调Q开关1064nm激光治疗太田痣的疗效分析  

Analysis on Therapeutic Efficacy of Q-Switching 1 064 nm Laser on Nevus of Ota

作　　者：刘晓红 苑凯华[2] 张桃花[2] 吴少强 

机构地区：[1]三亚市人民医院皮肤科,三亚市572000 [2]广州军区广州总医院整形外科

出　　处：《中国激光医学杂志》2013年第3期151-155,共5页Chinese Journal of Laser Medicine & Surgery

摘　　要：目的分析Q开关1064nm激光治疗太田痣的临床疗效。方法太田痣患者248例,采用Q开关1064nm激光治疗。回顾分析治疗后疗效、影响因素及并发症。结果 248例患者,经过1～6次和6次以上治疗,痊愈的患者为236例(95.2%),显效的患者为12例(4.8%)。治疗次数与疗效呈正相关,随着治疗次数的增加,治疗有效率与痊愈率随之增高。治疗4次时,皮损颜色为灰褐色(78.2%)患者的显效率较蓝黑色(59.4%)的患者高;额部(75.7%)、颧颞部(75.8%)皮损的疗效较眼睑部(51.8%)好。治疗时常见的即刻不良反应为局部疼痛、渗血、肿胀。19例(7.4%)出现了短暂性色素沉着。结论 Q开关1064nm激光治疗太田痣,疗效显著,不良反应小,安全、可靠。Objective To analyze the efficacy of Q-switching 1 064 nm laser in treating Nevus of Ota. Methods Altogether 248 patients with Nevus of Ota were treated with Q-switching 1 064 nm laser. The efficacy, treatment times and color and location attributes of the treatment were studied retrospectively. Results Of the 248 patients, 236 （95.2%） were cured, and 12 （4. 8% ） showed remarkable improvement after 1-6 or more sessions of the treatment. The clinical efficacy was in direct proportion to treatment times. The lighter the skin color was, the better the effect was. The efficacy for the skin lesion within the forehead and temporal and nasal areas were much better. Pain, topical erythema and er- rhysis were commonly reported immediately after the laser treatments. Hyperpigmentation occurred in only 19 cases （7.4%）, which was resolved within 6 months. Conclusions Q-switching 1 064 nm laser appears to be safe, effective and well - tolerated in treating Nevus of Ota.

关 键 词：激光 太田痣 治疗 

分 类 号：R758.51[医药卫生—皮肤病学与性病学]