Q开关755和1064nm激光治疗太田痣的疗效及其影响因素的分析  

Clinical Effects of Q-switching 755 nm and 1 064 nm Lasers on Nevus of Ota and Affecting Factors

作　　者：李永红[1] 林维嘉[1] 黄一锦[1] 李钟洙[1] 张启国[1] 

机构地区：[1]厦门大学附属第一医院皮肤性病科,厦门市361003

出　　处：《中国激光医学杂志》2012年第3期177-181,共5页Chinese Journal of Laser Medicine & Surgery

摘　　要：目的探讨Q开关755和1 064 nm激光治疗太田痣的疗效及其影响因素。方法应用Q开关755和1 064 nm激光治疗太田痣410例。探讨治疗1～6次及6次以上的效果,并分析疗效与治疗次数、患者年龄、皮损颜色、皮损部位的关系。结果 410例患者治疗1～6次痊愈186例,显效174例,有效38例,无效12例,痊愈率45.4%,有效率87.8%。疗效与治疗次数呈正相关。年龄越小、皮损颜色越浅,疗效越好。额、颧部病变疗效好于眼睑部,总体不良反应发生率2.2%。结论 Q开关755和1 064 nm激光治疗太田痣,疗效显著,不良反应小,安全、可靠,影响其疗效的相关因素主要有治疗次数、患者的年龄、皮损颜色、皮损部位,治疗时间间隔等。Objective To study the clinical effect of Q-switching 755nm and 1064nm lasers on nevus of Ota and the affecting factors of the thera- py. Methods Altogether all0 patients with nevus of Ota were treated with Q-switching 755 nm and 1 064 nm lasers. The curative effects on nevus of Ota after 1-6 times and more times of the therapy were observed respectively and the relation between curative effects and treat- ment frequency, ages of patients taking the therapy, and colors and location of skin lesions were analyzed separately. Results Results Of the 410 patients having received the therapy for 1-6 times, 186 patients were cured of nevus of Ota, 174 patients obtained significant effects, 38 patients saw an improvement and 12 patients failed to get any progress, indicating a cure rate of 45.4% and an effective rate of 87. 8%. The clinical effect was in direct proportion to treatment frequency. The younger the patients were and the lighter the skin color was, the better the effect was. The therapy had a better effect on the nevus of Ota around the forehead and cheek than on those around eyelids. The general occurrence rate of adverse reactions was 2. 2%. Conclusions Treating nevus of Ota with Q-switching 755nm and 1064nm lasers is highly effective, safe and reliable with small chances to incur adverse reactions. The factors affecting the curative effects include treatment frequency, ages of patients and colors and locations of skin lesions.

关 键 词：激光 太田痣 疗效影响因素 

分 类 号：R758.51[医药卫生—皮肤病学与性病学]