饵激光联合脉冲染料激光治疗面部痤疮瘢痕及红斑的临床疗效  

Clinical efficacy of Er ： YAG laser associated with pulsed dye laser on facial acne scars

作　　者：屈园园[1] 李文政 普雄明[1] 

机构地区：[1]新疆维吾尔自治区人民医院皮肤性病科,乌鲁木齐830001

出　　处：《中华医学美学美容杂志》2014年第6期440-443,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的观察饵激光联合脉冲染料激光（pulsed dye laser，PDI。）治疗面部痤疮瘢痕及红斑的临床疗效。方法治疗面部痤疮瘢痕患者78例。其中实验组40例，用饵激光治疗3次，联合PDI，治疗4次；对照组38例，用单独饵激光治疗3次，末次饵激光治疗结束后3个月比较其临床疗效。结果实验组有效率92．5％（37／40），对照组有效率73．7％（28／38），实验组疗效优于对照组（P〈O．05）；比较痤疮后红斑的疗效，实验组有效率77．5％（31／40），对照组有效率47．4％（18／38），两组比较差异具有统计学意义（P＜0．05）。不良反应，实验组4例、对照组2例出现轻度色素沉着，对症处理后色素恢复正常，两组均无色素减退、感染、新生瘢痕发生。结论饵激光联合PDI。治疗面部痤疮瘢痕，见效快、疗效高，可临床推广应用。Objective To observe the efficacy of Er ： YAG laser and pulsed dye laser （PDI.） in treating facial acne scars. Methods A total of 78 cases with facial acne scars were divided into two groups. The test group included 40 patients that were treated by Er ： YAG laser （total three treat- ments, once three months）and irradiated by PDI. （total four times, once per month）, while the con trol group included 38 patients treated by Er ： YAG laser only. After three months of the last treat- ment, the effective rate and side effects were recorded and compared. Results The efficacy of the test group reached 92.5% （37/40） and 77.5% （31/40） for acne scars and post-acne erythema, respective- ly. However, the effective rate of the control group was 73.7%（28/38） and 47.4%（18/38）. There were statistically significant differences between two groups （P〈0.05）. Regarding reported adverse effects, there were four cases in the test group and two cases in the control group that appeared mild pigmentation. After symptomatic treatment, the skin color recovered. There was no olher side effect in both two groups. Conclusions The effectiveness of Er ： YAC- laser and PDL is better than Er ： YAG laser only in treating facial acne scars, and thus it is worthwhile for popularization and application in acne scars.

关 键 词：激光 痤疮 瘢痕 

分 类 号：R758.733[医药卫生—皮肤病学与性病学]