CAJ | 학술논문

目的探讨Cynergy双波长激光治疗儿童皮肤血管性病变的疗效和不良反应.方法采用Cynergy双波长(595 nm和1064 nm)激光,对儿童皮肤血管性病变650例(草莓状血管瘤398例,鲜红斑痣252例)进行治疗,能量密度分别为5～15 J/cm2和30～80 J/cm2.并对其治疗效果及不良反应,以及鲜红斑痣疗效与患者年龄、部位、皮损颜色的关系进行分析.结果 650例患者在适合的脉宽及能量密度下,经过3～7次治疗,草莓状血管瘤有效率92.2％,粉红型鲜红斑痣有效率77.9％,紫红型鲜红斑痣有效率38.9％,增厚型鲜红斑痣有效率14.3％,总体不良反应发生率2.3％.经x2检验,鲜红斑痣疗效因患者年龄、部位、皮损颜色而异,患者年龄越小,皮损颜色越浅,疗效越好,眶周疗效好于额面和四肢.结论 Cynergy双波长激光治疗儿童皮肤血管性病变,疗效显著,不良反应轻,是一种新的治疗技术,安全、可靠,值得推广应用.
목적 탐토Cynergy쌍파장격광치료인동피부혈관성병변적료효화불량반응.방법 채용Cynergy쌍파장(595 nm화1064 nm)격광,대인동피부혈관성병변650례(초매상혈관류398례,선홍반지252례)진행치료,능량밀도분별위5～15 J/cm2화30～80 J/cm2.병대기치료효과급불량반응,이급선홍반지료효여환자년령、부위、피손안색적관계진행분석.결과 650례환자재괄합적맥관급능량밀도하,경과3～7차치료,초매상혈관류유효솔92.2％,분홍형선홍반지유효솔77.9％,자홍형선홍반지유효솔38.9％,증후형선홍반지유효솔14.3％,총체불량반응발생솔2.3％.경x2검험,선홍반지료효인환자년령、부위、피손안색이이,환자년령월소,피손안색월천,료효월호,광주료효호우액면화사지.결론 Cynergy쌍파장격광치료인동피부혈관성병변,료효현저,불량반응경,시일충신적치료기술,안전、가고,치득추엄응용.
Objective To explore the curative effect and adverse reactions through Cynergy dual wavelength laser to cure skin vascular pathological changes in children.Methods Cynergy dual wavelength (595 nm and 1064 nm) laser were used to treat the skin vascular pathological changes in children (650 cases) including strawberry-shaped hemangioma (398 cases) and port wine stain (252 cases).Anergy density was 5-15 J/cm2 and 30-80 J/cm2.The curative effect and adverse reaction and also the relationship between the port wine stain curative effect and the age of patient,location,and colour of skin lesions were analyzed.Results In total 650 cases after 3-7 times treatments under suitable pulse width and energy density,the curative effect for strawberry-shaped hemangioma was 92.2 ％,that for pink type port wine stain was 77.9 ％,that for purple type port wine stain was 38.9 ％,and that for thickening type port wine stain was 14.3 ％ ; the overall adverse reaction rate was 2.3 ％.After test with x2 analysis,the curative effect of port wine stain also varied depending on the age of patient,location,and colour of skin lesions.The younger the age of patient and shallower of colour of skin lesions,and the better the curative effect.The curative effect for location around the eyes was better than frontal face and limbs.Conclusions Application of Cynergy dual wavelength laser in treatment of the skin vascular pathological changes in children has notable curative effect and low adverse reaction.It is a new curative technology and also safe and reliable.It is worthy of popularization and application.