调Q紫翠玉宝石激光(755nm)联合CO2激光治疗面部脂溢性角化病疗效观察.docVIP

精品论文 参考文献 调Q紫翠玉宝石激光(755nm)联合CO2激光治疗面部脂溢性角化病疗效观察 丁佐国 赵艳霞（江苏省如皋市人民医院皮肤科 江苏如皋 226500） 【摘要】目的 总结应用调Q紫翠玉宝石激光(755nm) 联合CO2激光治疗面部脂溢性角化病疗效。方法 随访于2011至2012年间在如皋市人民医院经过调Q紫翠玉宝石激光联合CO2激光治疗面部脂溢性角化病患者。结果 随访完成治疗的患者149例,年龄从45至85岁(平均为67.4岁),随访时间由6个月至12个月(平均9.3个月) 所有患者治疗1至3次治疗程度如下:痊愈68例(56.2%),显著改善29例(24%),好转14例(11.6%)和无变化或轻度改善10(8.2%),总有效率80.2% 治疗发现副作用如色素沉着，伤痕。结论 调Q紫翠玉宝石激光(755nm) 联合CO2激光治疗面部脂溢性角化病疗效好，安全性高。 【关键词】脂溢性角化病 紫翠玉宝石激光 CO2激光 【中图分类号】R751.05 【文献标识码】A 【文章编号】2095-1752（2013）24-0009-02 Treatment of Seborrheic Keratosis with Q-switched Alexandrite Laser and CO2 Laser DING Zuo-guo ZHAO Yan-xia （Department of Dermatology, Peoples Hospital of Rugao City Jiangsu rugao 226500 CHINA） 【Abstract】Objective To observe the clinical effect in the treatment of the seborrheic keratosis by using the Q-switched Alexandrite laser and CO2 Laser.Methods According to the ages，sex and condition of diseases of 149 patients，these seborrheie keratosis patients were treated through choosing the different technical parameters.Results In the 149 patients，the numbers of male and female were 54 and 95，respectively.Their ages ranged from 45 to 85，and the average age Was 67.4.The suffering time ranged from 0.5 year to 2 years ago.All the patients were treated 1 to 3 times.The degrees of the clearing were as follows：complete clearing 68 cases(56.2％)，significant improvement 29 cases(24％)，moderate im-provement 14(11.6％)and no change or mild improvement 10(8.2％).The tolal effective rate was 80.2％.Side effects such as hyperpigmentation and scars，were not found.Conclusions The use of Q-switched Alexandrite laser and CO2 Laser is a safe and effective method for treatment of seborrheic keratosis. 【Key words】Seborrheic keratosis Q-switched CO2 Laser 脂溢性角化病,又名老年疣、基底细胞乳头瘤，是因角质形成细胞成熟迟缓所致的一种良性表皮内肿瘤，本病大多发生于老年人，亦可发生于青年人，皮损初发最常见于面、颈等曝光部位，影响面容。既往采用电离子、高频电刀、液氮冷冻、CO2激光及化学剥脱等方法治疗，容易遗留瘢痕及色素沉着。现将我科1年来应用调Q紫翠玉宝石激光联合CO2激光治疗149例脂溢性角化病临床疗效报告如下： 1 资料与方