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目的探索激光治疗口腔颌面部静脉畸形与血管瘤的最佳方案。方法自1999年6月至2002年7月,上海第二医科大学附属第九人民医院口腔医学院共收治各种静脉畸形与血管瘤病例2481例。分别应用连续式CO2、Nd:YAG和Krypton激光及脉冲染料激光、超脉冲CO2激光治疗。激光照射方式有单纯照射、手术翻瓣照射、光动力疗法。结果经2～5年随访观察发现,1966例获得显著疗效,显效率为79.24%,355例有效,有效率为14.31%,160例疗效较差(6.45%)。结论激光是治疗口腔颌面部各种静脉畸形与血管瘤的有效方法,治疗的关键是正确掌握适应证。
Objective To explore the optimal laser treatment of oral and maxillofacial venous malformations and hemangiomas. Methods From June 1999 to July 2002, a total of 2481 cases of venous malformations and hemangiomas were admitted to the Stomatology School of the Ninth People’s Hospital of Shanghai Second Medical University. Continuous CO2, Nd: YAG and Krypton lasers, pulsed dye laser and ultra-pulsed CO2 laser were used respectively. There is a simple method of laser irradiation, surgical flap shine, photodynamic therapy. Results The follow-up of 2 to 5 years showed that 1966 patients achieved remarkable curative effect, the effective rate was 79.24%, 355 were effective, the effective rate was 14.31%, and 160 patients were less effective (6.45%). Conclusion Laser is an effective method for the treatment of various types of venous malformations and hemangiomas in oral and maxillofacial region. The key to treatment is to correctly understand indications.