Abstract
We present the experience of application of "Yakhroma-Med" copper vapor laser system for the treatment of venouse ectasia (VE) of the vermilion border. The yellow wavelength of the generated laser radiation reaches 578 nm falls at the peak of hemoglobin absorption. The treatment was conducted in 58 patients with VE rising above the skin for no more than 1 mm. 100% clinical result. With a hemangioma size of up to 1 cm, treatment efficiency was 87% after the first procedure and complete resolution in 13% of the patients after the second procedure. At a size of more than 1 cm, the efficiency was 71% after the first procedure and 29% after the second. A 100% clinical result was obtained. The therapeutic effect persisted throughout the year in all 58 patients. It has been established that microcirculation disorders processes and further development of VE are affected by a variety of exogenous factors: about a half (48.3%) of the patients were deliberately subjected to excessive sunlight exposure, more than a quarter lived in regions with adverse climatic factors (wind, cold, abnormally low humidity, etc.) (27.6%), or regularly received hyperthermic procedures (steam bath, sauna, etc.) (25.9%). A burn (thermal, chemical) is found in the medical history of one in every five women (20.7%). 17.2% of the patients indulged in excessive consumption of condimental, spicy and hot food.
Highlights
We present the experience of application of "Yakhroma-Med" copper vapor laser system for the treatment of venouse ectasia (VE) of the vermilion border
The yellow wavelength of the generated laser radiation reaches 578 nm falls at the peak of hemoglobin absorption
The treatment was conducted in 58 patients with VE rising above the skin for no more than 1 mm. 100% clinical result
Summary
Флебэктазия красной каймы губ, описанная в 1956 г. Для лечения небольших венозных эктазий на лице с успехом применяется склеротерапия. Для лечения небольших венозных эктазий используются следующие лазерные аппараты: углекислотный (СО2) [5], аргоновый (длина волны 488 нм) [6], криптоновый (568 нм), импульсный на красителях (585 нм), с аргоновой накачкой (585—690 нм), полупроводниковый (800 нм), Nd:YAG (1060 нм). В статье [9] лазер на красителе с желтой длиной волны 595 нм использован для лечения венозных эктазий на кайме губ. К селективным лазерам для лечения сосудистой патологии кожи относится лазерный медицинский аппарат на парах меди «Яхрома-Мед», желтая длина волны которого 578 нм попадает в полосу высокого поглощения оксигемоглобина, что позволяет производить селективную коагуляцию сосудов увеличенного диаметра, а зеленая длина волны 511 нм эффективно работает на пигментные новообразования [10,11,12,13]. Цель исследования: оценка безопасности и эффективности лечения кавернозных гемангиом лазерным аппаратом на парах меди с длиной волны 578 нм при помощи ретроспективного фотографического анализа
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