Efficacy analysis of 595 nm pulsed dye laser treatment for superficial hemangioma on different sites in infants
10.3760/cma.j.cn114453-20201221-00638
- VernacularTitle:595 nm脉冲染料激光治疗婴幼儿不同部位浅表性血管瘤的效果分析
- Author:
Siding LU
1
;
Wenjuan SHEN
;
Mingde LIAO
;
Jia LIAO
;
Zhao QIN
;
Chunyan LI
;
Guoqian YIN
Author Information
1. 广西医科大学附属第一医院整形美容外科,南宁 530021
- Keywords:
Lasers, dye;
Hemangioma;
Body regions;
Infants;
Treatment outcome
- From:
Chinese Journal of Plastic Surgery
2021;37(12):1320-1327
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of 595 nm pulsed dye laser treatment for superficial hemangiomas on different sites of infants(≤3 years old) .Methods:From January 2018 to January 2020, we retrospectively analyzed the data of infants with superficial hemangioma in our hospital. They were treated with 595 nm pulsed dye laser. The energy and frequency of laser treatment, the effects and adverse reactions were recorded. t-test, SNK- q test and Chi-square test were used to analyze the data. Results:A total of 437 infants were enrolled, including 168 male and 269 female. The ages ranged from 0 to 36 months. They were divided into different lesion sites as head (34 cases) , forehead (37 cases) , cheek (61 cases) , periocular (30 cases) , nose (21 cases) , lip (12 cases) , perioral (10 cases) , ear (16 cases) , neck (26 cases) , chest (36 cases) , abdomen (24 cases) , back (21 cases) , buttocks (12 cases) , perineum (14 cases) , upper arm and forearm (30 cases) , hand (25 cases) , thigh (18 cases) , and foot (10 cases) . The average treatment energy of each sites was 8.0 J/cm 2 , with no significant difference( P>0.05) . The average number of treatments on the head, forehead, cheek, periocular, nasal, lip, perioral and foot was higher than that on other sites, showing a statistical significance ( P<0.05) ; among them, the nasal and perioral parts had most treatments. The total effective rate was 96.57%(422/437). The complications happened in 35 cases(8.01%), including hypopigmentation(22 cases), hyperpigmentation(5 cases), atrophic scar (8 cases). Conclusions:595 nm pulsed dye laser has a good therapeutic effect on infantile superifcial hemangioma with low adverse effect. Hemangioma on different sites requires different times of treatment.