Happak W, Kuzbari R, Flowers A, Freilinger G
Abteilung für Wiederherstellende und Plastische Chirurgie, Universitätsklinik für Chirurgie Wien.
Handchir Mikrochir Plast Chir. 1996 Nov;28(6):328-33.
44 patients with various cutaneous lesions including 18 tattoos, 13 hypertrophic scars or keloids, 4 xanthelasmas, 4 capillary haemangiomas, and 5 other benign cutaneous lesions were treated by CO2-Laser. 28 of these patients were reexamined after a follow-up period of three to four years. Good results were achieved with the CO2-Laser in the treatment of tattoos, xanthelasmas, and haemangiomas. Satisfactory results were obtained in one patient with peri-ungual Koenen-tumors and in two patients with perianal condylomas. Keloids and plantar warts recurred after an initial improvement. The attempts to remove hypertrophic scars did not bring the desired results. In four cases a superficial local wound infection led to a delayed healing process together with an aesthetically unsatisfying final appearance. CO2-Laser treatment brings certain advantages in selected cases where traditional techniques of plastic surgery have a higher complication rate and are additionally a greater burden for the patient. Particularly larger tattoos, multiple xanthelasmas, and capillary haemangiomas are successfully removed with the CO2-Laser, despite the time consuming method for the attending physician.
44例患有各种皮肤病变的患者接受了二氧化碳激光治疗，这些病变包括18例纹身、13例增生性瘢痕或瘢痕疙瘩、4例睑黄瘤、4例毛细血管瘤以及5例其他良性皮肤病变。其中28例患者在随访三到四年后接受了复查。二氧化碳激光在治疗纹身、睑黄瘤和血管瘤方面取得了良好效果。1例甲周科恩瘤患者和2例肛周尖锐湿疣患者获得了满意的治疗结果。瘢痕疙瘩和跖疣在最初改善后复发。去除增生性瘢痕的尝试未达到预期效果。4例出现浅表局部伤口感染，导致愈合过程延迟，最终外观也不尽人意。在某些情况下，二氧化碳激光治疗具有一定优势，相比传统整形手术技术，其并发症发生率更高，且给患者带来的负担更大。尽管对主治医生来说操作耗时，但二氧化碳激光仍成功去除了特别大的纹身、多发性睑黄瘤和毛细血管瘤。
