J Am Podiatr Med Assoc. 2021 Dec 15;111(6). doi: 10.7547/20-099.
Ablative fractional laser is suggested to promote wound healing in diabetic and venous leg ulcers. In this article, we report the treatment outcome of a recalcitrant foot ulceration related to lower leg arteriopathy. A 43-year-old man with typical digital substraction angiographic findings of arteriopathy was admitted to our department after 30 sessions of hyperbaric oxygen therapy. There was heterotopic tissue within the ulcer consistent with osseous metaplasia and mature bone tissue. This tissue was removed with full-field erbium:yttrium-aluminum-garnet laser, and the remaining parts received fractional erbium:yttrium-aluminum-garnet laser for the induction of wound healing. A decrease in ulcer dimensions was achieved by the second month of laser interventions without recurrence in the first-year control.
消融性微剥激光被认为可以促进糖尿病和静脉性腿部溃疡的伤口愈合。在本文中，我们报告了一例与小腿动脉病变相关的难治性足部溃疡的治疗结果。一名 43 岁男性，下肢动脉造影表现为典型的数字减影血管造影表现，在接受 30 次高压氧治疗后被收入我科。溃疡内有异位组织，符合骨化生和成熟骨组织。使用全视野铒：钇-铝-石榴石激光将该组织切除，其余部分用微剥铒：钇-铝-石榴石激光进行治疗，以诱导伤口愈合。激光干预的第二个月，溃疡尺寸减小，在第一年的随访中没有复发。
