Achauer B M, Vander Kam V M, Miller S R
Plastic Surgery Division, Beckman Laser Institute, Orange, CA 92668.
Ann Plast Surg. 1990 Nov;25(5):344-52. doi: 10.1097/00000637-199011000-00002.
This preliminary report reviews a series of 70 patients treated with tunable-dye laser therapy for congenital capillary malformations (port-wine stains). Results were reviewed according to age and ethnic group of patients and color and anatomical location of malformations. Red birthmarks were most responsive to treatment in all age groups in all anatomical locations. Purple birthmarks were generally less responsive to laser treatment except in children, who responded well. Scarring and hypopigmentation were minimal (5.7% and 1%, respectively), even in nonwhite patients. Recommendations emerging from this study include testing of infants, as results may vary. Detrimental side effects are rare. A major goal in treating port-wine stains is to avoid both the progression of these lesions through life and the psychological complications that occur during early socialization years in childhood. Pulsed-dye laser treatment offers much promise in these areas.
这份初步报告回顾了70例接受可调染料激光治疗先天性毛细血管畸形（葡萄酒色斑）的患者。根据患者的年龄、种族以及畸形的颜色和解剖位置对结果进行了评估。在所有解剖位置的所有年龄组中，红色胎记对治疗的反应最为明显。紫色胎记通常对激光治疗反应较差，但儿童患者反应良好。即使在非白人患者中，瘢痕形成和色素减退也很少见（分别为5.7%和1%）。这项研究得出的建议包括对婴儿进行检测，因为结果可能会有所不同。有害的副作用很少见。治疗葡萄酒色斑的一个主要目标是避免这些病变在一生中的进展以及儿童早期社交阶段出现的心理并发症。脉冲染料激光治疗在这些方面有很大的前景。
