中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
Chinese Journal of Medical Aesthetics and Cosmetology
2015年
5期
260-263
,共4页
杨凌云%王敏%龚雪%李其爱%晏洪波
楊凌雲%王敏%龔雪%李其愛%晏洪波
양릉운%왕민%공설%리기애%안홍파
点阵激光%微针%痤疮瘢痕
點陣激光%微針%痤瘡瘢痕
점진격광%미침%좌창반흔
Fractional laser%Micro needle%Acne scars
目的 探讨超脉冲二氧化碳点阵激光联合微针治疗面部痤疮凹陷性瘢痕的疗效和安全性.方法 将86例面部痤疮凹陷性瘢痕患者按治疗方法不同完全随机分为两组,观察组采用点阵二氧化碳激光和微针联合治疗;对照组仅用超脉冲二氧化碳点阵激光治疗.治疗间隔1～3个月,治疗2～8次.治疗前、后对两组的痤疮瘢痕权重评分(ECCA)、总有效率及不良反应进行比较.结果 两组治疗前、后ECCA评分均明显下降,其中观察组评分从(61±11)分降至(45±15)分,对照组评分从(57±14)分降至(40±16)分,差异均有统计学意义(均P＜0.05).两组疗效均随治疗次数增多而明显提高.观察组46例的总有效率分别为81.8％(18/22)、100.0％(24/24),对照组40例的总有效率分别为80.0％(16/20)、100.0％(20/22),两组差异无统计学意义(P＞0.05).但在达相似疗效时,治疗周期观察组为(6.8±1.6)个月,对照组为(20.8±4.6)个月,两组差异有统计学意义(P＜0.05).观察组2例、对照组5例术后出现红斑和色素沉着.结论 超脉冲二氧化碳点阵激光联合微针和单纯超脉冲二氧化碳点阵激光治疗面部痤疮凹陷性瘢痕均有较好疗效,但联合治疗见效快,并发症少,治疗周期缩短.
目的 探討超脈遲二氧化碳點陣激光聯閤微針治療麵部痤瘡凹陷性瘢痕的療效和安全性.方法 將86例麵部痤瘡凹陷性瘢痕患者按治療方法不同完全隨機分為兩組,觀察組採用點陣二氧化碳激光和微針聯閤治療;對照組僅用超脈遲二氧化碳點陣激光治療.治療間隔1～3箇月,治療2～8次.治療前、後對兩組的痤瘡瘢痕權重評分(ECCA)、總有效率及不良反應進行比較.結果 兩組治療前、後ECCA評分均明顯下降,其中觀察組評分從(61±11)分降至(45±15)分,對照組評分從(57±14)分降至(40±16)分,差異均有統計學意義(均P＜0.05).兩組療效均隨治療次數增多而明顯提高.觀察組46例的總有效率分彆為81.8％(18/22)、100.0％(24/24),對照組40例的總有效率分彆為80.0％(16/20)、100.0％(20/22),兩組差異無統計學意義(P＞0.05).但在達相似療效時,治療週期觀察組為(6.8±1.6)箇月,對照組為(20.8±4.6)箇月,兩組差異有統計學意義(P＜0.05).觀察組2例、對照組5例術後齣現紅斑和色素沉著.結論 超脈遲二氧化碳點陣激光聯閤微針和單純超脈遲二氧化碳點陣激光治療麵部痤瘡凹陷性瘢痕均有較好療效,但聯閤治療見效快,併髮癥少,治療週期縮短.
목적 탐토초맥충이양화탄점진격광연합미침치료면부좌창요함성반흔적료효화안전성.방법 장86례면부좌창요함성반흔환자안치료방법불동완전수궤분위량조,관찰조채용점진이양화탄격광화미침연합치료;대조조부용초맥충이양화탄점진격광치료.치료간격1～3개월,치료2～8차.치료전、후대량조적좌창반흔권중평분(ECCA)、총유효솔급불량반응진행비교.결과 량조치료전、후ECCA평분균명현하강,기중관찰조평분종(61±11)분강지(45±15)분,대조조평분종(57±14)분강지(40±16)분,차이균유통계학의의(균P＜0.05).량조료효균수치료차수증다이명현제고.관찰조46례적총유효솔분별위81.8％(18/22)、100.0％(24/24),대조조40례적총유효솔분별위80.0％(16/20)、100.0％(20/22),량조차이무통계학의의(P＞0.05).단재체상사료효시,치료주기관찰조위(6.8±1.6)개월,대조조위(20.8±4.6)개월,량조차이유통계학의의(P＜0.05).관찰조2례、대조조5례술후출현홍반화색소침착.결론 초맥충이양화탄점진격광연합미침화단순초맥충이양화탄점진격광치료면부좌창요함성반흔균유교호료효,단연합치료견효쾌,병발증소,치료주기축단.
Objective To investigate the clinical efficacy of fractionated ultrapulse carbon dioxide laser combined with microneedle for depressed acne scars.Methods Totally 86 patients with depressed acne scar were randomly divided into 2 groups:the treatment group received fractionated ultrapulse carbon dioxide laser combined with microneedle technology and the control group only received fractionated ultrapulse carbon dioxide laser.The treatment interval was 1 to 3 months,and the whole course was 2-8 times.The total effective rate and the adverse reaction were analyzed in the facial acne scar.Results The surface of depressed acne scars was significantly improved.ECCA score of all patients declined obviously after treatment,the score of the treatment group declined from 61± 11 to 45± 15,and the control group declined from 57± 14 to 40± 16.There were significantly statistical differences in the results of each group (P＜0.05).More treatment times resulted in better surface improvement.The total effective rate were 81.8％ (18/22) and 100％ (24/24) in the treatment group,and 80.0％ (16/20) and 100％ (20/22) in the control group.The course was 6.8± 1.6 months in the treatment group and 20.8±4.6 months in the control group (P＜0.05) to get a similar satisfied result.There were no obvious adverse reactions except two cases of erythema and pigmentation in the treatment group and 5 cases in the control group.The former was with less adverse reactions.Conclusions Ultrapulse carbon dioxide laser combined with microneedle technique is effective for facial acne scars,with less complications and shorten treatment course.
