CO_2点阵激光治疗面部浅表性瘢痕的疗效观察  

Clinical observation of fractionated CO_2 laser in treating facial superficial scar

作　　者：刘秀峰[1] 钟晖[2] 潘文东[1] 陈永新[1] 文大江[1] 钟华[3] 

机构地区：[1]中国人民解放军第59中心医院烧伤整形外科,云南开远661600 [2]中国人民解放军第59中心医院脊柱外科,云南开远661600 [3]西南医院皮肤科,重庆400038

出　　处：《中国美容医学》2013年第17期1784-1786,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨CO2点阵激光治疗面部浅表性瘢痕的疗效和安全性。方法:回顾分析2011年1月～2011年12月笔者科室门诊使用CO2点阵激光治疗的124例面部浅表性瘢痕患者的疗效及并发症。治疗4次为1个疗程,治疗后观察临床疗效及不良反应,并分别于每次治疗前、治疗后及疗程结束后的1个月和3个月拍摄照片比较、记录恢复过程和不良反应。结果:经过1个疗程(4次)CO2点阵激光治疗后,照片评估发现每位患者面部浅表性瘢痕的高度及颜色均有明显改善,其中56例(45.16%)瘢痕变平,颜色接近正常肤色。医生参照改良后的VSS评估患者情况,瘢痕的柔韧度、色素及血管增生情况均较治疗前改善明显。患者满意程度为3.02±0.96。术后治疗区域轻度红肿、少许结痂,有5例患者(皮肤类型均为FitzpatricIV型)出现色素沉着,3个月后逐渐恢复正常。治疗后随访3个月,未发现其他并发症。结论:CO2点阵激光可以有效、安全地用于面部浅表性瘢痕的治疗,医生及患者均对治疗效果满意。Objective To investigate the efficacy and safety of fractionated CO2 laser in treating facia superficial scar. Methods The retrospective study was performed on 124 patients with facia superficial scar serviced in our department outpatient from January 2011 to December.All patients were treated by fractionated CO2 laser with a session of four treatments.The efficacy and complications were analyzed.Digital photos were taken before and after the treatment respectively,1 month and 3 months after the treatment to evaluate the efficacy.The recovery process and side effects were also recorded to assess the safety. Results At a session（4 steps） after surgery,the digital photos showed there was a predominance of height and color.According to the modification of the Vancouver Scar Scale,the doctor found that pliability,pigmentation and vascularity of scar improved visibly.The satisfaction of patients was 3.02±0.96.After the surgery,there was slightly flare and incrustation in the therapeutic area,and 5 patients （Fitzpatric IV） in pigmentation that gradually slaked after 3 months.After a follow-up inspection of 3 months,patients all showed curative efficacy without other complications. Conclusion The fractionated CO2 laser is effective and safe in the treatment for facial superficial scar. The doctor and patients are satisfied with the overall efficacy.

关 键 词：CO2点阵激光 面部浅表性瘢痕 

分 类 号：R619.6[医药卫生—外科学]