长脉冲1064nmNd：YAG激光治疗皮肤血管性疾病

目的探讨应用长脉冲1064nm Nd：YAG激光治疗皮肤血管性疾病的治疗效果。方法自2005年2月至2009年2月，应用长脉冲1064nm Nd：YAG激光治疗皮肤血管性疾病285例，对鲜红斑痣、草莓样血管瘤、混合性血管瘤、皮肤毛细血管扩张、血管痣及充血性增生瘢痕等皮肤血管性疾病，根据皮损的不同性质选定不同能量的光束进行照射，视情况重复治疗1—5次。治疗结束6个月后随访，评价治疗效果。结果285例中，有效245例，有效率为85．9％，治愈153例，治愈率为53．7％，出现色素性改变52例（18．2％），均在数月至半年后恢复，遗留浅表性瘢痕10例（3．51％），增生性瘢痕2例（0．7％）。结论长脉冲长脉冲1064nm Nd：YAG激光治疗皮肤血管性疾病具有起效快、疗效显著、不良反应小的优点，具有重要的临床应用价值。

Long pulsed 1064nm Nd: YAG Laser Treatment of Dermovascular Disease

Objective Evaluation Of long pulsed 1064nmNd: YAG laser treatment of dermovascular disease treatment effects. Methods A total of 285 cases of dermovascular disease were treated with long pulsed 1064nmNd: YAG laser including port wine stains, strawberry hemangiomas, expanded capillary and congested hypertrophic scar. from February 2005 to February 2009.During the management, different energy levels were decided on the basis of the reaction of each lesion and the treatment repeated 1 to 5 times. The treatment effect were evaluated after six months follow-up. Results 245 cases (85.9%) in 285 cases patients gained effective therapy. 153 cases (53.7%) obtained healing. There are 52 cases (18.2%) with temple pigment alteration after the courses of treatment which can recover in several months or haff a year, superficial depressed scar wereremained in 10 patients (3.51%),two patients (0.7%) showed hyperplastic scar. Conclusion Treatment of dermovascular disease with long pulsed 1064 nm Nd: YAG laser has the qualities of quick and remarkable action and few side effect. This method has important clinical application value.