Nd:YAG激光治疗80例口腔黏膜静脉畸形的效果评价

doi:10.19439/j.sjos.2023.02.010

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (2): 166-171.doi: 10.19439/j.sjos.2023.02.010

Nd:YAG激光治疗80例口腔黏膜静脉畸形的效果评价

赵宁¹, 孙立英², 李云玲³, 马川⁴, 蔡圳³, 朱超³

1.潍坊医学院口腔医学院,山东潍坊 261000;
2.临沂市人民医院呼吸与危重症医学科,山东临沂 276000;
3.临沂市人民医院口腔科,山东临沂 276000;
4.山东大学口腔医学院（口腔医院）口腔颌面外科,山东济南 250012

收稿日期:2022-03-29 修回日期:2022-05-15 出版日期:2023-04-25 发布日期:2023-06-13
通讯作者: 朱超,E-mail: zhuchao31400@163.com
作者简介:赵宁（1996-）,男,在读硕士研究生,E-mail: zhaoning961011@163.com
基金资助:
国家自然科学基金（31400828）

Evaluation of the efficacy of Nd:YAG laser in the treatment of 80 patients with oral mucosal venous malformation

ZHAO Ning¹, SUN Li-ying², LI Yun-ling³, MA Chuan⁴, CAI Zhen³, ZHU Chao³

1. Department of Stomatology, Weifang Medical University. Weifang 261000, Shandong Province;
2. Department of Respiratory and Critical Care Medicine, Linyi People's Hospital. Linyi 276000, Shandong Province;
3. Department of Stomatology, Linyi People's Hospital. Linyi 276000, Shandong Province;
4. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Shandong University. Jinan 250012, Shandong Province, China

Received:2022-03-29 Revised:2022-05-15 Online:2023-04-25 Published:2023-06-13

摘要/Abstract

摘要： 目的: 评价Nd:YAG激光治疗口腔黏膜静脉畸形的效果。方法: 对80例口腔黏膜静脉畸形患者进行一次或多次Nd:YAG激光治疗,采集并比较激光治疗前后病灶照片,使用视觉模拟评分（VAS）评估患者满意度。采用SPSS 22.0软件包对数据进行统计学分析。结果: 80例患者中,治愈58例,显效21例,治愈率达72.5%,显效率达98.75%。9例患者（11.25%）在激光治疗后出现不良反应,包括萎缩性瘢痕2例、口腔黏膜溃疡4例、暂时性色素沉着2例和暂时性色素减退1例,符合有效治疗的预期反应。随访结果显示,多数患者获得最大满意度值。结论: Nd:YAG激光治疗口腔黏膜静脉畸形是一种有效和安全的治疗方法,具有疗效肯定、副作用小等优点, 值得推广应用。

关键词: Nd：YAG激光, 静脉畸形, 口腔黏膜

Abstract: PURPOSE: To evaluate the efficacy of Nd:YAG laser treatment for venous malformations. METHODS: Eighty patients with oral mucosal venous malformations underwent one or more Nd:YAG laser treatments, and photographs of the lesions before and after laser treatment were collected and compared, patients' satisfaction were assessed using visual analog scale (VAS). SPSS 22.0 software package was used for data analysis. RESULTS: A total of 58 cases were cured in 80 patients, 21 cases showed remarkable improvement. Nine patients(11.25%) experienced adverse effects after laser therapy, including atrophic scars in 2 patients, oral mucosal ulcers in 4 patients, transient hyperpigmentation in 2 patients, and transient hypopigmentation in 1 patient, which met the expected response to effective therapy, and the follow-up results showed that most patients achieved maximum satisfaction values. CONCLUSIONS: Nd:YAG laser is an effective and safe treatment for oral mucosal venous malformation with definite efficacy and few side effects, which is worthy of popularization and application.

Key words: Nd:YAG laser, Venous malformation, Oral mucosa

中图分类号:

R782

赵宁, 孙立英, 李云玲, 马川, 蔡圳, 朱超. Nd:YAG激光治疗80例口腔黏膜静脉畸形的效果评价[J]. 上海口腔医学, 2023, 32(2): 166-171.

ZHAO Ning, SUN Li-ying, LI Yun-ling, MA Chuan, CAI Zhen, ZHU Chao. Evaluation of the efficacy of Nd:YAG laser in the treatment of 80 patients with oral mucosal venous malformation[J]. Shanghai Journal of Stomatology, 2023, 32(2): 166-171.

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Nd:YAG激光治疗80例口腔黏膜静脉畸形的效果评价

Evaluation of the efficacy of Nd:YAG laser in the treatment of 80 patients with oral mucosal venous malformation

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