Induction of complete wound healing in recalcitrant ulcers by low-intensity laser irradiation depends on ulcer cause and size
| Autor: | Andreas Schindl, Harald Heinzl, Liesbeth Schindl, Monika Schindl, K. Kerschan, H. Schön |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Immunology Healing time Neon Dermatology Helium Wound care Laser therapy Diabetes mellitus Skin Ulcer Confidence Intervals medicine Humans Immunology and Allergy Radiology Nuclear Medicine and imaging Adverse effect Analysis of Variance Wound Healing business.industry Dose-Response Relationship Radiation General Medicine Middle Aged medicine.disease Surgery Treatment Outcome Amputation Chronic Disease Female Low-intensity laser Laser Therapy Wound healing business |
| Zdroj: | Photodermatology, Photoimmunology & Photomedicine. 15:18-21 |
| ISSN: | 1600-0781 0905-4383 |
| DOI: | 10.1111/j.1600-0781.1999.tb00047.x |
| Popis: | Chronic skin ulcers still represent a therapeutic challenge in dermatology. Among the various non-invasive treatment modalities used for the improvement of impaired wound healing, low-intensity laser irradiations are gaining an increasing body of interest. We used low-intensity laser irradiations delivered by a 30 mW helium-neon laser at an energy density of 30 J/cm2 three times weekly for the induction of wound healing in ulcers of diverse causes. Twenty patients with the same number of ulcers, which had previously been treated by conventional wound care for a median period of 34 weeks (range: 3-120 weeks) without any significant evidence of healing, were included in the study. Concerning the underlying disorders, patients were divided into four groups: diabetes, arterial insufficiency, radio damage and autoimmune vasculitis. In all ulcers, complete epithelization could be induced by laser therapy. No amputation or any other surgical intervention was necessary and no adverse effects of any kind were noted during low-intensity laser treatment. Regarding the different diagnoses, a statistically significant difference was noted (P = 0.008): ulcers due to radio damage healed significantly faster than those caused by diabetes (6 weeks [range: 3-10 weeks] vs. 16 weeks [range: 9-45 weeks], P = 0.005). Wound healing in autoimmune vasculitis (24 weeks [range: 20-35 weeks]) required longer than in radiodermitis, although the difference was not significant. In addition to the diagnosis, wound size was found to be an important factor influencing the duration of wound closure (P = 0.028), whereas duration of previous conventional treatment (P = 0.24) and depth (P = 0.14) showed no effect. Our results indicate that low-intensity laser irradiation could be a valuable non-invasive tool for the induction of wound healing in recalcitrant ulcers, and that healing time is correlated with the ulcer cause and size. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text