口腔内巨大血管性病变的瘤内激光治疗
Intralesional laser treatment of voluminous vascular lesions in the oral cavity.
作者信息
Miyazaki Hidetaka, Kato Junji, Watanabe Hisashi, Harada Hiroyuki, Kakizaki Hirohiko, Tetsumura Akemi, Sato Akio, Omura Ken
机构信息
Oral and Maxillofacial Surgery, Department of Oral Restitution, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Feb;107(2):164-72. doi: 10.1016/j.tripleo.2008.08.004. Epub 2008 Oct 19.
OBJECTIVE
In laser treatment of voluminous vascular lesions, there are many cases in which submucosally located angioma remnants cannot be reached by noncontact superficial laser application. To diminish these remnants we used intralesional photocoagulation (ILP) in treatment of oral vascular lesions, because this approach is effective in treatment of voluminous vascular lesions of the skin.
STUDY DESIGN
Four cases of voluminous vascular malformation in the oral cavity were treated by ILP using a potassium-titanyl-phosphate (KTP) laser. In 1 case, treatment was carried out under ultrasound and manual control.
RESULTS
All lesions showed more than 70% regression after the first ILP session, and the treatment outcome was satisfactory. There were no serious complications, such as bleeding or invasive infection. Ultrasonography was useful for guiding laser treatment in the oral cavity.
CONCLUSION
Intralesional photocoagulation treatment with a KTP laser is effective and safe for treatment of a vascular lesion in the oral cavity.
目的
在激光治疗大量血管性病变时，有许多情况下非接触式表面激光应用无法到达黏膜下的血管瘤残余部分。为减少这些残余部分，我们在口腔血管性病变的治疗中采用了瘤内光凝术（ILP），因为这种方法在治疗大量皮肤血管性病变方面是有效的。
研究设计
使用磷酸钛钾（KTP）激光通过ILP治疗了4例口腔内大量血管畸形病例。其中1例在超声和手动控制下进行治疗。
结果
所有病变在首次ILP治疗后均显示出超过70%的消退，治疗效果令人满意。没有出现严重并发症，如出血或侵袭性感染。超声检查有助于指导口腔内的激光治疗。
结论
KTP激光瘤内光凝术治疗口腔血管性病变有效且安全。
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