面部雀斑伴有黄褐斑患者的完美强脉冲光的临床治疗  

Clinical treatment of patients accompanied with facial freckles and melasma by means of intense pulsed light with optimal pulse technology

作　　者：肖和[1] 肖琴[1] 李小妹[1] 单淑如 陈南希[1] 杨志强[1] 

机构地区：[1]广州医科大学附属第二医院整形外科,广东广州510260

出　　处：《广州医学院学报》2014年第3期63-66,共4页Academic Journal of Guangzhou Medical College

基　　金：广东省科技厅科研基金资助项目(2007B080701034)

摘　　要：目的：评价用完美强脉冲光（OPT）治疗伴有黄褐斑的面部雀斑患者临床疗效及安全性。方法：82例伴有黄褐斑的雀斑患者，全部采用 OPT 治疗5次，间隔3~4周治疗1次，完成5次治疗随访1月后留取治疗前后照片观察疗效，所有患者都要求严格防晒，勿过度劳累。结果：经过5次 OPT 治疗后，雀斑治愈70例（85.36％）；显效9例（10.98％）；雀斑总有效率96.34％（79/82）。黄褐斑治愈0例（0％）；显效51例（62.20％）；黄褐斑总有效率51例62.20％（51/82）。不良反应：有7例（8.54％）出现色素沉着，经过3~6个月后色素明显减淡；有2例（2.44％）出现色素减退，未出现瘢痕。结论：OPT 治疗伴有黄褐斑的雀斑患者安全、高效，大部分雀斑患者治愈，黄褐斑得到明显改善，但黄褐斑治愈率不高仍是一个现实问题，有待我们进一步研究和探讨。Objective：To evaluate the effectiveness and safty of intense pulsed light with Optimal Pulse Technology（OPT） in the treatment of patients accompanied with facial freckles and melasma. Methods： A Study was performed in 82 patients accompanied with facial freckles and melasma who visited the Plastic Laser Center of the Second Affiliated Hospital of GuangZhou Medical Uni versity. 82 patients have received with 5 times consecutive OPT treatments interval 3 ~ 4weeks. Follow up a month and take photos of patients befoe and after treatments. It used to judge the clinical effectiveness. All of patients were strict with sun-proof . Results： The cure rate of the freckles was 85.36 per cent. The melasma was 0 per cent. The total effective rate of the freckles was 96.34 per cent. The melasma was 62.20 per cent. The side-effects were also observed. Hyperpigmentation was 8.54per cent .Hypopigmentation is 2.44per cent. Hypertrophic scar was not founded. Conclusions： Intense pulsed light with Optimal Pulse Technology（OPT） were effective and safe in treatment of patients accompanied with facial freckles and melasma.

关 键 词：雀斑 黄褐斑 强脉冲光 

分 类 号：R699[医药卫生—泌尿科学]