The 1470 nm diode laser with an intralesional fiber device:a proposed solution for the treatment of inflamed and infected keloids  

作　　者：Ke Li Fabio Nicoli Wen Jing Xi Zheng Zhang Chunxiao Cui Ahmed Al-Mousawi Alberto Balzani Yun Tong Yixin Zhang 

机构地区：[1]Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai JiaoTong University School of Medicine,639 Zhi Zao Ju Road,Shanghai 200011,China [2]Department of Plastic and Reconstructive Surgery,University of Rome“Tor Vergata”,Rome,Italy [3]Department of Plastic and Reconstructive Surgery,Newcastle Hospitals NHS Foundation Trust,Newcastle upon Tyne,UK [4]Department of Medical Cosmetology Surgery,Jinhua People’s Hospital,Jinhua,China

出　　处：《Burns & Trauma》2019年第1期37-43,共7页烧伤与创伤（英文）

基　　金：funded by National Natural Science Foundation of China(81772098);Clinical research booster program(JYL027);Shanghai Health Municipal Bureau foundation(20152227);National Natural Science Foundation of China(81071569).

摘　　要：Background:Keloids are the result of abnormal wound healing and often are subject to infections and recurrent inflammation.We present a study conducted with a 1470 nm diode laser using an intralesional optical fiber device for the treatment of inflamed keloid scars.We evaluate its efficacy as a novel alternative method to decrease keloid infection and inflammation.Methods:The patients who underwent 1470 nm laser treatment from February 2016 to February 2018 at the plastic and reconstructive surgery department of the Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University with keloid accompanying serious local infection and fester were included.Patients took curative effect evaluation before and 1 year after the treatment.The test items included infection frequency in each year;pain,by visual analogue scale(VAS);itch,using VAS;quality of life(QOL),using QOL scale;and blood supply,using PeriCam PSI.Results:A total of 19 patients(mean age 35.21 years,range 11–66)with history of inflamed keloids with episodes of infection or abscess were enrolled.Patients underwent to a 1470 nm laser therapy for average of 1.16 times.After treatment,infection frequency and blood supply in keloids were reduced(p<0.001).Pain,itching,and QOL were improved(p<0.001).Conclusion:The present study shows that 1470 nm fiber laser treatment could improve inflamed keloids fairly well by decreasing inflammation,and a relative stabilization of collagen composition.Therefore,it is an effective minimally invasive scar therapy,but further studies are essential to confirm the present results.

关 键 词：Hypertrophic scars Keloid scars 1470 nm Diode laser Fiber laser 

分 类 号：TN2[电子电信—物理电子学]