Grekin R C, Flynn T C, Cooper D, Geisse J
Department of Dermatology, University of California School of Medicine, San Francisco, USA.
Int J Dermatol. 1997 Nov;36(11):865-9. doi: 10.1046/j.1365-4362.1997.00315.x.
The flashlamp-pumped dye laser, using either a 3 or 5 mm spot size, is an excellent instrument for the treatment of port-wine stains and other superficial cutaneous vascular lesions. Problems exist with patient acceptance due to prominent and prolonged blue-black discoloration and the pain associated with the treatment.
To assess the effectiveness of a flashlamp-pumped dye laser equipped with a 2 mm spot size lens in the treatment of superficial vascular lesions.
Twenty-one patients with telangiectasias, cherry angiomas, and angiokeratomas were treated at a variety of fluences.
Three of 21 patients had complete clearing of their superficial vascular lesions. An improvement of greater than 75% was noted by 11 patients, and six patients noted a 50%-75% improvement. One patient had less than 50% improvement. Less post-treatment discoloration and less pain were noted with the 2 mm spot size lens.
The 2 mm spot size lens, used with the flashlamp-pumped dye laser is an effective instrument for the treatment of superficial cutaneous vascular lesions.
闪光灯泵浦染料激光,采用3毫米或5毫米光斑尺寸,是治疗葡萄酒色斑和其他浅表皮肤血管病变的优秀仪器。由于明显且持久的蓝黑色色素沉着以及与治疗相关的疼痛,患者接受度存在问题。
评估配备2毫米光斑尺寸透镜的闪光灯泵浦染料激光治疗浅表血管病变的有效性。
对21例患有毛细血管扩张、樱桃状血管瘤和血管角化瘤的患者采用多种能量密度进行治疗。
21例患者中有3例浅表血管病变完全清除。11例患者改善超过75%,6例患者改善50%-75%。1例患者改善不足50%。使用2毫米光斑尺寸透镜时,治疗后色素沉着和疼痛较少。
与闪光灯泵浦染料激光配合使用的2毫米光斑尺寸透镜是治疗浅表皮肤血管病变的有效仪器。