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1、强脉冲光联合射频治疗面部皮肤光老化临床体会［摘要］目的:探讨强脉冲光（IPL）联合射频（RF）治疗面部皮肤光老化的临床应用及其与单一使用IPL或RF方法的效果比较。方法：451例患者，其中134例行单一IPL治疗，138例行单一RF治疗，179例行IPL联合RF治疗。比较治疗前后患者面部毛细血管血管扩张、色素沉着、皮肤质地的改善情况，评估各方法的有效率及患者的满意程度。结果：单一行IPL组，单一行RF组以及IPL联合RF治疗组治疗毛细血管扩张有效率分别为84.33%、14.49%、8&27%,治疗色素沉着有效率分别为57.46%,12.32%,62.01%,改善皮肤质地有效率分别为
2、57.71%、83.82%、85.29%,三种方法患者的满意度分别为73.13%,68.12%,88.27%。结论：IPL治疗面部毛细血管扩张、祛除色斑效果较好,RF治疗皮肤干纹，改善皮肤松弛效果明显，两者联合使用可相互促进达到优于两者单独治疗的效果。［关键词］强脉冲光;射频；面部皮肤光老化;联合治疗［中图分类号JR616.4［文献标识码］A［文章编号］1008-6455（2010）07-1046-03ClinicalsurveyofIntensePulsedLight(IPL)combingwithRadiofrequency(RF)forfacialphotoagingZHAN
3、GJie,LUOXiao(DepartmentofPlasticSurgery,TongjiHospital,TongjiMedicalCollege,HuazhongUniversityofScienceandTechnology,Wuhan,430030,Hubei,China)Abstract：ObjectiveToobservetheclinicalcurativeeffectofintensepulsedlight(IPL)combingwithradiofrequency(RF)forfacialphotoagingandcompareitwiththatofsingl
4、eIPLtreatmentorRFtreatment・Methods451patientswereselectedandtreatedwith3differentmethods,34weretreatedwithRF,79casesweretreatedwithIPL,38casesweretreatedwithIPLandRF.Evaluatingthetreatmentresultsandpatientsatisfactionfortelangiectasias,pigmentationchangesandskintextureafter3differenttherapies・
5、ResuItsFortelangiectasia,theeffectiverateofsingleIPLtreatmentgroupwas57.46%,thesingleRFtreatmentgroup12.32%,whilethetherapeuticalliancegroup62.01%；forpigmentationchangethecorrespondingeffectiverateswere57.46%,12.32%,62.01%；forskintexturemodificationthecorrespondingeffectiverateswere57.71%,83.8
6、2%,85.29%；thepatientsatisfactionratesofeachtherapywere73.13%,68.12%,88.27%.ConclusionIPLtreatmenthasgoodresuItsforvascularandpigmentedlesions,andRFtreatmentshowsgoodresultsforsuperficialskinwrinklesandthytids；whiletheallianceoftwotreatmentscouldimprovethecurativeeffectwhichisbetterthananysingl
7、etreatment.Keywords：IPL；RF；facialphotoaging；therapeuticalliance随着人们生活水平的提高，保持一个相对年轻的皮肤状态已成为越来越多人的需求。光老化所导致的皮肤色斑、毛细血管扩张及皮肤皱纹是影响面部美容的常见问题［1］。目前临床上应用的以强脉冲光（IPL）和射频（RF）技术为代表的各种非创伤性嫩肤技术由于其良好的治疗效果和安全简便的临床应用特点，在面部年轻化美容领域得到了迅速发展［2］。我科近年来先后引进以色列
