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氩激光治疗头颈部血管病变。

Argon laser treatment of head and neck vascular lesions.

作者信息

Parkin J L, Dixon J A

出版信息

Otolaryngol Head Neck Surg. 1985 Apr;93(2):211-6. doi: 10.1177/019459988509300215.

DOI:10.1177/019459988509300215
PMID:3921911
Abstract

Port wine stains (PWSs), hereditary hemorrhagic telangiectasias (HHTs), hemangiomas, arterial venous malformations (AVMs), vascular granulomas and polyps, glomus tumors, and nasopharyngeal angiofibromas are vascular lesions of the head and neck potentially responsive to treatment with the argon laser. One hundred consecutive patients with PWSs, 25 patients with HHTs, three with subglottic hemangiomas, three with oral and/or lingual hemangiomas, two with labial AVMs, three with vascular laryngeal polyps, and one patient with inoperable glomus tumor were treated with the argon laser. Results were good to excellent in 94% of the facial PWS patients. All treated patients in the HHT group demonstrated improvement. Results with the other lesions were variable. The argon laser is a valuable treatment modality in vascular lesions of the head and neck. Posttreatment scarring and failure to achieve desired results are complications encountered. Pretreatment counseling will assist the patient in understanding the expected results.

摘要

葡萄酒色斑(PWS)、遗传性出血性毛细血管扩张症(HHT)、血管瘤、动静脉畸形(AVM)、血管性肉芽肿和息肉、球瘤以及鼻咽血管纤维瘤是头颈部的血管病变,可能对氩激光治疗有反应。连续100例葡萄酒色斑患者、25例遗传性出血性毛细血管扩张症患者、3例声门下血管瘤患者、3例口腔和/或舌部血管瘤患者、2例唇部动静脉畸形患者、3例喉部血管息肉患者以及1例无法手术的球瘤患者接受了氩激光治疗。94%的面部葡萄酒色斑患者治疗效果良好至极佳。遗传性出血性毛细血管扩张症组所有接受治疗的患者均有改善。其他病变的治疗结果各不相同。氩激光是治疗头颈部血管病变的一种有价值的治疗方式。治疗后瘢痕形成以及未达到预期效果是所遇到的并发症。治疗前咨询将有助于患者了解预期结果。

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Argon laser treatment of head and neck vascular lesions.氩激光治疗头颈部血管病变。
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引用本文的文献

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Eur Arch Otorhinolaryngol. 2015 Jan;272(1):117-22. doi: 10.1007/s00405-014-3086-3. Epub 2014 May 23.
2
Laser treatment of mucosal venous malformations of the upper aerodigestive tract in 50 patients.50 例上呼吸道黏膜静脉畸形的激光治疗。
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3
Prevalence of ocular manifestations in hereditary hemorrhagic telangiectasia.
遗传性出血性毛细血管扩张症眼部表现的患病率
Graefes Arch Clin Exp Ophthalmol. 2007 Aug;245(8):1141-4. doi: 10.1007/s00417-006-0520-2.
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Hereditary haemorrhagic telangiectasia and pulmonary arteriovenous malformations: issues in clinical management and review of pathogenic mechanisms.遗传性出血性毛细血管扩张症与肺动静脉畸形:临床管理问题及致病机制综述
Thorax. 1999 Aug;54(8):714-29. doi: 10.1136/thx.54.8.714.
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Wound healing in the nose and paranasal sinuses after irradiation with the argon laser. An experimental study in animals.氩激光照射后鼻及鼻窦的伤口愈合。一项动物实验研究。
Arch Otorhinolaryngol. 1988;245(1):36-41. doi: 10.1007/BF00463546.