喉及气管血管瘤的激光治疗
Laser treatment of hemangiomas of the larynx and trachea.
作者信息
Cholewa D, Waldschmidt J
机构信息
Department of Pediatric Surgery, Benjamin Franklin Hospital, Free University of Berlin, Germany.
出版信息
Lasers Surg Med. 1998;23(4):221-32. doi: 10.1002/(sici)1096-9101(1998)23:4<221::aid-lsm5>3.0.co;2-a.
BACKGROUND AND OBJECTIVE
Hemangiomas have a typical clinical course and may lead to life-threatening obstruction if the central respiratory tract is involved.
STUDY DESIGN/PATIENTS AND METHODS: This was observed in 32 children over a period of 20 years. The radiation parameters and application procedure of Neodymium:Yttrium-Aluminum-Garnet-laser (Nd:YAG-laser) therapy were adjusted for the degree of obstruction and the type of disease.
RESULTS
The success rate was 93.8%, of which a maximum of one application was sufficient in 24 children (75.0%). Subglottic cicatricial stenosis was considered a laser-related complication.
CONCLUSION
Nd:YAG-laser treatment is a safe and effective therapeutic measure for eliminating respiratory tract obstruction caused by hemangiomas.
背景与目的
血管瘤有典型的临床病程，如果累及中央呼吸道可能导致危及生命的梗阻。
研究设计/患者与方法：在20年期间对32名儿童进行了观察。根据梗阻程度和疾病类型调整钕:钇铝石榴石激光（Nd:YAG激光）治疗的辐射参数和应用程序。
结果
成功率为93.8%，其中24名儿童（75.0%）最多一次治疗就足够了。声门下瘢痕性狭窄被认为是激光相关并发症。
结论
Nd:YAG激光治疗是消除血管瘤所致呼吸道梗阻的一种安全有效的治疗措施。
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