像素激光治疗面部烧伤后瘢痕疗效观察.docVIP

像素激光治疗面部烧伤后瘢痕疗效观察【摘要】 目的 探讨像素激光治疗面部烧伤后瘢痕的疗效。方法 回顾分析45例患者的临床资料。结果 本组45例中显效30例,有效12例,无效3例。创面愈合时间约5～7 d,所有患者均出现不同程度的红斑反应,无1例患者发生色素沉着、感染及新生瘢痕等反应。结论 各种烧伤愈合后皮肤常会造成瘢痕及色素沉着或脱失,影响外观和功能,给患者带来严重的心理负担。由于像素激光术后红斑反应时间短,色素沉着发生率低,创面修复快,更易为患者所接受。总之,像素激光治疗烧伤创面愈合具有疗效确切、损伤小、修复快、可重复的优点,值得临床应用。 【关键词】 像素激光;面部烧伤;瘢痕;疗效 Pixel laser treatment for facial burn scar Efficacy of ZHENG Pei-ying. Peoples Liberation Army 153rd Central hospital laser cosmetology center Zhengzhou 450014,China 【Abstract】 Objective To investigate the Pixel laser treatment the efficacy of facial burn scars. Methods Retrospective analysis of clinical data of 45 patients. Results 45 cases in 30 cases markedly effective in 12 cases, 3 cases. Wound healing time of about 5 to 7 days, all patients had varying degrees of erythema reaction, no one cases occurred in patients with pigmentation, infection, and new scar reactions. Conclusion The healing of skin burns often result in scarring and pigmentation or Tuoshi affect the appearance and function to patients with serious psychological burden. Erythema after laser surgery because of pixel response time is short, a lower incidence of pigmentation, wound healing faster and easier for patients to accept. In short, Pixel laser treatment has a curative effect of burn wound healing, less damage, repair fast repeatable features which are worthy of clinical application. 【Key words】 Pixel laser; Facial burns; Scar; Efficacy 作者单位:450014郑州,解放军第一五三中心医院激光美容中心 各种烧伤愈合后皮肤常会造成瘢痕及色素沉着或脱失,影响外观和功能,给患者带来严重的心理负担。本文采用像素激光对45例烧伤愈合后患者皮肤瘢痕进行治疗,取得了满意效果,现报告如下。 1 临床资料 1.1 一般资料 本组45例均为面部烧伤愈合后皮肤瘢痕患者,其中女25例,男20例;年龄10～45岁;发生烧伤创面愈合后皮肤科就诊时间为2个月～3年。 1.2 仪器及参数 采用飞顿公司飞顿II号多功能治疗仪,波长2940nm,光斑面积9 mm×9 mm或7 mm×7 mm,脉宽短、中、长,能量密度500~1000 mJ/cm.2。 1.3 治疗方法 患者在治疗前要清洁皮肤、保护毛发,戴护目镜。治疗时垂直对准皮肤开始光斑治疗,每次治疗扫描2～3遍。治疗后皮肤微红,并略有灼痛或针刺感,可外用冰敷或者保湿面膜等,嘱患者保持创面干燥,3 d内禁用热水清洗治疗部位,无需使用外用药物;避免日晒,忌食辛辣刺激食物。1个月后重复治疗1次,5次为1个疗程。疗程结束后随访3～6个月。 1.4 疗效判定标准 显效:没有瘢痕或不高出皮肤的轻微瘢痕,不影响功能。色素沉着消失,或在损伤与未损伤皮肤之间没有明显色素差异;有效:瘢痕色