Alex激光治疗色素性疾病近远期疗效观察  

The Observe of Recent and Future Date Therapeutic Effect that Q-switched Alexandrite Treated the Skin Pigmented

作　　者：吕蓉[1] 陶丁[1] 

机构地区：[1]四川省医学科学院.四川省人民医院激光室,四川成都610072

出　　处：《四川医学》2014年第5期530-532,共3页Sichuan Medical Journal

基　　金：四川省卫生厅科研资助课题(编号:060126)

摘　　要：目的观察Q开关紫翠宝石激光（Alexandrite激光）治疗皮肤色素增加性疾病的近远期疗效。方法回顾性统计分析Alexandrite激光治疗皮肤色素增加性疾病1046例的近期临床疗效。并对经Alex激光治愈后满5年的183例患者进行电话或信件方式随访,了解其远期疗效。结果 Alexandrite激光治疗皮肤色素增加性疾病近期效果从好到坏依次为：雀斑、老年斑、颧部褐青色痣、太田痣,有效率95%以上,美容文刺、外伤性色素沉着次之,治疗次数1～6次。远期疗效：经Alex激光治愈后满5年的183例患者,其中太田痣63例,复发14例,复发率22.2%;脂溢性角化25例,复发13例,复发率52%;雀斑31例,复发18例,复发率58%;颧部褐青色痣17例,复发1例,复发率5.9%;外源性色素沉着47例,复发0例,复发率0。结论 Alexandrite激光治疗雀斑、老年斑、颧部褐青色痣、太田痣,外源性色素沉着近期效果肯定,远期效果：颧部褐青色痣、外源性色素性疾病效果稳定,太田痣有部分患者复发,复发率低于雀斑、脂溢性角化。Objective To investigate recent and future therapeutic effect that Q-switched Alexandrite treated the Skin Pigmented.Methods Observe the recent and future therapeutic effect by reviewing 1046 cases of skin pigmented patients which had been treated by Q-switched Alexandrite laser.There were 183 cases Cured by Q-switched Alexcmdrite after five years traced by speak on the phone or letters,then we observe future date therapeutic effect.Results The recent effective from the best to worst line is ephelides,senile spot,naevus fusco-caeruleus zygomaticus,and nevus of nevus of Ota,the effective rate was above 95%,next was cosmetic tattoos,traumatic melanosis。the time of therapy from 1 to 6.The future date therapeutic：Cases of nevus of Ota are sixty-three,there are 14 cases recurred,recurred rate is 22.2 percent.senile spot are twenty-five,there are 13 cases recurred,recurred rate is 52 percent.Ephelides are thirty-one,there are 18 cases recurred,recurred rate is 58 percent.naevus fusco-caeruleus zygomaticus are seventeen,there is one case recurred,recurred rate is 5.9 percent.traumatic melanosis are forty-seven,no one recurred,recurred rate is zero.Conclusion The recent effective of Alexandrite laser treating the ephelides,senile spot,naevus fusco-caeruleus zygomaticus,and nevus of nevus of Ota,the cosmetic tattoos,traumatic melanosis is positive,the the future date therapeutic effect of naevus fusco-caeruleus zygomaticus、traumatic melanosis is positive,nevus of Ota recurred in some patients,the recurrence rate is lower than the ephelides,senile spot.

关 键 词：Alexandrite激光 色素增加性疾病 近期 远期 疗效 

分 类 号：R751.05[医药卫生—皮肤病学与性病学]