点阵激光联合皮下分离术治疗凹陷性痤疮瘢痕的临床效果  

The clinical efficacy of dot matrix laser combined with subcutaneous separation in the treatment of depressed acne scar

作　　者：石晨龙[1] 易阳艳[1] 丁颖[1] 王朝慧[1] 黎炜 禾瑶 童亚婷 SHI Chenlong;YI Yangyan;DING Ying;WANG Chaohui;LI Wei;HE Yao;TONG Yating(Department of Plastic Surgery,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi,China)

机构地区：[1]南昌大学第二附属医院整形美容科,江西南昌330006

出　　处：《中国现代医生》2024年第22期9-12,共4页China Modern Doctor

基　　金：江西省卫生健康委科技计划项目(202310522)。

摘　　要：目的探讨点阵激光联合皮下分离术治疗凹陷性痤疮瘢痕的临床疗效。方法选取2022年2月至2023年8月南昌大学第二附属医院收治的86例凹陷性痤疮瘢痕患者,根据随机数字表法将其分为点阵组和联合组,每组各43例。点阵组患者采用点阵激光进行治疗,联合组患者采用点阵激光联合皮下分离术治疗。比较两组患者治疗后视觉模拟评分法(visual analogue scale,VAS)评分、痤疮瘢痕权重量表(echelle d’evaluation clinique des cicatrices d’acne,ECCA)评分、色素沉着面积、瘢痕面积、治疗满意度及不良反应。结果两组患者治疗第1次、治疗第2次的VAS评分比较差异均无统计学意义(P>0.05)。联合组患者治疗后3个月的ECCA评分显著低于点阵组,色素沉着面积、瘢痕面积均显著小于点阵组(P<0.05)。联合组患者的总满意度显著高于点阵组(χ^(2)=4.746,P=0.029)。两组患者的不良反应发生情况比较差异无统计学意义(χ^(2)=0.453,P=0.501)。结论点阵激光联合皮下分离术治疗凹陷性痤疮瘢痕能有效促进瘢痕修复,减少皮肤色素沉着面积和瘢痕面积,不增加治疗后疼痛,安全性良好,患者满意度较高。Objective To investigate the clinical efficacy of dot matrix laser combined with subcutaneous separation in the treatment of depressed acne scar.Methods A total of 86 patients with depressed acne scar admitted to the Second Affiliated Hospital of Nanchang University from February 2022 to August 2023 were selected and divided into dot matrix group and combined group according to random number table method,with 43 cases in each group.The patients in dot matrix group were treated with dot matrix laser,and the patients in combined group were treated with dot matrix laser combined with subcutaneous separation.The visual analogue scale(VAS)score,echelle d’evaluation clinique des cicatrices d’acne(ECCA)score,pigmentation area,scar area,treatment satisfaction and adverse reactions were compared between two groups.Results There was no significant difference in VAS scores between two groups after the first treatment and the second treatment(P>0.05).Three months after treatment,the ECCA score of combined group was significantly lower than that of dot matrix group,and the pigmentation area and scar area were significantly smaller than those of dot matrix group(P<0.05).The total satisfaction of patients in combined group was significantly higher than that in dot matrix group(χ^(2)=4.746,P=0.029).There was no significant difference in the occurrence of adverse reactions between two groups(χ^(2)=0.453,P=0.501).Conclusion Dot matrix laser combined with subcutaneous separation in the treatment of depressed acne scar can effectively promote scar repair,reduce skin pigmentation area and scar area,and do not increase pain,with good safety and high patient satisfaction.

关 键 词：凹陷性痤疮瘢痕 点阵激光 皮下分离 临床疗效 

分 类 号：R758.73[医药卫生—皮肤病学与性病学]