McDaniel D H
Department of Dermatology, Eastern Virginia Medical School, Norfolk.
Cutis. 1990 May;45(5):339-41, 346-9, 354-60.
The treatment of cutaneous vascular disorders has been undergoing revolutionary changes with the advent of a new generation of highly specific laser systems. Utilizing yellow laser light, it is now possible to destroy ectatic vascular lesions selectively with minimal or no damage to other cutaneous structures. Improved clinical results, reduced pain, and greatly decreased risk of scarring now allow outpatient treatment of patients at any age and with lesions at any anatomical location often using either local or no anesthesia. Children with port-wine stains can now be safely treated before they sustain serious psychological damage. Almost all vascular skin lesions can be significantly lightened or removed using yellow laser light therapy. Often the treated areas return to completely normal-appearing skin. New topical anesthetics and automated, "robotic" laser scanning devices allow faster, less painful, and more cost-effective treatment. This article critically examines available treatment options, and the indications for and limitations of these treatments.
随着新一代高特异性激光系统的出现，皮肤血管疾病的治疗正在经历革命性的变革。利用黄色激光，现在可以选择性地破坏扩张的血管病变，而对其他皮肤结构的损伤最小或没有损伤。临床效果的改善、疼痛的减轻以及疤痕形成风险的大幅降低，使得现在可以对任何年龄、任何解剖部位有病变的患者进行门诊治疗，通常使用局部麻醉或不使用麻醉。患有葡萄酒色斑的儿童现在可以在遭受严重心理伤害之前得到安全治疗。几乎所有的皮肤血管病变都可以通过黄色激光疗法显著减轻或去除。通常，治疗区域会恢复到外观完全正常的皮肤。新型局部麻醉剂和自动化的“机器人”激光扫描设备使得治疗更快、疼痛更小且更具成本效益。本文批判性地审视了现有的治疗选择以及这些治疗的适应症和局限性。
