脉冲染料激光联合非剥脱性点阵激光治疗儿童面部线状瘢痕的效果及安全性  

Efficacy and Safety of Pulsed Dye Laser Combined with Non-ablative Fractional Laser in the Treatment of Facial Linear Scarring in Children

作　　者：邹筠[1] 傅荣华[1] ZOU Yun;FU Ronghua(Department of Pediatric Plastic Surgery,Jiangxi Provincial Children's Hospital,Nanchang 330006,China)

机构地区：[1]江西省儿童医院小儿整形外科,江西南昌330006

出　　处：《中国医学创新》2025年第7期77-81,共5页Medical Innovation of China

基　　金：江西省卫生健康委科技计划课题(202311021)。

摘　　要：目的:分析脉冲染料激光(PDL)联合非剥脱性点阵激光(NAFL)治疗儿童面部线状瘢痕的效果及安全性。方法:将江西省儿童医院小儿整形外科2021年5月—2022年5月80例面部线状瘢痕患儿作为本次研究对象,按随机数字表法将其分为试验组与对照组,各40例,试验组予以PDL联合NAFL治疗,对照组仅用PDL治疗。采用温哥华瘢痕评分量表(VSS)、瘢痕美容评估与评级量表(SCAR)对患儿瘢痕状况进行评估,并比较两组瘢痕宽度、不良反应发生率。结果:两组治疗前VSS评分比较,差异无统计学意义(P>0.05),治疗后1、3、6个月试验组VSS评分均低于对照组,差异均有统计学意义(P<0.05);治疗后1年试验组SCAR评分低于对照组,差异有统计学意义(P<0.05);治疗后1、2个月试验组瘢痕宽度均小于对照组,差异均有统计学意义(P<0.05);试验组、对照组不良反应发生率分别为5.00%、10.00%,两组比较差异无统计学意义(P>0.05)。结论:儿童面部线状瘢痕采用PDL联合NAFL治疗效果显著,能够有效加快损伤修复,防止瘢痕过度增宽。Objective:To analyze the efficacy and safety of pulsed dye laser(PDL)combined with nonablative fractional laser(NAFL)in the treatment of facial linear scarring in children.Method:Eighty cases of children with facial linear scar from May 2021 to May 2022 in the Pediatric Plastic Surgery Department of Jiangxi Provincial Children's Hospital were selected as the subjects of this study,they were divided into experimental group and control group according to random number table method,with 40 cases in each group,the experimental group was treated with PDL combined with NAFL,and the control group was treated with PDL only,The scar status of the children was evaluated by the Vancouver scar scale(VSS)and the scale for cosmetic assessment and rating(SCAR),and the scar width and incidence of adverse reactions were compared between the two groups.Result:There was no statistically significant difference in VSS score between the two groups before treatment(P>0.05),and the VSS scores in the experimental group at 1 month and 3,6 months after treatment in the experimental group were lower than those of the control group,with statistical significance(P<0.05).One year after treatment,SCAR score in the experimental group was lower than that in the control group(P<0.05).The scar width of experimental group 1 month and 2 months after treatment were smaller than those in control group,with statistical significance(P<0.05).The incidence of adverse reactions in experimental group and control group was 5.00%and 10.00%,respectively,there was no statistical significance between the two groups(P>0.05).Conclusion:The treatment effect of children's facial linear scar with PDL combined with NAFL is remarkable,which can effectively accelerate damage repair and prevent excessive widening of the scar.

关 键 词：脉冲染料激光 非剥脱性点阵激光 面部线状瘢痕 温哥华瘢痕评分 

分 类 号：R57[医药卫生—消化系统]