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毛细血管瘤:一种新型激光治疗的病例研究及治疗选择综述

Capillary hemangiomas: case study of a novel laser treatment and a review of therapeutic options.

作者信息

Glassberg E, Lask G, Rabinowitz L G, Tunnessen W W

机构信息

Department of Dermatology and Pediatrics, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19107.

出版信息

J Dermatol Surg Oncol. 1989 Nov;15(11):1214-23. doi: 10.1111/j.1524-4725.1989.tb03235.x.

DOI:10.1111/j.1524-4725.1989.tb03235.x
PMID:2808890
Abstract

Capillary (or strawberry) hemangiomas can present a difficult problem in management, and much controversy exists over whether it is better to watch and wait for natural involution, or to be more aggressive and attempt to prevent some of the negative potential sequelae. A case study of a neonate with a large, early macular capillary hemangioma of the head and neck successfully treated with the 585-nm pulsed dye laser is presented. In addition, a review of a number of treatments for more advanced lesions is presented. Modalities discussed include argon, carbon dioxide, and neodymium: YAG lasers; cryotherapy; local and systemic steroids; and surgical excision.

摘要

毛细血管瘤(或草莓状血管瘤)的治疗可能是个难题,对于是静观其变等待自然消退,还是采取更积极的措施以预防一些潜在的不良后遗症,存在诸多争议。本文介绍了一例头颈部早期出现的大面积黄斑状毛细血管瘤新生儿患者,成功接受了585纳米脉冲染料激光治疗的病例。此外,还综述了针对更晚期病变的多种治疗方法。讨论的治疗方式包括氩激光、二氧化碳激光、钕:钇铝石榴石激光;冷冻疗法;局部和全身使用类固醇;以及手术切除。

相似文献

1
Capillary hemangiomas: case study of a novel laser treatment and a review of therapeutic options.毛细血管瘤:一种新型激光治疗的病例研究及治疗选择综述
J Dermatol Surg Oncol. 1989 Nov;15(11):1214-23. doi: 10.1111/j.1524-4725.1989.tb03235.x.
2
Early treatment of hemangiomas with lasers. A review.激光治疗血管瘤的早期治疗。综述。
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[Head and neck hemangiomas: how and when to treat].[头颈部血管瘤:如何治疗及何时治疗]
Shanghai Kou Qiang Yi Xue. 2007 Aug;16(4):337-42.
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Pulsed dye laser treatment of vascular lesions in children.
J Dermatol Surg Oncol. 1993 Apr;19(4):303-10. doi: 10.1111/j.1524-4725.1993.tb00351.x.
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Laser treatment of complicated head and neck hemangiomas in infancy.婴儿期复杂头颈部血管瘤的激光治疗
Changgeng Yi Xue Za Zhi. 1996 Jun;19(2):135-41.
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Failure of the flashlamp-pumped pulsed dye laser to prevent progression to deep hemangioma.闪光灯泵浦脉冲染料激光未能预防进展为深部血管瘤。
Pediatr Dermatol. 1993 Mar;10(1):77-80. doi: 10.1111/j.1525-1470.1993.tb00021.x.
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Successful combination therapy for severe infantile hemangiomas: case report and literature search.重度婴儿血管瘤的成功联合治疗:病例报告与文献检索
Photomed Laser Surg. 2009 Dec;27(6):973-7. doi: 10.1089/pho.2008.2459.
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Retrospective clinical comparison of hemangioma treatment by flashlamp-pumped (585 nm) and frequency-doubled Nd:YAG (532 nm) lasers.闪光灯泵浦(585纳米)和倍频Nd:YAG(532纳米)激光治疗血管瘤的回顾性临床比较
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Combination therapy of infantile hemangiomas with pulsed dye laser and Nd:YAG laser is effective and safe.脉冲染料激光与Nd:YAG激光联合治疗婴幼儿血管瘤安全有效。
J Dtsch Dermatol Ges. 2014 Jun;12(6):473-8. doi: 10.1111/ddg.12354. Epub 2014 May 14.
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Neodymium-YAG laser photocoagulation of hemangiomas of the head and neck.钕钇铝石榴石激光对头颈部血管瘤的光凝治疗
Laryngoscope. 1987 Mar;97(3 Pt 1):323-30.

引用本文的文献

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Historical and contemporary management of infantile hemangiomas: a single-center experience.婴儿血管瘤的历史与现代治疗:单中心经验
Front Pharmacol. 2024 Feb 2;15:1280948. doi: 10.3389/fphar.2024.1280948. eCollection 2024.
2
Evaluation of the Efficacy and Safety Profile of Long-Pulsed 1064 Neodymium:Yttrium-Aluminum-Garnet (Nd:YAG) Laser in Hemangioma and Vascular Malformation in Darker Skin Types.长脉冲1064钕:钇铝石榴石(Nd:YAG)激光治疗深色皮肤类型血管瘤和血管畸形的疗效及安全性评估
Cureus. 2022 Jun 8;14(6):e25742. doi: 10.7759/cureus.25742. eCollection 2022 Jun.
3
Interventions for infantile haemangiomas of the skin.
皮肤婴儿血管瘤的干预措施。
Cochrane Database Syst Rev. 2018 Apr 18;4(4):CD006545. doi: 10.1002/14651858.CD006545.pub3.
4
Educational paper: therapy of infantile haemangioma--history and current state (part II).教育论文:婴儿血管瘤的治疗——历史与现状(第二部分)
Eur J Pediatr. 2015 Feb;174(2):259-66. doi: 10.1007/s00431-014-2404-5. Epub 2014 Sep 3.
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Treatment of hemangiomas in children using a Nd:YAG laser in conjunction with ice cooling of the epidermis: techniques and results.使用Nd:YAG激光结合表皮冰敷治疗儿童血管瘤:技术与结果
BMC Pediatr. 2003 Apr 12;3:2. doi: 10.1186/1471-2431-3-2.
6
Role of the pulsed dye laser in the management of ulcerated capillary haemangiomas.脉冲染料激光在溃疡性毛细血管瘤治疗中的作用。
Arch Dis Child. 1996 Feb;74(2):161-3. doi: 10.1136/adc.74.2.161.