1064nmNd:YAG激光治疗化脓性肉芽肿103例疗效观察
|
摘要
目的探讨1 064nm Nd:YAG激光治疗化脓性肉芽肿的临床疗效。方法采用1 064nm Nd:YAG激光治疗化脓性肉芽肿103例,光斑直径6mm,脉宽9.5~10.5ms,能量密度90~115 J/cm~2,3~4周后复诊,疗效不佳者可进行第2次治疗,观察治愈率和不良反应。结果 1次治愈者48例,2次治愈者52例,2例患者治疗后遗留皮色赘生物,行冷冻治疗后消退,总治愈患者102例,治愈率99.03%,1例患者出现瘢痕,不良反应发生率0.97%,1例患者治疗无效。结论 Nd:YAG激光治疗化脓性肉芽肿治愈率高,不良反应发生率低。
Objective To investigate the efficacy of 1 064 nm Nd: YAG laser in treatment of granuloma pyogenicum. Methods The 103 cases were treated with 1 064 nm Nd:YAG laser,spot diameter was 6 mm,pulse width was 9. 5 ~ 10. 5 ms,energy density ranging from 90 to 115 J/cm~2. All patients revisited after 3 to 4 weeks to observe the effective rate and adverse reaction. Results In total,there were 102 cases cured after treatment,48 cases in the first treatment and 52 cases in the second,and two cases were treated with liquid nitrogen cryosurgery because of neoplasms. The total effective rate was 99. 03%. Scar occurred in 1 case and the adverse reaction rate was 0. 97%,one case had no effect. Conclusion Nd: YAG laser is effective and safe in treatment of granuloma pyogenicum.
Objective To investigate the efficacy of 1 064 nm Nd: YAG laser in treatment of granuloma pyogenicum. Methods The 103 cases were treated with 1 064 nm Nd:YAG laser,spot diameter was 6 mm,pulse width was 9. 5 ~ 10. 5 ms,energy density ranging from 90 to 115 J/cm~2. All patients revisited after 3 to 4 weeks to observe the effective rate and adverse reaction. Results In total,there were 102 cases cured after treatment,48 cases in the first treatment and 52 cases in the second,and two cases were treated with liquid nitrogen cryosurgery because of neoplasms. The total effective rate was 99. 03%. Scar occurred in 1 case and the adverse reaction rate was 0. 97%,one case had no effect. Conclusion Nd: YAG laser is effective and safe in treatment of granuloma pyogenicum.
引文
[1]倪思利,王华,罗晓燕,等.超脉冲CO2激光治疗儿童化脓性肉芽肿的临床疗效观察[J].重庆医科大学学报,2015,40(8):1156-1158.
[2]邹彦芬,叶庭路,秦晓蕾,等.长脉冲1 064nm Nd:YAG激光与二氧化碳激光及液氮冷冻治疗化脓性肉芽肿的疗效比较[J].实用皮肤病学杂志,2014,7(1):38-40.
[3]王全林,李秋蕊,王伟,等.CO2点阵激光治疗化脓性肉芽肿疗效观察[J].中国美容医学,2017,26(9):68-71.
[4]吴迪,陈斌,时素英,等.585nm Q开关脉冲激光、强脉冲光及长脉宽Nd:YAG激光治疗皮肤血管性疾病临床疗效比较[J].临床皮肤科杂志,2010,39(12):793-795.
[5]苏海辉,苑世萍,宫泽琨,等.长脉冲1 064nm Nd:YAG激光联合CO2激光治疗小儿化脓性肉芽肿的临床疗效观察[J].临床皮肤科杂志,2013,42(3):190-192.
[6]Nd:YAG 1 064nm激光治疗面部毛细血管扩张的临床体会[J].中国美容医学,2010,19(5):713-714.
[7]黄应,王建芳.长脉冲1 064nm Nd:YAG激光治疗儿童化脓性肉芽肿的疗效观察[J].现代实用医学,2012,24(8):879-880.
[8]冯育洁,岂红娇,赵俊英.长脉宽Nd:YAG 1 064nm激光治疗化脓性肉芽肿疗效观察[J].中国美容医学,2007,16(3):372-373.
[2]邹彦芬,叶庭路,秦晓蕾,等.长脉冲1 064nm Nd:YAG激光与二氧化碳激光及液氮冷冻治疗化脓性肉芽肿的疗效比较[J].实用皮肤病学杂志,2014,7(1):38-40.
[3]王全林,李秋蕊,王伟,等.CO2点阵激光治疗化脓性肉芽肿疗效观察[J].中国美容医学,2017,26(9):68-71.
[4]吴迪,陈斌,时素英,等.585nm Q开关脉冲激光、强脉冲光及长脉宽Nd:YAG激光治疗皮肤血管性疾病临床疗效比较[J].临床皮肤科杂志,2010,39(12):793-795.
[5]苏海辉,苑世萍,宫泽琨,等.长脉冲1 064nm Nd:YAG激光联合CO2激光治疗小儿化脓性肉芽肿的临床疗效观察[J].临床皮肤科杂志,2013,42(3):190-192.
[6]Nd:YAG 1 064nm激光治疗面部毛细血管扩张的临床体会[J].中国美容医学,2010,19(5):713-714.
[7]黄应,王建芳.长脉冲1 064nm Nd:YAG激光治疗儿童化脓性肉芽肿的疗效观察[J].现代实用医学,2012,24(8):879-880.
[8]冯育洁,岂红娇,赵俊英.长脉宽Nd:YAG 1 064nm激光治疗化脓性肉芽肿疗效观察[J].中国美容医学,2007,16(3):372-373.