Pixel激光治疗面部痤疮瘢痕.docVIP

Pixel激光治疗面部痤疮瘢痕[摘要]目的：观察Pixel激光治疗面部痤疮瘢痕的临床效果。方法：采用以色列飞顿2940nm像素激光对54例痤疮瘢痕的患者进行治疗，共治疗3～5次，每次间隔时间2～3周。除少数对疼痛敏感的患者治疗前外涂表面麻醉，其余不用任何处理。对比治疗前后的照片并进行疗效评价。结果：共治疗54例痤疮瘢痕患者，有效率75%～100%。Pixel 同时可以有效改善4种不同类型痤疮，无一例色沉和瘢痕。结论：Pixel激光治疗痤疮凹陷性瘢痕疗效满意，对增生瘢痕疗效有限。是一种适合东方人痤疮瘢痕的安全，有效的治疗方法。 [关键词]Pixel激光；痤疮瘢痕 [中图分类号]R62 R758.73 [文献标识码]A [文章编号]1008-6455（2009）03-0348-03 The utilization of Pixel laser for the treatment of acne scar Xiangshu-ying1,zhaoxiao-zhong1,songyan-zhe1,jiyanlin1,mabingbing1,zhangjin-ji2 (1.Depatment of laser cosmetic, Air force Generral hospital 10086, Beijing; 2.Depatment of Dermatology,The Generral hospital) Abstract: Objective To observe the clinical effectiveness of Pixel laser in the treatment of acne scar in Asian. Methods 54 patients were included in the study: all patients were treated 3～5 times with interval 2～3 weeks with Pixel laser. Apart from a few patients sensitive to pain were applied topical anesthesia, the remaining do not have any treatment. The degree of improvement was objectively assessed by the use of clinical photographs by the patients and the doctors. Results Of 54 cases with acne scars,the total effective rate was 75% ～100%. At the same time, Pixel laser can remove inflammatory four types of acne, narrow pores. Conclusion The Pixel laser is a kind of a safe and effective method for the Asians. It is effective for atrophic acne scar improvement, but it has limited effect for proliferation scar. Key words:Pixel laser;acne scar 痤疮发病率随着现代生活水平提高有明显上升趋势。现在流行病研究青少年寻常痤疮发病率86%～90%，男性多于女性[1]，痤疮瘢痕情绪低落占22.5%。积极治疗痤疮瘢痕对患者心理健康发展非常必要。目前我院新引进飞顿公司开发Pixel 点阵激光技术，对我院门诊2007年6月～2008年4月18～36岁患痤疮瘢痕的54例患者治疗观察来看，疗效显著。操作简单无副作用，患者满意率高，值得推广。 1临床资料和仪器 1.1 一般资料：面部痤疮瘢痕患者54例，（男13例，女37例），年龄18～36岁，平均22 岁，病程2个月～8年，病程6月以内5例，6月～2年12例，2年以上33例。瘢痕分4型[2]：I型深度小于0.1mm并发红色或褐色色沉伴散在囊肿痤疮凸凹不平为14例；II型为深度0.1～0.2mm定为扁平瘢痕有9例；III型为深度0.5～0.6mm定为深井瘢痕23例；IV型增生型突出表皮8例。治疗5次患者21例，3次治疗以上29例。 1.2 仪器：采用2 940nm像素激光（以色列飞顿激光公司AlamLaser Ltd Ceasarea Israel 生产）。光斑大小7mm×7mm，能量密度