CAJ | 학술논문

目的对比观察3种红外波长激光治疗小儿面部草莓状血管瘤( strawberry hemangio ma,SH)的疗效及容貌结果.方法 5～12岁面部SH患儿300例,随机分为半导体激光组,Nd:YAG激光组和CO2激光组,每组100例.3组治疗参数相同(功率10W、光斑直径0.2cm、功率密度318 W/cm2),根据皮损面积大小,半导体激光组和Nd:YAG激光组分别行非接触式扫描凝同术,CO2激光组行气化术.治疗后6个月复查评定疗效及容貌结果.结果治愈率半导体激光组89％,Nd:YAG激光组83％,CO2激光组69％(P＜0.05);容貌优良率CO2激光组87.0％,半导体激光组86.5 ％,Nd:YAG激光组57.8％(P＜0.01);平均治疗次数、治疗时间和治疗中出血量半导体激光组均少于Nd:YAG激光组和CO2激光组(P＜0.01).结论波长830 nm的半导体激光(功率密度318 W/cm2),治疗小儿面部SH具有1次治愈率高、治疗时间短、治疗中出血少和容貌结果好等优点,为治疗小儿面部SH的首选方法.
목적 대비관찰3충홍외파장격광치료소인면부초매상혈관류( strawberry hemangio ma,SH)적료효급용모결과.방법 5～12세면부SH환인300례,수궤분위반도체격광조,Nd:YAG격광조화CO2격광조,매조100례.3조치료삼수상동(공솔10W、광반직경0.2cm、공솔밀도318 W/cm2),근거피손면적대소,반도체격광조화Nd:YAG격광조분별행비접촉식소묘응동술,CO2격광조행기화술.치료후6개월복사평정료효급용모결과.결과 치유솔반도체격광조89％,Nd:YAG격광조83％,CO2격광조69％(P＜0.05);용모우량솔CO2격광조87.0％,반도체격광조86.5 ％,Nd:YAG격광조57.8％(P＜0.01);평균치료차수、치료시간화치료중출혈량반도체격광조균소우Nd:YAG격광조화CO2격광조(P＜0.01).결론 파장830 nm적반도체격광(공솔밀도318 W/cm2),치료소인면부SH구유1차치유솔고、치료시간단、치료중출혈소화용모결과호등우점,위치료소인면부SH적수선방법.
Objective To observe the effect of treatment and cosmetology in cbildren patients with strawberry hemangioma (SH) on face by three kind of infrared wavelength lasers.Methods In 300 children patients aged from 5 to 12 years with SH on face were randomly divided into a semi con ductor laser group (100 cases),a Nd ∶ YAG laser group (100 cases) and a CO2 laser group (100 cases).The parameters of laser were the same in the three groups,such as 10 W,light spot 0.2 cm in diameter and 318 W/cm2.According to size of area in the semiconductor laser and Nd ∶ YAG laser groups SH were coagulated by semiconductor laser and Nd ∶ YAG laser,and in the CO2 laser group it were gasified by CO2 laser,respectively.Children patients with SH were followed up for observation of cicatrzation and evaluation of the effect of therapeutics and cosmetology at six months after laser treatment.Results The cure rates were 89 ％ in the semiconductor laser group,83 ％ in the Nd ∶ YAG laser group and 69 ％ in the CO2 laser group (P＜0.05).The excellent and faworahle rates of cosmetic effect were 87.0 ％ in the CO2 laser group,86.5 ％ in the semiconductor laser group and 57.8 ％ in the Nd ∶ YAG laser group (P＜0.01).The analysis also showed that average therapeutic time,operative time and quantity of bleeding in the semiconductor laser group were less than that of in the Nd ∶ YAG laser and CO2 laser groups (P＜0.01).Conclusions The semiconductor laser (wave length 830 nm and power 318 W/cm2) for the treatmet of children patients with SH on face has many advantages,such as higher cure rate,shorter operative time,less bleeding in operation and better cos metic effects.It might become a first selective therapy for children patients with SH on face.