Lacour M, Syed S, Linward J, Harper J I
Department of Dermatology, Great Ormond Street Hospital for Children NHS Trust, London.
Arch Dis Child. 1996 Feb;74(2):161-3. doi: 10.1136/adc.74.2.161.
A complication of capillary haemangiomas is ulceration, which may arise after trauma and/or infection. Until recently, conservative management was the rule. However, the recent advent of the pulsed dye laser has revolutionised the treatment of vascular birthmarks and provided a new tool for the management of capillary haemangiomas. Thirteen cases of ulcerated capillary haemangiomas referred to our department were reviewed; five were treated conservatively and eight were treated with the laser. Those treated with the laser had all failed conservative management and healed completely within one to four weeks. Remarkably rapid alleviation of pain was achieved. For those haemangiomas around the mouth and perineum, laser treatment enabled early restoration of normal feeding, micturition, and defaecation. It is therefore recommended that if ulcerated capillary haemangiomas do not improve after a short period of optimal conservative treatment, laser treatment should be considered.
毛细血管瘤的一种并发症是溃疡，其可能在创伤和/或感染后出现。直到最近，保守治疗一直是常规方法。然而，脉冲染料激光的出现彻底改变了血管性胎记的治疗方式，并为毛细血管瘤的治疗提供了一种新工具。我们回顾了转诊至我科的13例溃疡型毛细血管瘤病例；5例接受保守治疗，8例接受激光治疗。接受激光治疗的患者均经保守治疗无效，且在1至4周内完全愈合。疼痛得到了显著快速的缓解。对于口腔和会阴部周围的那些血管瘤，激光治疗能够使正常进食、排尿和排便功能早日恢复。因此，建议如果溃疡型毛细血管瘤在经过短时间的最佳保守治疗后没有改善，应考虑激光治疗。
