Hohenleutner U, Wlotzke U, Konz B, Landthaler M
Department of Dermatology, University of Regensburg, Germany.
Lasers Surg Med. 1995;16(3):288-91. doi: 10.1002/lsm.1900160311.
The treatment of epidermal nevi is difficult and often unsatisfactory. Many therapeutic approaches have been tried, of which the surgical methods including lasers aim to avoid recurrences and hypertrophic scarring. Here we report the case of a widespread, life-impairing epidermal nevus, summarize the available treatment modalities, and discuss CO2 laser therapy with respect to the clinically soft variants of these developmental defects.
STUDY DESIGN/PATIENTS AND METHODS: A patient with a widespread, recurrent, biopsy-proven epidermal nevus was treated with a 10,600-nm CO2 laser. After test treatments in local anaesthesia, four sessions were performed under general anaesthesia each with a follow-up time of 4 years to date.
CO2 laser vaporization resulted in complete removal of the treated nevus without any obvious scarring. The patient is free of recurrence 4 years postoperatively.
CO2 laser treatment of epidermal nevi is a useful modality in selected variants.
表皮痣的治疗困难且往往不尽人意。人们尝试了许多治疗方法，其中包括激光在内的手术方法旨在避免复发和肥厚性瘢痕形成。在此，我们报告一例广泛存在、影响生活的表皮痣病例，总结现有的治疗方式，并讨论针对这些发育缺陷临床软性变体的二氧化碳激光治疗。
研究设计/患者与方法：一名广泛存在、复发性、经活检证实的表皮痣患者接受了10600纳米二氧化碳激光治疗。在局部麻醉下进行试验性治疗后，在全身麻醉下进行了四次治疗，至今随访时间为4年。
二氧化碳激光汽化术使治疗的痣完全去除，无明显瘢痕形成。患者术后4年无复发。
对于特定变体的表皮痣，二氧化碳激光治疗是一种有效的治疗方式。
