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二极管激光散焦照射模式用于口腔血管瘤的保守治疗

Defocused irradiation mode of diode laser for conservative treatment of oral hemangioma.

作者信息

Fekrazad Reza, Am Kalhori Katayoun, Chiniforush Nasim

机构信息

Laser Research Center in Medical Sciences (LRCMS), AJA University of Medical Sciences- Laser Research Center of Dentistry (LRCD), School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Laser Research Center of Dentistry (LRCD), School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Lasers Med Sci. 2013 Summer;4(3):147-50.

Abstract

Vascular lesions rise from abnormalities in blood vessels or endothelial proliferation. Capillary hemangiomas are formed by small capillaries surrounded by a layer of endothelial cells in a connective tissue stroma. Various treatments are used for these conditions like excisional surgery, sclerotherapy, and recently laser irradiation. In this case study, we report successful treatment of intraoral capillary hemangioma by gallium/aluminum/arsenide (GaAlAs) laser. A 29 year old woman with a red lesion on the upper side of the right maxillary premolar was referred to private dental office. The Diode laser with wavelength of 810 nm was selected for treatment of the lesion in defocused mode by output power of 4 W in continuous mode. No bleeding was observed during surgery which provided better vision for surgeon and resulted in a minimally invasive procedure. According to results, Diode laser can be considered as a conservative modality in treatment of oral capillary hemangioma, especially in the esthetic zone.

摘要

血管病变源于血管异常或内皮细胞增殖。毛细血管瘤由结缔组织基质中被一层内皮细胞包围的小毛细血管形成。针对这些病症采用了各种治疗方法,如切除手术、硬化疗法,以及最近的激光照射。在本病例研究中,我们报告了用镓/铝/砷化物(GaAlAs)激光成功治疗口腔内毛细血管瘤的情况。一名29岁女性,右上颌前磨牙上方有一红色病变,被转诊至一家私人牙科诊所。选用波长为810 nm的二极管激光,以连续模式4 W的输出功率在散焦模式下治疗该病变。手术过程中未观察到出血,这为外科医生提供了更好的视野,从而实现了微创手术。根据结果,二极管激光可被视为治疗口腔毛细血管瘤的一种保守方式,尤其是在美学区域。

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