1540nm激光分段式光热解治疗炎症后皮肤色素沉着疗效观察dhnyj0di.docVIP

1540nm激光分段式光热解治疗炎症后皮肤色素沉着疗效观察 匡堂盘查生鱼箜鲞箜3盟ChinJLaserMedSurg,June2010.VoI19.No.3 ? 论着? 1540nm激光分段式光热解治疗炎症后皮肤色素沉着 疗效观察 杨鹏李娟周敏麦跃 摘要 目的探讨1540nm激光分段式光热解治疗炎症后皮肤色素沉着的疗效和安全性. 方法面部炎症后皮肤色素沉着患者13例,采用1540nm激光分段式光热解治疗,光斑直径15mm,脉宽1Oms,能量8～ 10mJ/脉冲,扫描5～6次,每4周一次,共治疗5次,术后严格防晒.每次治疗前采用VISIA图象分析系统和前后照片比较色 素沉着改善和疗效. 结果色素沉着均有不同程度改善,显效率69.2%,有效率23.0%,总有效率92.3%,仅1例发生色素沉着.该疗法还有收缩 毛孔,改善皮肤纹理的作用. 结论1540am激光分段式光热解治疗炎症后皮肤色素沉着疗效确切,安全性高,无明显副作用,为治疗皮肤色素沉着提供新 的手段. 关键词激光;分段式光热解;炎症后皮肤色素沉着 中图分类号:R312;R758.i文献标识码:A文章编号:1003—9430(2010)03—0184—04 TreatmentofPostinflammatoryHyperpigmenlaliOnbyFractionalPhotothermoly- sis0f1540nmLaser YANGPeng,LIJuan,ZHOUMin,MAIYue DepartmentofDermatology,SunHospitaltoAffiliatedDalianMedicalUniversity,Shenzhen518000China ABSTRACT ObjectiveToevaluatetheefficacyandsafetyfractionalphotothermolysisof1540nmlaserforthetreatmentofpostinflammatoryhyper- pigmentation(PIH). MethodsThi~eenpatients(FitzpatrickskintypesRI—IV)withPIHwereenrolled.Thelesionsweretreatedwith1540nmlaserfrac- tionalphotothermolysiswithspotsize15mm,plusewidth10ms,fluence8-10mJ/rob(microbeam)and5-6pass.Fivetreatmentses— sionswereperformedforeachpatient4weeksapart.theeffectsandsideeffectswereobserved. ResultsA1113casesobtaineddifferentdegreeofimprovementafter5timesoftreatment.TheexcellencerateandeffectiverateofPIH were69.2%and23.0%.Thetotaleffectiveratewas92.3%withoutsideeffectbesidesacaseofhyperpigmentation.Thetreatment haditobviouslyresurfacingeffect.Thetherapeuticeffectwasrisedasthetherapytimesadded. ConclusionsLux1540nmfractionallaseriseffectiveandsafeinthetreatmentofPIH,thesideeffectsarerare,withoutdowntimeal- 作者单位:大连医科大学附属深圳阳光医院皮肤科(深圳市,518000) 作者简介:杨鹏(1981一),男,湖北监利人,主治医师,主要从事美容激光临床工作. 通讯作者 ? 184? 医学杂志2010年6月第19卷筮!竺兰垡:』!!:竺:: most,whichdeservestheclinicalexpansion KeywordsFractionalphotothermolysis;Post—inflammatoryhyperpigmentation;Ttreatment 炎症后皮肤色素沉着(PostinflammatoryHyper- pigmentation,PIH)是临床上常见的获得性色素增多 性症状之一,特别是随着医学激光美容市场的发展, 光照射治疗后引起的继发性皮肤色素沉着逐渐增 多,严重影响医患关系.尽管大部分色素沉着在发 病后3～6个月逐渐淡化,但仍有部分色素沉着半年 内淡化不理想,需要积极