不同波段滤光片完美脉冲技术治疗面部毛细血管扩张症的效果及安全性对比  

Comparison of Effect and Safety of AOPT with Different Band Filters in the Treatment of Facial Telangiectasia

作　　者：李微 朱李霞 党辉 陈小燕 LI Wei;ZHU Lixia;DANG Hui(The First Affiliated Hospital of Air Force Medical University,Shaanxi Xi'an 710032,China)

机构地区：[1]空军军医大学第一附属医院整形外科,陕西西安710032

出　　处：《河北医学》2024年第1期61-65,共5页Hebei Medicine

基　　金：陕西省重点研发计划项目,(编号:2022SF-493)。

摘　　要：目的:探讨应用改良完美脉冲技术(AOPT)的治疗模式下不同波段滤光片治疗面部毛细血管扩张症(FT)的效果及安全性。方法:选取128例FT患者的资料,并随机分为对照组和观察组,每组64例,两组均给予AOPT治疗,其中对照组采用波长560~1200nm血管滤光片;观察组采用波长530~650nm和波长900~1200nm血管滤光片,评估两组治疗5个月后及术后随访3个月的临床疗效,比较治疗前、治疗5个月后及术后3个月的面部美学分区评分及毛细血管形态评分,观察两组术后不良反应发生情况以及调查术后随访3个月的面容修复满意度。结果:观察组治疗后及术后随访3个月的临床总有效率分别为93.75%及100.00%,均显著高于对照组的75.00%及90.63%(P<0.05);面部美学分区评分的时间效应、组间效应有统计学意义(P<0.05),毛细血管形态评分的时间效应有统计学意义(P<0.05),两组面部美学分区评分、毛细血管形态评分均较术前有降低,对照组上述评分高于观察组,差异均有统计学意义(P<0.05);观察组的术后不良反应总发生率为1.56%,显著低于对照组的12.50%(P<0.05);观察组术后随访3个月后的面容修复满意度为100.00%,显著高于对照组的93.75%(P<0.05)。结论:应用AOPT技术并采用波长530~650nm和波长900~1200nm血管滤光片治疗FT患者的近、远期疗效明确,能明显改善面部美观度和毛细血管形态,减少术后不良反应,提升患者面容修复满意度。Objective:To investigate the effectiveness and safety of using Advanced Optimal Pulse Technology(AOPT)with different wavelength band filters in the treatment of facial telangiectasia(FT).Methods:Clinical data from 128 FT patients were collected and they were randomly divided into a control group and an observation group,each consisting of 64 patients.Both groups received AOPT treatment,with the control group using a vascular filter with a wavelength of 560~1200nm,and the observation group using vascular filters with wavelengths of 530~650nm and 900~1200nm.The clinical efficacy of the two groups was assessed after 5 months of treatment and at a 3-month post-surgery follow-up.The facial aesthetic zone score and capillary morphology score were compared before treatment,after 5 months of treatment,and at 3 months after surgery.Postoperative adverse reactions in both groups were observed,and the satisfaction with facial repair at the 3-month post-surgery follow-up was investigated.Results:The total clinical effectiveness rates after treatment and at the 3-month post-surgery follow-up in the observation group were 93.75%and 100.00%,significantly higher than the 75.00%and 90.63%in the control group(P<0.05).There were statistically significant effects of time and between-group differences in facial aesthetic zone scores(P<0.05),and the capillary mor-phology score showed a significant effect over time(P<0.05).Both groups had reduced facial aesthetic zone scores and capillary morphology scores compared to before surgery,with the scores in the control group being higher than those in the observation group(P<0.05).The total incidence of postoperative adverse reactions in the observation group was 1.56%,significantly lower than the 12.50%in the control group(P<0.05).The facial repair satisfaction in the observation group was 100.00%at the 3-month post-surgery follow-up,signifi-cantly higher than the 93.75%in the control group(P<0.05).Conclusion:The use of AOPT technology with vascular filters having wavelengths of 530-650nm a

关 键 词：血管滤光片 完美脉冲技术 术后不良反应 面容修复满意度 

分 类 号：R751.05[医药卫生—皮肤病学与性病学]