脉冲染料激光与强脉冲光早期干预瘢痕的疗效对比:一项76例病例的回顾性研究  

Efficacy of pulsed dye laser versus intense pulsed light for early intervention of scars:a retrospective study of 76 cases

作　　者：李洁[1] 喜雯婧 蔡蕴敏[2] 章一新[1] LI Jie;XI Wen-jing;CAI Yun-min;ZHANG Yi-xin(Department of Plastic Surgery,Ninth People's Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai City 200011,China;Wound diagnosis and Treatment Center,Jinshan District Hospital,Fudan University,Shanghai City,201508,China)

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海200011 [2]复旦大学附属金山医院创面诊疗中心,上海201508

出　　处：《中国医疗美容》2021年第8期16-21,共6页China Medical Cosmetology

摘　　要：目的比较PDL和IPL两种常用的血管靶向光电手段在瘢痕早期管理中的疗效。方法回顾2019年1月至2020年5月,进行PDL或IPL早期干预瘢痕的患者,mVSS量表评价瘢痕情况。结果共76例患者,治疗3次后,两组总分及各因素评分均低于治疗前,组间未见统计学差距(P=0.467)。PDL组血管显著低于IPL组(P=0.015),色素显著高于IPL组(P=0.005)。结论两种方法均能有效的改善早期瘢痕外观,但效果有差异。对于血管,PDL优于IPL的治疗效果。在色素方面,IPL则表现出优势。Objective To compare the efficacy of two commonly used vascular-targeted photoelectric devices,PDL and IPL,in the early management of scars.Methods Patients who underwent early scar intervention with PDL or IPL from January 2019 to May 2020 were reviewed.mVSS was used for evaluation.Results A total of 76 patients,after 3 treatments,the total score and the scores of each factor were lower in both groups than pretreatment,and no statistical difference was observed between the groups(P=0.467).Vascularity was significantly lower in the PDL group than in the IPL group(P=0.015),and pigmentation was significantly higher than in the IPL group(P=0.005).Conclusion Both methods were effective in improving the appearance of fresh scars,but there were differences in their effectiveness.For vascularity,PDL was superior to IPL in terms of treatment effect.In terms of pigmentation,IPL showed an advantage.

关 键 词：瘢痕 脉冲染料激光 强脉冲光 早期干预 

分 类 号：R622[医药卫生—整形外科]