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作 者:蔡凯旋 马周瑞[1] 殷炜[1] 黄志见[1] 茅怡铭 朱振洪[1] CAI Kai-xuan;MA Zhou-rui;YIN Wei;HUANG Zhi-jian;MAO Yi-ming;ZHU Zhen-hong(Children’s Hospital of Soochow University,Jiangsu Province,215000,China)
出 处:《中国医疗美容》2021年第11期57-60,共4页China Medical Cosmetology
摘 要:目的探讨CO_(2)点阵激光联合低浓度曲安奈德注射在儿童面部增生性瘢痕的治疗效果。方法2020年1月-2021年1月在我院就诊的22例面部增生性瘢痕患儿,瘢痕形成至开始治疗时间1个月-1年,平均3.6个月。采用温哥华瘢痕评估量表评估,平均8.7分。1%曲安奈德和2%利多卡因注射液以1:2稀释,注射入瘢痕核心。超脉冲CO_(2)点阵激光Surgical模式,光斑直径0.5mm,能量6-8J/cm^(2),间隔3mm行人工点阵打孔。治疗间隔时间30-60天。结果22例患儿行曲安奈德注射及人工点阵打孔1-3次,以瘢痕平坦软化为治疗终点,平均1.6次,经4-16月(平均8个月)随访,18例瘢痕软化平坦,3例瘢痕轻度增生,1例变化不明显,均无明显不良反应。治疗终点温哥华瘢痕评分1-8分,平均3.2分。结论CO_(2)点阵激光结合低浓度曲安奈德注射治疗儿童面部增生性瘢痕,患儿几乎无痛,效果满意,值得临床推广应用。Objective To investigate the therapeutic effect of CO_(2) fractional laser combined with low-concentration triamcinolone acetonide injection in children with facial hypertrophic scars.Methods From January 2020 to January 2021,22 children with facial hypertrophic scars were treated in our hospital from.The time from scar formation to the start of treatment was 1 month to 1 year,with an average of 3.6 months.The effiffifficacy was evaluated using the Vancouver Scar Scale(VSS),with an average of 8.7 points.1%triamcinolone acetonide and 2%lidocaine injection were diluted 1:2 and injected into the scar core.Super-pulse CO_(2) lattice laser Surgical mode,with a spot diameter of 0.5mm,an energy of 6-8J/cm^(2),and artificial lattice drilling at an interval of 3mm.The treatment interval is 30-60 days.Results 22 children underwent triamcinolone acetonide injection and artificial dot drilling for 1-3 times.The treatment end point was flat and soft scars,with an average of 1.6 times.After 4-16 months(average 8 months)follow-up,18 cases of scar softening It was flat,3 cases had mild hyperplasia of scars,1 case had no obvious changes,and there were no obvious adverse reactions.At the end of the treatment,the Vancouver scar score was 1-8 points,with an average of 3.2 points.Conclusion CO_(2) fractional laser combined with low-concentration triamcinolone acetonide injection in the treatment of facial hypertrophic scars in children is almost painless and the effect is satisfactory.It is worthy of clinical application.
关 键 词:CO_(2)点阵激光 曲安奈德 面部增生性瘢痕 儿童
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