调Q激光治愈太田痣后复发病例分析  

Clinical research on recurrence of nevus of Ota after successful treatment with Q-switch lasers

作　　者：翁伟丽[1] 李勤[1] 余文林[1] 

机构地区：[1]广州军区广州总医院整形外科,广东广州510010

出　　处：《临床皮肤科杂志》2012年第1期53-55,共3页Journal of Clinical Dermatology

摘　　要：目的:研究调Q激光治愈太田痣后复发情况,了解复发可能存在的原因。方法:对经治愈的1510例太田痣患者进行随访,对24例复发的太田痣病例进行回顾性分析。结果:太田痣复发患者中,女性居多,均为育龄期妇女,大部分复发前有妊娠史,另一部分患者复发前有过度日晒史。男性患者中,复发前有过度日晒病史。女性患者复发率较男性高,差异具有统计学意义。Ⅲ型太田痣复发率最高,各型复发率相比差异均有统计学意义。初次就诊并开始治疗的年龄大多数在青少年时期,治愈后平均经过6.5年出现复发。复发患者再次治疗仍有效。结论:复发是太田痣激光治疗后的一个并发症,其发生与性激素、日晒及治疗次数不足有关。Objective： To retrospectively analyze recurrence of nevus of Ota after successful treatment with Q-switched lasers and investigate the possible reasons for recurrence. Methods： The clinical data from 1 510 patients with nevus of Ota were analyzed retrospectively, which had been treated since November 1997 in our department, while 24 cases of recurrence of the nevus of Ota patients were evaluated retrospectively. Results： In 24 cases of recurrence, 22 eases were women, most of which had recurrence of their nevus after pregnancy, and part had recurrence after a history of overexposure to sun. For male patients, they had a history of overexposure to sun. The recurrence rate of female was much higher than that of male, and the difference was statistically significant. Nevus of Ota of type III had the highest recurrence rate. The 24 cases re- lapsed after an average of 6.5 years, and effectiveness after recurrence could achieve again with Q-switched lasers, Con clusion： Recurrence is an important complication after laser treatment in nevus of Ota, which is due to hormones, sun exposure and inadequate treatment.

关 键 词：太田痣 调Q激光 复发 

分 类 号：R758.5[医药卫生—皮肤病学与性病学]