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目的评价长脉冲Nd:YAG激光治疗龟头静脉畸形的疗效及安全性。方法 10例龟头静脉畸形患者接受长脉冲1064nmNd:YAG激光治疗,7～8ms双脉宽、脉冲间隔20ms、120～140J/cm2能量密度、接触式冷却。治疗5～7次,治疗间隔1个月,疗程结束后随访12个月,观察并发症,并分五级评价病灶清除率。结果 1例患者治疗时有轻度疼痛;所有患者治疗部位均出现暂时性红斑和水肿,无出血、感染、色素改变、瘢痕形成和勃起功能障碍等。随访12个月,全部患者龟头静脉畸形病灶完全清除,未见复发。结论长脉冲Nd:YAG激光能安全有效地治疗龟头静脉畸形,并发症少,可作为龟头静脉畸形的首选治疗方法之一。
Objective To evaluate the efficacy and safety of long-pulse Nd: YAG laser in the treatment of glaucoma. Methods Ten cases of glaucoma were treated by long pulse 1064nm Nd: YAG laser with pulse width of 7-8ms, pulse interval of 20ms, energy density of 120-140J / cm2 and contact cooling. Treatment of 5 to 7 times, the treatment interval of 1 month, followed up for 12 months after the end of treatment, complications were observed, and five were evaluated lesions clearance rate. Results One patient had mild pain during treatment. All patients had temporary erythema and edema at the treatment site without hemorrhage, infection, pigmentation, scar formation and erectile dysfunction. All the patients had complete removal of the lesion of the glaucoma and no recurrence after 12 months of follow-up. Conclusion Long-pulsed Nd: YAG laser can be used safely and effectively in the treatment of glaucoma, with fewer complications and can be used as the first choice of treatment for glaucoma.