部分Er:YAG激光、脉冲染料激光和病灶内曲安奈德联合5-氟尿嘧啶治疗瘢痕疙瘩。

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of lasers in medical sciences Pub Date : 2023-08-29 eCollection Date: 2023-01-01 DOI:10.34172/jlms.2023.30
Bonnie Yudistha Anggawirya, Putri Hendria Wardhani, Diah Mira Indramaya, Muhammad Yulianto Listiawan
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引用次数: 0

摘要

简介:良性纤维增生性瘢痕大于初始病变称为瘢痕疙瘩。瘢痕疙瘩的治疗在临床实践中仍然很困难。尽管有各种各样的治疗选择,但没有一种是每个人都接受的,也没有复发的。多种治疗方式,如病灶内皮质类固醇注射5-氟尿嘧啶(5-FU)、部分Er:YAG激光、脉冲染料激光(PDL)等,可作为单一疗法或联合疗法使用。因此,应努力选择能提供最佳效果的治疗方法。病例介绍:一名6岁男孩的下嘴唇瘢痕疙瘩一直延伸到下巴,他成功地用2940 nm的分段Er:YAG激光和595 nm长的PDL交替治疗,然后在病变内联合注射皮质类固醇和5-FU。患者随访1年,无复发。结论:我们的病例支持联合治疗成功治疗下巴瘢痕疙瘩患者。使用这四种模式的组合治疗似乎是安全有效的,并且可能具有协同效应,停机时间最小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combination of Fractional Er:YAG Laser, Pulsed Dye Laser, and Intralesional Triamcinolone With 5-Fluorouracil for Keloid Treatment.

Introduction: Benign fibroproliferative scars that are larger than the initial lesion are called keloids. Keloids treatment in clinical practice is still difficult. Although there are various therapy choices, none is embraced by everyone or is relapse-free. Various treatment modalities such as intralesional corticosteroid injection with 5-fluorouracil (5-FU), fractional Er:YAG laser, pulsed dye laser (PDL), and others can be used either as monotherapies or combined therapies. Therefore, efforts should be made to select the treatment that will provide the best results. Case Presentation: A 6-year-old boy with keloids on the lower lips extending to the chin was successfully treated with a 2940-nm fractional Er:YAG laser alternated with a 595-nm long-PDL followed by the combined intralesional injection of corticosteroid and 5-FU. The patient was followed up for 1 year with no lesion recurrence. Conclusion: Our case supports a combined therapy to successfully treat a patient with a keloid on the chin. Therapy using a combination of these four modalities seems safe and effective and may have a synergistic effect with minimal downtime.

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来源期刊
Journal of lasers in medical sciences
Journal of lasers in medical sciences RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
3.00
自引率
13.30%
发文量
24
期刊介绍: The "Journal of Lasers in Medical Sciences " is a scientific quarterly publication of the Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences. This journal received a scientific and research rank from the national medical publication committee. This Journal accepts original papers, review articles, case reports, brief reports, case series, photo assays, letters to the editor, and commentaries in the field of laser, or light in any fields of medicine such as the following medical specialties: -Dermatology -General and Vascular Surgery -Oncology -Cardiology -Dentistry -Urology -Rehabilitation -Ophthalmology -Otorhinolaryngology -Gynecology & Obstetrics -Internal Medicine -Orthopedics -Neurosurgery -Radiology -Pain Medicine (Algology) -Basic Sciences (Stem cell, Cellular and Molecular application and physic)
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