Luo Quan-Feng
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, 100081, China.
Maxillofac Plast Reconstr Surg. 2023 Aug 25;45(1):28. doi: 10.1186/s40902-023-00395-5.
Port wine stains slowly grow thicker over time, nodules appear on the surface, and the color slowly deepens from pink to purple. Even after laser treatment, some port wine stains will recur and slowly grow, and the erythema appears again. The purpose of this study was to investigate the effectiveness of bleomycin in combination with triamcinolone acetonide in the treatment of inhibiting the proliferation and recurrence of port wine stains.
Histopathological change: Before treatment, dense capillaries were distributed within the lesion, and blood fills the lumen. Lack of normal skin structure: After bleomycin and triamcinolone acetonide injection, the number of capillaries was significantly reduced, and fibrosis occurred in tissues. Changes in facial morphology: After treatment, the port wine stains became thinner, the asymmetry of the face was effectively improved, and the appearance have been significantly improved. After 5 years of follow-up, there were no recurrent cases.
Bleomycin and triamcinolone acetonide injection can effectively inhibit the proliferation of port wine stains and prevent port wine stains from recurring after treatment.
葡萄酒色斑会随着时间的推移逐渐增厚,表面出现结节,颜色也会从粉红色逐渐加深至紫色。即使经过激光治疗,一些葡萄酒色斑仍会复发并缓慢生长,红斑再次出现。本研究的目的是探讨博来霉素联合曲安奈德治疗抑制葡萄酒色斑增殖和复发的有效性。
组织病理学变化:治疗前,病变内密集分布着毛细血管,管腔内充满血液。缺乏正常皮肤结构:注射博来霉素和曲安奈德后,毛细血管数量显著减少,组织发生纤维化。面部形态变化:治疗后,葡萄酒色斑变薄,面部不对称得到有效改善,外观有显著改善。随访5年后,无复发病例。
注射博来霉素和曲安奈德可有效抑制葡萄酒色斑的增殖,并防止治疗后葡萄酒色斑复发。