Waldschmidt J, Berlien H P, Hauck G W, el-Dessouky M
Kinderchirurgische Abteilung der Freien Universität Berlin im Klinikum Steglitz.
Z Kinderchir. 1988 Feb;43(1):6-10. doi: 10.1055/s-2008-1043403.
Laser therapy can be used to great advantage in the treatment of haemangiomas in childhood in specially selected cases. We were able to collect experiences in 101 children and to utilise both the coagulation effect for percutaneous induction of regression and the cutting effect in the resection of haemangiomas at the body surface and the thoracic and abdominal cavities. Among the commercially available laser equipment we would prefer the argon laser for intracutaneous lesions (naevi teleangiectatici, spider naevi, plane haemangiomas), whereas for the cavernous or planotuberous or tuberonodous haemangiomas it is better to use the neodym-YAG laser. Patients must be very carefully selected and selection must be restricted to haemangiomas with complications. Treatment via neodym-YAG laser must be complemented by protecting the skin against cold, by compressing the angiomas and by an appropriate after treatment.
在特别选定的病例中，激光疗法在儿童血管瘤的治疗中具有很大优势。我们收集了101例儿童的经验，并利用其凝固效应经皮诱导血管瘤消退，以及利用其切割效应切除体表及胸腹腔的血管瘤。在市售的激光设备中，对于皮内病变（毛细血管扩张痣、蜘蛛痣、扁平血管瘤），我们更倾向于使用氩激光，而对于海绵状、扁平结节状或结节状血管瘤，最好使用钕钇铝石榴石激光。必须非常谨慎地选择患者，且选择范围必须限于有并发症的血管瘤。通过钕钇铝石榴石激光进行治疗时，必须通过保护皮肤免受寒冷、压迫血管瘤以及适当的后续治疗来辅助。
