Q开关激光1064nm联合532/1064nm混合波长治疗颧部褐青色痣  

Efficacy of Q-switched laser 1064nm combining 532/1064nm mixing wave length:treatment on Naevus Fuscocaendeus Zygomaticu

作　　者：安丽莎[1] 李大铁[1] 唐正喜[1] 王晶[2] 谢永红[1] 黄勅凯 

机构地区：[1]贵州遵义医学院附属医院美容医院激光科,贵州遵义563000 [2]贵州遵义医学院附属医院美容医院激光科贵,州遵义563000

出　　处：《中国美容医学》2009年第3期356-357,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察Q开关Nd:YAG激光1064nm联合532/1064nm混合波长治疗颧部褐青色痣(Naevus Fuscocaendeus Zygomaticus,NFZ)的疗效分析。方法:选择1064nm联合532/1064nm混合波长治疗NFZ158例,每次治疗间歇期为3～6月,平均治疗4次。结果:3例治疗2次,86例治疗3～4次,61例治疗超过4次,8例中途放弃治疗。最后一次治疗后6～12个月后复诊,有效率可达100%,治愈率为61.3%。约10%的患者术后产生较严重的色素沉着,多为可逆性,一般6～10月后会自行变淡。术后无一例产生瘢痕或色素脱失等不良反应。结论:Q开关激光1064nm联合532/1064nm混合波长治疗NFZ能有效降低术后色素沉着的发生,并大大的提高治愈率,是目前治疗该病较为理想的一种方法。Objective To observe the therapeutic effect of Q-switched Nd： YAG laser irradiation of 1064nm combining 532/1064nm mixing wave length for Naevus Fuscocaendeus Zygomaticus （NFZ）. Methods A total of 158 NFZ cases were treated with 1064nm combine 532/1064nm mixing wave length. The interval duration between treatments is 3-6 months,totally 4 treatments in average. Results 3 cases cured by 2 treatments,86 cases cured by 3-4 treatments, 61 cases cured by exceed 4 treatments,8 cases quit the treatment in the middle way. The therapeutic effect rate achieves 100% with further therapeutic 6 -12 months after the last therapy, while cured rate is 61.3%. Among those cases, approximately 10% of sufferers would produce a distinct pigmentation after operation,however it mostly attributed from the reversibility and it will be cleaned out gradually itself in general.There is no any case leading to ill effect of scar or pigment fadeout occurring after therapy. Conclusion Q-switched laser irradiation of 1064nm combine 532/1064nm mixing wave length for NFZ has therapeutic effect to reduce the occurring of pigmentation after operation, as well as to increase significantly the cured rate. It proves to be regarded as the most ideal method to remedy NFZ at present.

关 键 词：褐青色痣 Q开关ND YAG多波长激光 

分 类 号：R751[医药卫生—皮肤病学与性病学]