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采用二极管激光及诱导光凝强制脱水治疗头颈部血管瘤。

Treatment of hemangioma of the head and neck with diode laser and forced dehydration with induced photocoagulation.

作者信息

Angiero Francesca, Benedicenti Stefano, Romanos Georgios E, Crippa Rolando

机构信息

Anatomia Patologica, Ospedale San Gerardo, Monza Mi, Italy.

出版信息

Photomed Laser Surg. 2008 Apr;26(2):113-8. doi: 10.1089/pho.2007.2143.

Abstract

OBJECTIVE

The aim of this study was to investigate the efficacy of treating oral hemangiomas using forced dehydration with induced photocoagulation (FDIP) via diode laser.

METHODS

One-hundred sixty patients were treated between 1999 and 2006 (76 men, 46%; 84 women, 54%). In 136 cases we used FDIP to treat hemangioma, and in 24 cases complete surgical excision was performed. One-hundred thirty-four lesions had a surface area <2 x 2 cm2, whereas only two had large lesions measuring 2.5 x 2 cm2.

RESULTS

In 136 patients with hemangiomas treated with FDIP, 134 cases (98.53%) showed complete remission, one case (0.735%) did not show complete remission, and one case (0.735%) displayed tumor growth. There were no adverse effects and all patients were carefully followed-up until complete healing was documented, along with any complications.

CONCLUSIONS

Our findings suggest that FDIP is a useful and effective treatment for benign oral vascular lesions. FDIP treatment of these oral lesions is clinically significant because it provides effective management, avoids recurrence, and shortens healing time. We believe that the use of this method by medical and dental specialists should be supported.

摘要

目的

本研究旨在探讨通过二极管激光诱导光凝强制脱水治疗口腔血管瘤的疗效。

方法

1999年至2006年间对160例患者进行了治疗(男性76例,占46%;女性84例,占54%)。136例采用强制脱水诱导光凝(FDIP)治疗血管瘤,24例进行了完整手术切除。134个病变的表面积<2×2 cm2,只有2个为2.5×2 cm2的大病变。

结果

136例接受FDIP治疗的血管瘤患者中,134例(98.53%)完全缓解,1例(0.735%)未完全缓解,1例(0.735%)肿瘤生长。未出现不良反应,所有患者均得到密切随访,直至记录到完全愈合及任何并发症。

结论

我们的研究结果表明,FDIP是治疗良性口腔血管病变的一种有用且有效的方法。FDIP治疗这些口腔病变具有临床意义,因为它能提供有效的治疗,避免复发,并缩短愈合时间。我们认为医学和牙科专家使用这种方法应得到支持。

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