应用2940nm波长Er:YAG激光治疗表浅性瘢痕的疗效观察  

The therapeutic efficacy of the therapy of 2940nm Er:YAG laser in the superficial scar

作　　者：张洁[1] 郗林鹤[1] 崔衍鹏 孟飞[1] 王彦[1] 

机构地区：[1]山东省千佛山医院整形外科,山东济南250012 [2]泰安医学院,山东泰安261000

出　　处：《中国美容医学》2016年第6期10-13,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的：表浅性瘢痕应用2 940nm波长Er：YAG传统光斑激光和像素激光联合治疗的短期和长期效果观察。方法：2011年1月-2014年12月,28名患有不同类型的表浅性瘢痕的患者接受了2 940nm波长Er：YAG传统光斑激光和像素激光的联合治疗,即瘢痕部位首先接受较低能量光斑照射治疗,随后接受稍高能量像素激光原位重复叠加照射治疗。所有患者经一疗程治疗（治疗2~3次,治疗间隔6~8周）后,于治疗后1月、6月随访,对比观察治疗前后瘢痕外观改善程度、获取患者对治疗效果的满意度并记录不良反应的发成情况。结果：联合方式疗程治疗瘢痕后1个月总有效率达94.64%,6个月总有效率达96.43%,不良反应少,早期仅为不同程度的红斑反应及少量色素沉着,长期观察无明显不良反应。结论：通过短期和长期的随访对比观察,联合应用2940nm波长Er：YAG传统光斑激光与像素激光可以安全有效的治疗表浅性瘢痕。Objective To observe the short-term and long-term effects of conventional 2 940nm wavelength Er： YAG laser and pixel laser combination therapy in the superifcial scar.MethodsFrom Jan. 2011 to Dec. 2014, 28 patients with different types of superifcial scars received the following combination treatment of 2 940nm wavelength Er： YAG laser： using the low-power conventional 2 940nm wavelength Er： YAG laser to treat the scar, and then using the pixel laser at higher power immediately to treat the same area. At 1 month and 6 months after the treatment of one course（about 2 to 3 therapies and 6 to 8 weeks interval ）, the appearance improvements of the scars, the satisfaction of patients and the adverse reactions were recorded.Results Using the combination therapy , the total efifcacy after 1 months of treatment reached 94.64%; and the total efifcacy after 6 months of treatment reached 96.43%. The only observed side effect was the erythema and hyperpigmentation at irradiated area in the early stage; and there were no obvious adverse reactions in the long-term observation.Conclusion Through short-term compared with long-term follow-up observation, the combination treatment of conventional 2 940nm wavelength Er： YAG laser and pixel laser is safe and effective in the treatment of superifcial scar.

关 键 词：像素激光 表浅性瘢痕 ER:YAG激光 联合应用 

分 类 号：R619.6[医药卫生—外科学]