摘要
目的 评价皮肤类型为Ⅲ至Ⅳ型的中国人鲜红斑痣患者的脉冲染料激光的治疗效果。方法回顾性分析252例中国人鲜纩斑痣患者，病变位于不同的解剖区域，采用脉冲染料激光治疗。治疗效果通过病变的清除率，即变色泽的淡化程度来衡量。治疗效果评价为：0〈差〈25％，25％≤一般〈50％，50％≤较好〈75％，75％≤满意≤100％。治疗效果比较通过以下方式：①比较面颈部三叉神经的不同分区效果差异；②比较面部不同的解剖亚单位分区的效果差异；③比较不同面积病变的效果差异。结果位于三叉神经颈支分区的效果最好，位于第二支分区效果最差，在不同的面部亚单位分区中，额部效果最好，颧颊区效果最差。随着病变面积的增大，激光治疗效果降低。此外，位于四肢部位的病变激光治疗效果一般。结论鲜红斑痣的激光治疗效果不仅与解剖部位相关，而且与病变的大小有关，治疗效果的差异关系到治疗前的效果预测及治疗方案的选择。治疗前患者正常的期望值和医生的合理建议是非常重要的。
Objective To assess the efficiency of the PDL in the treatment of PWS in Chinese patients with skin type Ⅲ-Ⅳ. Methods 252 patients with PWS at different anatomical sites were retrospectively studied. A flashlamp-pumped pulsed dye laser was used. The differences in therapeutic effect of laser were analyzed in the following ways ： ①by dermatomal distribution of face and neck ; ② by anatomical subdivision of face ; ③ by the size of the lesion. The therapeutic effect was graded as 0 ≤ poor 〈 25% , 25% ≤fair 〈 50% ,50% ≤ good 〈 75% ,75% ≤ excellent ≤ 100%. Results It revealed that the lesions at neck had the best response. The dermatome Ⅱ zone showed the least response to PDL. Among the anatomical subdivision of face, the frontal area had the highest clearance, while the zygoma and cheek had the lowest clearance. Patients with PWS on the extremities respond less favorably with the fair lightening effect. Furthermore, the mean lightening was decreased as the size of PWS was increased. Conclusions The response difference of PWS to PDL was not only related to the anatomical region, but also related to the lesion size. It is imperative to give the patients rational treatment suggestion and normal expectation.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2011年第5期348-351,共4页
Chinese Journal of Plastic Surgery
关键词
鲜红斑痣
激光
Port wine stain
Laser
