Stier Meghan F, Glick Sharon A, Hirsch Ranella J
Skincare Doctors, Cambridge, Massachusetts, USA.
J Am Acad Dermatol. 2008 Feb;58(2):261-85. doi: 10.1016/j.jaad.2007.10.492.
Pediatric vascular lesions can be medically threatening and psychologically distressing to patients. This article reviews literature on the laser treatment of two common pediatric vascular lesions, port wine stains and hemangiomas. The purpose of this report was to distinguish the lesions from one another and to present the advantages, disadvantages, complications, and limitations of laser treatment for each lesion type. This review is not a comprehensive inventory but instead highlights the studies that best show promising results or the limitations of laser treatment for the lesions. Overall, port wine stain laser treatment promoted notable clearing with low side effects, whereas hemangioma laser treatment provided inconsistent benefits and severe side effects occasionally. Laser treatment of port wine stains is safe and effective, but laser treatment of hemangiomas remains controversial and is best for lesions without deeper components.
小儿血管性病变对患者可能构成医学威胁并造成心理困扰。本文综述了关于两种常见小儿血管性病变——葡萄酒色斑和血管瘤的激光治疗的文献。本报告的目的是区分这两种病变，并介绍每种病变类型激光治疗的优点、缺点、并发症及局限性。本综述并非全面的总结，而是重点突出那些最能显示激光治疗对这些病变有良好效果或局限性的研究。总体而言，葡萄酒色斑的激光治疗能显著清除病变且副作用小，而血管瘤的激光治疗效果不一，偶尔还会出现严重副作用。葡萄酒色斑的激光治疗安全有效，但血管瘤的激光治疗仍存在争议，最适用于无深层成分的病变。
