Особенности лазерной коагуляции «винных пятен» (случаи из практики)

Журнал "Амбулаторная хирургия" №1-2, 2019

DOI: https://doi.org/10.21518/1995-1477-2019-1-2-64-71

Белянина Елена Олеговна, кандидат медицинских наук, врач хирург-онколог, дерматокосметолог, Фрау Клиник «Клиника пластической хирургии и косметологии профессора Блохина С.Н. и доктора Вульфа И.А.»

Чрескожная лазерная  коагуляция (селективный фототермолиз) в настоящее время является «золотым стандартом» лечения «винных пятен». Однако достичь полного удаления сосудистого поражения удается крайне редко, а в 20% случаев отмечена резистентность к лазерному воздействию.

В статье приводятся клинические случаи лечения «винных пятен» у двух пациентов. На основе собственного опыта и данных литературы проведен анализ результатов лечения, побочных эффектов применения лазеров, а также рассмотрены альтернативные перспективные  методы лечения.

Sulodexide efficacy in the treatment of patients with chronic lower limb vein diseases of C1-C3 clinical classes according to CEAP

Belyanina Elena Olegovna, Candidate of Medical Sciences, surgeon-oncologist, dermatocosmetologist, FRAU KLINIK «Clinic of Plastic Surgery and Cosmetology of Professor Blokhin S. N. and Dr. Wolf I. A.»

Percutaneous laser coagulation (selective photothermolysis) is currently the «gold standard» for the treatment of «port-wine stains». However, complete removal of the vascular lesion is rarely possible, and in 20 % of cases there is resistance to laser attack. 

The article presents clinical cases of «port-wine stains» treatment in two patients. On the basis of own experience and literature data the analysis of treatment results, side effects of lasers application was carried out, and also alternative perspective methods of treatment were considered.

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