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时间:2019-08-03
《Q-开关激光联合强脉冲光治疗黄褐斑临床疗效分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、Vo1.21No.13July2010HAINANM匮DICALJOURNAL《海南医学)2010年第2l卷第l3期·论著·Q一开关激光联合强脉冲光治疗黄褐斑临床疗效分析肖和,杨志强,杨正文,刘勤,宋美,黎志中,俞晓岚(广州医学院第二附属医院整形外科,广东广州510260)【摘要】目的探讨和评价Q一开关激光联合强脉冲光(IPL)治疗黄褐斑的临床疗效和安全性。方法激光治疗组35例,采用MedliteQ一开关激光治疗6次,间隔1个月治疗一次;激光与强脉冲光联合治疗组42例,先用MedliteQ一开关激光治疗6次,间隔1个月
2、治疗一次,再用Lumenisone强脉冲光治疗5次,间隔1个月治疗一次;对照组12例,采用中药祛斑面膜治疗,每周1次,连续4周一个疗程,总共完成6个疗程。所有患者严格防晒,勿过度劳累。结果黄褐斑对照组治愈0例,显效3例(25.0o%),总有效率为25.0o%;激光治疗组治愈6例(17。14%),显效16例(45.71%),总有效率为62.85%;激光与强脉冲光联合治疗组治愈10例(23.81%),显效23例(54.76%),总有效率为78.57%。激光治疗组和联合治疗组都取得了显著的疗效(P<0.05)。对照组红斑过敏
3、1例(8.33%);激光治疗组色素沉着2例(5.71%);联合治疗组色素沉着4例(9.52%),色素减退2例(4.76%),未见增生性瘢痕。结论Q一开关激光和强脉冲光(IPL)治疗黄褐斑安全、有效,副作用少,联合治疗能提高疗效。【关键词】黄褐斑;激光;强脉冲光;治疗【中图分类号】R758.42【文献标识码】A【文章编号】1003----6350(2010)13---015---04Clinicalefectoflaserandintensepulsedlightinthetreatmentofmelasmas.X3AO
4、He,GZhi—qiang,ⅣGZheng—wen,etaLDepartmentofPlasticandReconstructiveSurgery,SecondHospitalAfiliatedtoGuangzhouMedicalCollege,Guangzhou51026O,Guangdong,CHINA【Abstract】0bjec~veToexploreandevaluatethecurativeefectandsaftyoflaserandintensepulsedlightinthetreatmentofme
5、lasmas.Methods89patientswithmelasmaweretreated.35melasmaswereinitiallytreatedthO—switchedlaserwith1064nmwavelength,fouowedbysixtimesconsecutivetreatments,onceamonth.Other42melasmasfirstlyreceived6timesconsecutivetreatmentsofQ—switchedlaserwithlO64Iliawavelength.
6、tllenweretreatedby5timesconsecutivetreatmentswithIPLonceamortth.AndstillOtllertwelvemelasmaswereconsist.entofthecontrolteamreceived24timesconsecutivetreatmentsoftraditionalChinesemedicinefaeialmask,onceaweek.Allofpatientswerestrictwithsun—proof.ResultsThecurativ
7、eefectofthecontrolteam.thetreatmentteamoflaserandthetreatmentteamoflaserandIPLwere25%.62.85%and78.57%.respectively.Theside—efectswerealsoobserved.Erythemawas8.33%jnthecontrolteam.Hyperpigmentationwas5.71%and9.52%inthetreatmentteamofLaserandthetreatmentteamofLase
8、randIPL.HypopigraentationiS4.76%inthetreat.mentteamofLaserandIPL.HypertrophicscarWasnotfound.ConclusionLaserandIPLwereefectiveandsafeintreatmentofmelasmas.【Kwords】Mel
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