激光治疗婴幼儿浅表性血管瘤的疗效及并发症分析

Clinical Analysis of the Effect and Complication of Laser Therapy for Infantile Superficial Hemangioma

目的:探讨595nm PDL/1064nm Nd∶YAG激光治疗婴幼儿血管瘤的疗效及并发症,评估其安全性及治疗效果。方法:回顾性分析2014年1月-2016年12月笔者科室收治的接受激光治疗的828例婴幼儿血管瘤患者病例资料,统计其疗效及并发症发生情况。结果:828例婴幼儿血管瘤(年龄≤6个月)接受激光治疗,单项并发症发生情况:水疱103例(12.44%)、色素脱失54例(6.52%)、色素沉着12例(1.45%)、浅表瘢痕27例(3.26%)、溃疡24例(2.90%),复发7例(0.85%),有43例(5.19%)因效果不佳改用其他治疗方案,总有效率82.49%、优良率76.21%。结论:595nmPDL/1064nmNd∶YAG激光治疗婴幼儿浅表性血管瘤安全性较高,副作用小。

Objective To analysis of complication of laser treatment for infantile hemangioma, therapeutic safety and significance. Methods Laser was applied to 828 cases with infantile hemangiomas (IH) in Quanzhou Children Hospital,Department of Plastic Surgery from January 2014 to December 2016. Results 828 cases(≤ 6 months) of IH conforms to the standard,the total effective rate was 82.49%(683 cases), in the meantime the excellent and good rate was 76.21%(520 cases).The single side effect included blisters (103 cases,12.44%),hypopigmentation (54 cases,6.52%),hyperpigmentation (12 cases,1.45%),superficial scar (27 cases,3.26%).ulceration (24 cases,2.9%),relapse (7cases,0.85%).At the same time,because of the treatment effect were not ideal,43 cases were switched to other therapies. Conclusion The 595nm pulsed dye laser and 1 064nm Nd:YAG lager is an effective treatment for superficial hemangioma of infants with high security and few side reactions.