激光治疗的并发症及防治措施
激光治疗可能出现的并发症包括水泡、色素沉着、瘢痕等，多与参数选择不当有关。水疱多发生于肤色较深、皮肤较薄者及夏季治疗者，另外，参数个性化设置不当，如激光能量过强、脉宽过大、动态冷却持续时间过短也易出现水疱，严重者可出现瘢痕。患者局部出现水泡和瘢痕，多因治疗时光斑重叠、局部能量过大所致。提醒临床医师应仔细进行每一次的操作，特别注意治疗后的即刻反应。
综上，随着我国经济的发展和人民生活水平的日益提高，国民对生活品质的要求也越来越高，对毛细血管扩张及网状静脉曲张的治疗越来越重视。微创治疗是发展趋势，规范治疗可获得良好临床疗效。下肢毛细血管扩张及网状静脉曲张若不及早治疗，常会逐渐加重，这时治疗难度、患者痛苦和经济成本都逐步升高。早期治疗对于延缓疾病进程、提高患者的生活质量尤为重要。采用硬化剂注射、激光等手段微创治疗下肢毛细血管扩张及网状静脉曲张越来越受到关注，具有广阔的发展前景。
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（赵海光 杨 振 董继英）