中华皮肤科杂志
中華皮膚科雜誌
중화피부과잡지
Chinese Journal of Dermatology
2008年
7期
462-464
,共3页
冯雨苗%周展超%吴秋菊%吴余乐%燕淑美%戎慧珍%贾高蓉%厉建鸣
馮雨苗%週展超%吳鞦菊%吳餘樂%燕淑美%戎慧珍%賈高蓉%厲建鳴
풍우묘%주전초%오추국%오여악%연숙미%융혜진%가고용%려건명
毛发去除%激光%治疗结果
毛髮去除%激光%治療結果
모발거제%격광%치료결과
Hair removal%Lasers%Treatment outcome
目的 评价长脉冲半导体激光对于Ⅲ-Ⅴ型皮肤多毛患者脱毛的长期疗效和安全性.方法 用长脉宽半导体激光(波长800 nm,脉宽30 ms,光斑大小9 mm×9 mm)对350例多毛患者进行多次治疗.治疗结束后22.5个月,回顾性分析了脱毛的疗效和不良反应,每个部位根据治疗次数分2组:＜6次组和≥6次组(腋窝分为＜4次组和≥4次组),比较不同部位这2组脱毛的疗效.结果 随访到并进行评价的多毛患者235例共375处部位.经2～18次脱毛治疗后,有效302处,总有效率为80.53%.不同部位2个治疗次数组疗效有一定差异,唇部≥6次组治疗部位38处,有效33处,有效率86.84%,＜6次组治疗部位20处,有效7处,有效率35.00%;面颈(唇以外)≥6次组治疗部位38处,有效26处,有效率68.42%,＜6次组治疗部位13处,有效4处,有效率30.77%;下肢≥6次组治疗部位50处,有效46处,有效率92.00%,＜6次组治疗部位9处,有效5处;躯干≥6次组治疗部位23处,有效20处,有效率86.96%,＜6次组治疗部位8处,有效4处;以上各部位≥6次组疗效均优于＜6次组(P＜0.05).腋窝≥4次组治疗部位97处,有效91处,有效率93.81%,＜4次组治疗部位9处,有效5处,两组疗效比较,P＜0.01.上肢部两组疗效比较,差异无统计学意义(P＞0.05).235例患者中有6例出现不良反应,包括色素沉着、毛囊性丘疹、瘙痒、水疱、白色毛发,未见色素减退及瘢痕形成.结论 长脉冲半导体激光对Ⅲ-Ⅴ型皮肤多毛患者脱毛安全有效.疗效与脱毛部位、治疗次数相关.
目的 評價長脈遲半導體激光對于Ⅲ-Ⅴ型皮膚多毛患者脫毛的長期療效和安全性.方法 用長脈寬半導體激光(波長800 nm,脈寬30 ms,光斑大小9 mm×9 mm)對350例多毛患者進行多次治療.治療結束後22.5箇月,迴顧性分析瞭脫毛的療效和不良反應,每箇部位根據治療次數分2組:＜6次組和≥6次組(腋窩分為＜4次組和≥4次組),比較不同部位這2組脫毛的療效.結果 隨訪到併進行評價的多毛患者235例共375處部位.經2～18次脫毛治療後,有效302處,總有效率為80.53%.不同部位2箇治療次數組療效有一定差異,脣部≥6次組治療部位38處,有效33處,有效率86.84%,＜6次組治療部位20處,有效7處,有效率35.00%;麵頸(脣以外)≥6次組治療部位38處,有效26處,有效率68.42%,＜6次組治療部位13處,有效4處,有效率30.77%;下肢≥6次組治療部位50處,有效46處,有效率92.00%,＜6次組治療部位9處,有效5處;軀榦≥6次組治療部位23處,有效20處,有效率86.96%,＜6次組治療部位8處,有效4處;以上各部位≥6次組療效均優于＜6次組(P＜0.05).腋窩≥4次組治療部位97處,有效91處,有效率93.81%,＜4次組治療部位9處,有效5處,兩組療效比較,P＜0.01.上肢部兩組療效比較,差異無統計學意義(P＞0.05).235例患者中有6例齣現不良反應,包括色素沉著、毛囊性丘疹、瘙癢、水皰、白色毛髮,未見色素減退及瘢痕形成.結論 長脈遲半導體激光對Ⅲ-Ⅴ型皮膚多毛患者脫毛安全有效.療效與脫毛部位、治療次數相關.
목적 평개장맥충반도체격광대우Ⅲ-Ⅴ형피부다모환자탈모적장기료효화안전성.방법 용장맥관반도체격광(파장800 nm,맥관30 ms,광반대소9 mm×9 mm)대350례다모환자진행다차치료.치료결속후22.5개월,회고성분석료탈모적료효화불량반응,매개부위근거치료차수분2조:＜6차조화≥6차조(액와분위＜4차조화≥4차조),비교불동부위저2조탈모적료효.결과 수방도병진행평개적다모환자235례공375처부위.경2～18차탈모치료후,유효302처,총유효솔위80.53%.불동부위2개치료차수조료효유일정차이,진부≥6차조치료부위38처,유효33처,유효솔86.84%,＜6차조치료부위20처,유효7처,유효솔35.00%;면경(진이외)≥6차조치료부위38처,유효26처,유효솔68.42%,＜6차조치료부위13처,유효4처,유효솔30.77%;하지≥6차조치료부위50처,유효46처,유효솔92.00%,＜6차조치료부위9처,유효5처;구간≥6차조치료부위23처,유효20처,유효솔86.96%,＜6차조치료부위8처,유효4처;이상각부위≥6차조료효균우우＜6차조(P＜0.05).액와≥4차조치료부위97처,유효91처,유효솔93.81%,＜4차조치료부위9처,유효5처,량조료효비교,P＜0.01.상지부량조료효비교,차이무통계학의의(P＞0.05).235례환자중유6례출현불량반응,포괄색소침착、모낭성구진、소양、수포、백색모발,미견색소감퇴급반흔형성.결론 장맥충반도체격광대Ⅲ-Ⅴ형피부다모환자탈모안전유효.료효여탈모부위、치료차수상관.
Objective To evaluate the long-term effects and safety of diode laser in hair removal.Methods A retrospective study was conducted.In this study,350 patients with hypertrichosis were treated by an 800-nm diode laser with a pulse duration of 30 ms for various sessions.Two groups were divided based on the treatment sessions:group A receiving 6(≥4 for axillae)or more treatments,group B less than 6(＜4 for axillae)treatments.Patients were followed up for 8 months to 3 years(mean 22.5 months)by return visit or telephone.Evaluation of efficacy and side effects were performed.Results Follow-up and evaluation were completed in 235 patients,and a total of 375 sites treated.After 2-18 treatments,a total effective rate of 80.53%(302/375)was achieved.Significant higher effective rates were observed in group B compared with group A at all sites 86.84%(33/38)vs 35.00%(7/20)on the lips,68.42%(26/38)vs 30.77%(4/13)on the face and neck,92.00%(46/50)vs 55.56%(5/9)in lower extremities,86.96%(20/23)vs 50.00%(4/5)on the trunk.93.81%(91/97)vs 55.56%(5/9)at the axillae,92.16%(47/51)vs 73.68%(14/19)in the upper extremities(all P＜0.05),Side effects were noted in only 6 cases,including hyperpigmentation,itching,and development of follicular papules,blisters and white hair.Neither hypopigmentation nor scarring was observed.Conclusions Diode laser system is effective and safe for hair removal.The effect varies with lesional sites and treatment sessions.
