首页|促进婴幼儿血管瘤继发溃疡愈合的两种临床治疗的疗效比较

促进婴幼儿血管瘤继发溃疡愈合的两种临床治疗的疗效比较

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目的 比较两种不同治疗措施对于促进婴幼儿血管瘤继发溃疡愈合的临床疗效及安全性.方法 自2023年8月至2024年7月,上海交通大学医学院附属第九人民医院整复外科收治24例轻中度婴幼儿血管瘤溃疡患儿,随机分为两组,12例/组.分别给予局部外用噻吗洛尔治疗(3次/d,20~30 min/次)及脉冲染料激光治疗(1次/周)直至溃疡完全愈合.分别记录各组患儿的溃疡愈合时间、不良反应等.结果 外用噻吗洛尔组和脉冲染料激光组平均溃疡愈合时间比较,差异无统计学意义(P=0.64).未出现热损伤、过敏或溃疡恶化等不良反应.外用噻吗洛尔治疗费用明显低于脉冲染料激光治疗.结论 外用噻吗洛尔和脉冲染料激光对于促进婴幼儿血管瘤继发溃疡愈合均有良好的效果且愈合时间相当.患儿家属在选择治疗方式时可参考治疗频率及治疗费用.
Comparison of the efficacy of two clinical therapies to promote healing of ulcerated hemangiomas
Objective To explore the clinical efficacy and safety of two different therapeutic options to promote the healing of ulcers secondary to infantile hemangiomas.Methods Twenty-four children with mild to moderate infantile hemangioma ulcers were admitted to the Department of Plastic and Reconstructive Surgery of Shanghai Ninth People's Hospital from August 2023 to July 2024,and were randomly divided into two groups,12 cases/group.They were given topical timolol treatment(three times a day,each time for 20 to 30 minutes)and pulsed dye laser treatment(once a week)until the ulcers were completely healed,respectively.The ulcer healing time,adverse events and oth-er information of the children in each group were recorded separately.Results There was no significant difference in the basic condition of the children and the ulcer manifestations before treatment in both groups.The mean healing time was not statistically different between the topical timolol group and the pulsed dye laser group(P=0.64).No children experienced adverse events such as thermal injury,allergy,or ulcer deterioration.Conclusion Topical timolol and pulsed dye laser were both effective and have comparable healing times in promoting healing of ulcerated hemangiomas.Parents can refer to the frequency and expense of treatment when choosing a treatment modality.

Infantile hemangiomaUlcersTimololPulsed dye laserClinical efficacy

常睿、陈千一、张世仁、常雷、仇雅璟、林晓曦

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上海交通大学医学院附属第九人民医院整复外科,上海 200011

上海交通大学医学院附属第九人民医院激光美容科,上海 200011

婴幼儿血管瘤 溃疡 噻吗洛尔 脉冲染料激光 临床疗效

2024

中国美容整形外科杂志
中国医师协会 辽宁省人民医院 沈阳军区总医院

中国美容整形外科杂志

CSTPCD
影响因子:0.605
ISSN:1673-7040
年,卷(期):2024.35(12)