变薄。
本研究表明激光治疗后马皮肤组织学出现急性剂量依赖性变化。使用450 J/cm2剂量会导致严重的组织损伤。
为减少散焦CO2激光治疗的潜在副作用,必须仔细评估激光参数。在马皮肤照射中,如果使用高于91 J/cm2(16 W,4分钟,42 cm2)的剂量,应谨慎。