强脉冲光治疗面部植皮术后色素沉着及毛发过多.docVIP

强脉冲光治疗面部植皮术后色素沉着及毛发过多[摘要]目的:观察强脉冲光(Intense pulsed light,IPL)治疗植皮术后色素沉着和毛发过多的临床应用效果。方法:应用IPL治疗植皮术后色素沉着9例,全厚皮片移植术后色素沉着合并毛发过多2例,共11例。患者接受1～3次IPL去色素治疗,毛发过多者另接受3次IPL脱毛治疗。结果:11例患者治疗后色素沉着均出现不同程度好转,其中7例显效,4例有效,副反应轻微。2例毛发过多者治疗后毛发显著减少。结论:IPL是一种安全有效的治疗植皮术后色素沉着和毛发过多的方法。 [关键词]强脉冲光;色素沉着;脱毛;植皮术 [中图分类号]R622+.1 [文献标识码]A[文章编号]1008-6455(2010)06-0873-03 Intense pulsed light treatment of hyperpigmentation and unwanted hairs of facial skin grafts WU Dong-hui,TAN Jun,ZHONG Qian,LIU Dong-ping,LUO Ming-can (Department of plastic and laser cosmetic surgery,People’s Hospital of Hunan Province,Changsha410005,Hunan,China) Abstract: Objective To observe the clinical effect of Intense pulsed light treatment of hyperpigmentation and unwanted hairs of facial skin grafts. Methods11 cases of post-transplantation skin hyperpigmentation were treated with IPL. 2 of them presented unwanted hair growth as well.1～3 sessions of IPL treatment were conducted to eliminate the hyperpigmentation while 3 sessions were added for hair removal. Results7 of 11 cases got extraordinarily improved and the other 4 got fairly improved. Slight side effects were observed. 2 cases with unwanted hairs got extraordinary hair reduction. Conclusion IPL offers an effective and safe option to treat hyperpigmentation and unwanted hairs of facial Skin grafts. Key words:intense pulsed light;hyperpigmentation;hair removal; skin transplantation 植皮术是整形外科最常见的手术,但是由于皮片供区与受区的不同及术后炎症反应等原因,移植皮片常产生难看的色素沉着或遗留不雅毛发,尤其是暴露部位的色素改变影响手术效果,成为植皮术后患者复诊最常见的主诉之一。既往治疗这种术后色素沉着采用药物治疗和皮肤磨削(包括砂轮和非点阵CO2激光),通常效果有限[1-2],而且可能产生色素减退和色素不均等情况,甚至再次形成瘢痕。2007年12月～2009年12月,我们采用强脉冲光(IPL)治疗植皮术后色素沉着和毛发过多患者11例,取得了满意疗效,现将结果报道如下。 1一般资料 本组患者共11例,为2007年12月～2009年12月我科面部植皮术后患者,其中男4例、女7例,年龄16～33岁,病程2个月～18个月。临床表现为面部植皮区色素加深,呈深褐色,与周边正常皮肤或瘢痕颜色对比显著。有2例患者移植皮片区还表现为毛发明显生长,与面部毛发生长状况不协调。 2治疗方法 2.1设备及治疗参数:采用Lumenis公司强脉冲光设备Quantum。选择SR模式(560nm或640nm滤光片)去色素治疗,HR模式(695nm滤光片)脱毛治疗。SR模式能量通常为18～25J/cm2,双脉冲,脉宽2.4～4.8ms,延迟时间20～40ms;HR模式能量通常为28～32J/cm2,三脉冲,脉宽3.0～5.0m