手术联合超高频皮肤整形治疗仪及激光治疗创伤性文身.docVIP

手术联合超高频皮肤整形治疗仪及激光治疗创伤性文身[摘要]目的:探索创伤性文身的最佳治疗方法。方法:根据创伤性文身的不同临床表现,联合或分别采用手术、超高频皮肤整形治疗仪及激光治疗患者51例,其中27例采用联合治疗,8例采用手术治疗,6例采用调Q开关激光治疗,10例采用超高频皮肤整形治疗仪治疗。结果:51例患者,治愈39例,好9例,较好2例,差1例,治疗后合并增生性瘢痕患者5例。结论:创伤性文身临床表现多种多样,单一的治疗方法无法取得满意的效果,联合多种方法治疗能达到尽量去除异物颗粒,保留正常皮肤组织及外形,获得最佳治疗效果的目的。 [关键词]创伤性文身;手术;超高频;激光;治疗 [中图分类号]R616.4 [文献标识码]A [文章编号]1008-6455(2010)08-1181-04 Treatment of traumatic tattoos by surgery,ultra-high frequency skin plastic operators and laser DU Jie,CHEN Hui,CAO Yan (Medical Laser,Plastic and Esthetic Surgery Center, Tangdu Hospital Affiliated with the Fourth Military Medical University,Xi’an 710032,Shaanxi,China) Abstract: Objective To explore the best treatment of traumatic tattoos.MethodsAcordding to the clinical characteristics of different traumatic tattoos,there were 27 outpatients treated with combination of surgery、ultra-high frequency skin plastic operators and laser,8 cases with surgery,6 cases with laser,10 cases with ultra-high frequency skin plastic operators.ResultsThe “clear” lightening results were achieved in 39 cases,”excellent “achieved in 9 cases,”good “achieved in 2 cases,”poor” achieved in 1 case.There were 5 patients got the hypertrophic scars post treatment. ConclusionThe traumatic tattoos have a variety of presentations.Only one method cannot achieve satisfying results.Combination of surgery, ultra-high frequency skin plastic operators and laser may cause selective removal of the foreign paticles with sparing of the surrounding tissue,and keeping the normal contour. Key words:traumatic tattoos;surgery;ultra-high frequency skin plastic operators;laser;treatment 创伤性文身又称为异物性文身,是指外伤后异物颗粒通过破损表皮进入皮内及皮下组织,形成永久性的色素斑块[1]。此类文身常见于煤矿瓦斯爆炸、车祸、坠落等意外伤后,多见于面颈、前胸、四肢等暴露部位,此创伤性文身造成了患者的面容和外观不同程度地毁损,影响其社交及生活,患者求治心切。2006年1月～2009年12月,我们共收治51例创伤性文身患者,采用手术、超高频皮肤整形仪及激光分别或联合治疗,取得了满意疗效,现总结如下。 1临床资料 创伤性文身患者51例,其中男23例,女28例,年龄6～45岁。因交通事故、意外摔伤后致皮肤擦伤后沥青、沙石存留34例,铅笔戳伤5例,煤矿瓦斯爆炸致煤粒飞溅入患者皮肤及皮下组织者12例。文身主要分布于颜面、颈部、前胸、双上肢等部位,颜色为蓝黑色至黑色。治疗前,根据异物文身的临床表现大致判断异物颗