长脉冲激光治疗下睑静脉性黑眼圈的临床研究  

Clinical research of infraorbital dark circles treated by long pulse 1064 nm Nd： YAG laser

作　　者：马刚[1] 林晓曦[1] 胡晓洁[1] 李伟[1] 金云波[1] 陈辉[1] 陈达[1] 江成鸿[1] 陈晓东[1] 叶肖肖[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海200011

出　　处：《中国美容整形外科杂志》2011年第9期526-528,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨长脉冲激光治疗下睑静脉性黑眼圈的临床疗效和安全性。方法采用长脉冲1064nm Nd：YAG激光，光斑直径6mm，双脉宽6—10ms，脉冲间隔20ms，能量130—140J／cm2，接触式冷却治疗，治疗间隔1个月；治疗后6个月时随访，并评价病灶的清除率，共分为五级：Ⅰ级（0～24％），Ⅱ级（25％～49％），Ⅲ级（50％～74％），Ⅳ级（75％～99％），Ⅴ级（100％）。结果本组30例患者，治疗1—3次，均达到下睑静脉完全清除。获随访6个月，清除率为100％，未见复发。治疗时，患者仅有中度疼痛（评分均值为3．6分），皮肤红斑均在24h内消退，治疗部位无一例发生紫癜、色素改变和瘢痕形成。结论长脉冲1064nmNd：YAG激光能有效、安全地治疗黑眼圈，并能选择性地清除显露的下睑静脉，对下睑皮肤无损伤，可达到理想的美容效果。Objective To explore the effectiveness and safety of long pulsed 1064 nm Nd：YAG laser therapy for the treatment of infraorbital dark circles due to the visible prominent veins. Methods The long pulsed 1064 nm Nd：YAG laser was adopted to treat the patients with 6 mm light spot, 6 to 10 ms double pulse width and 20 ms interpulse interval at 130 to 140 J/cm2 fluence; Contact cooling was used to protect epidermis with 1 month interval. The following up was performed at 6 months postoperatively, and the outcome was graded according to the clearance into five groups： Ⅰ （0 -24% ）, Ⅱ （25% -49% ）, Ⅲ （50% -74% ）,Ⅳ （75% - 99% ）, Ⅴ （100%）. Results After 1 to 3 times treatment, all inferior palpebral veins on 30 patients were cleared completely. After followed up for 6 months, the clearance was 100% without purpura and pigment alteration, sear formation and focal recurrence. The pain during treatment was slight （the average score： 3.6 marks） and the skin erythema was disappeared at 24 hours after treatment. Conclusion Long pulsed 1064 nm Nd：YAG laser is effective and safe enough for the treatment of venous infraorbital dark circles and selectively remove the visible prominent infraorbital veins. The side effects are minimal while ideal cosmetic results can be achieved.

关 键 词：ND:YAG激光 黑眼圈 下睑静脉 

分 类 号：R622[医药卫生—整形外科]