铒激光像束模式的临床应用  

Clinical application of erbium laser pixel mode

作　　者：郑荃[1] 何梅[1] 李纯青[1] 黄剑美[1] 郁梅[1] 肖霞[1] 黄卫红[1] 

机构地区：[1]四川华美紫馨医学美容医院美容皮肤中心,四川成都610071

出　　处：《中国美容整形外科杂志》2008年第5期333-335,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨铒激光像束模式的临床应用适应证。方法自2007年5月至2008年5月,采用铒激光像束模式对522例面部皮损的患者进行美容治疗,其中黄褐斑136例,色素沉着116例,皮肤质地老化134例,浅表小瘢痕92例,雀斑23例,毛细血管扩张21例。选择光斑为7×7或9×9点束,脉宽为短(500～800 ms)、中(500～1000 ms)、长(600～1200 ms)三种。并针对不同的面部皮损进行了1～10次的治疗。结果治疗后随访522例患者1～3个月。各种皮损的有效率:黄褐斑为94.85%,色素沉着为95.69%,皮肤老化为97.76%,浅小瘢痕为100%,雀斑为8.69%,毛细血管扩张为0。无水疱、感染及瘢痕等并发症出现。结论铒激光像束模式适用于面部黄褐斑、色素沉着、皮肤老化及浅表小瘢痕的治疗,美容效果好,不良反应少,患者易于接受,是一种安全有效治疗面部皮损的方法。但不适用于面部雀斑和毛细血管扩张的治疗。Objective To study the indications for clinical application of the erbium laser pixel mode. Methods From May 2007 to May 2008, 522 cases with various lesions underwent cosmetic treatment with the erbium laser pixel mode, including cases of chloasma （136 cases）, pigmentation （116 cases）, aging skin （134 cases）, superficial scar （92 cases）, freckle （23 cases）, and telangiectasis （21 cases）. The Pixel faeula mode was 7 × 7 or 9 × 9 bits. Pulse duration was divided into three patterns, short （500-- 800 ms）, middle （500-1000 ms） and long （600-- 1200 ms）. The course of treatment ranged from 1 to 10 cycles according to the type of lesion. Results After 1 -- 3 months follow - up, the effective treatment rate of these various lesions in 522 cases was 94.85% in chloasma, 95.69% in pigmentation, 97.76% in skin aging, 100 % in superficial scar, 8.69% in freckles and 0 in telangiectasis. Complications such as bubbling, infection, and scarring did not occur during treatment with erbium laser pixel mode. Conclusion Application of erbium laser pixel mode is indicated for chloasma, pigmentation, skin aging and superficial scar. It has excellent cosmetic result with fewer side effects and high compliance. So it may be accepted as a safe and effective method for treament of lesions mentioned above except freckle and telangiectasis.

关 键 词：铒激光 像束模式 美容 

分 类 号：R454.2[医药卫生—治疗学]