CO2点阵激光联合595nm脉冲染料激光治疗剖宫产皮肤瘢痕的疗效观察  

Efficacy of CO2 dot matrix laser combined with 595 nm pulsed dye laser on cesarean section skin scar

作　　者：刘淳[1] 李艳玲[1] 魏乐伟 郭建玲[1] Liu Chun;Li Yanling;Wei Lewei;Guo Jianling(Department of Gynecology,Hebei Medical University Second Hospital,Shijiazhuang 210029,China)

机构地区：[1]河北医科大学第二医院妇科,石家庄050000

出　　处：《中华医学美学美容杂志》2019年第1期53-56,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨CO2点阵激光联合595nm脉冲染料激光治疗剖宫产皮肤瘢痕的临床疗效。方法收集2015年6月至2017年10月于河北医科大学第二医院妇科行剖宫产手术皮肤瘢痕患者60例,依据住院时间先后分为CO2点阵激光联合595nm脉冲染料激光治疗(观察组)和单独CO2点阵激光治疗(对照组)两组,每组30例。对两组患者治疗后温哥华瘢痕量表评分、不良反应等进行分析。结果两组患者治疗结束后3个月、6个月进行比较,观察瘢痕标度评分分别为(52.00±1.31)分、(3.81±1.38)分显著低于对照组(6.30±1.21)分、(5.00±1.38)分,差异有统计学意义(t=3.175,3.35,P<0.05)。两组患者不良反应比较差异无统计学意义(P>0.05)。结论CO2点阵激光联合595nm脉冲染料激光治疗剖宫产皮肤瘢痕较单独应用CO2点阵激光疗效显著。Objective To investigate the clinical efficacy of CO2 lattice laser combined with 595 nm pulsed dye laser in the treatment of cesarean section skin scar. Methods A total of 60 patients with cutaneous scar after cesarean section in our hospital from June 2015 to October 2017 were enrolled. The patients were divided into observation group and control group according to the order of hospitalization. Each group had 30 cases. Both CO2 lattice and 595 nm pulsed dye lasers were used in study group. Only CO2 lattice laser was used in control group. Vancouver scar scale (VSS) and adverse reactions were analyzed after treatment in both groups. Results The two groups were compared at 3 months and 6 months after treatment. The VSS scores of the study group were (52.00±1.31) and (3.81±1.38), which was significantly lower than that of the control group (6.30±1.21) and (5.00±1.38). The difference was statistically significant (t=3.175, 3.35, P<0.05). There were no significant differences in adverse reactions between the two groups (P>0.05). Conclusions CO2 dot laser combined with 595 nm pulsed dye laser for the treatment of cesarean section skin scar is more effective than CO2 dot matrix laser alone.

关 键 词：激光器 染料 激光疗法 瘢痕 剖宫产术 CO2点阵激光 595nm脉冲染料激光 

分 类 号：R622[医药卫生—整形外科]