Apfelberg D B, Maser M R, Lash H, White D N
Department of Plastic and Reconstructive Surgery, Palo Alto Medical Foundation, CA 94301.
J Hand Surg Am. 1990 Sep;15(5):765-73. doi: 10.1016/0363-5023(90)90153-i.
Complicated hemangiomas of the hand or upper extremity have been resected in eight patients with use of the YAG laser with sapphire scalpels. This laser allows excellent hemostasis and precise surgery, thus allowing resection of complicated problems. Many of the patients have had preoperative arteriography with selective embolization, which has aided in hemostasis. Almost complete but subtotal resection of hemangioma was possible in four of the eight patients with well localized lesions. Three patients had only partial resections of hemangiomas and one lesion was considered unresectable.
八名手部或上肢患有复杂血管瘤的患者使用配备蓝宝石手术刀的YAG激光进行了切除手术。这种激光能实现出色的止血效果和精准的手术操作，从而能够切除复杂的病变。许多患者术前进行了选择性栓塞的动脉造影，这有助于止血。八名病变定位良好的患者中有四名实现了几乎完全但仍为次全切除的血管瘤切除。三名患者仅进行了部分血管瘤切除，还有一个病变被认为无法切除。
