摘要
目的探讨Q开关532激光治疗复发性咖啡斑的临床疗效及影响因素。方法收集2018年1月至2019年1月,内蒙古民族大学附属医院皮肤科收集经Q开关755 nm激光治疗2~5次后复发且色斑消退<30%咖啡斑患者55例,再行Q开关532 nm激光仪治疗,3~6个月治疗1次。根据患者皮损选择适当的治疗参数。观察不同年龄、性别、皮损大小、皮损形状、皮损边缘对治疗的影响。结果55例患者经2~5次Q开关532 nm激光治疗,痊愈19例、显效13例、有效15例、无效8例,有效率85%。无色素减退及瘢痕形成。其中非椭圆形咖啡斑的疗效优于椭圆形疗效,差异有统计学意义(P<0.05),边缘不光滑疗效优于边缘光滑疗效,差异有统计学意义(P<0.05)。不同年龄、性别、皮损大小疗效比较,差异无统计学意义(P>0.05)。结论Q开关532 nm激光治疗复发性咖啡斑疗效确切,非椭圆形和边缘不光滑咖啡斑疗效更好。
Objective To explore the clinical efficacy and side effects of Q 532 laser in the treatment of recurrent café-au-lait spots. Methods Collection period was from January 2018 to January 2019. Fifty-five patients with recurrent café-au-lait spots after 2-3 times of Q-switched 755 laser treatment were selected and then treated with Q-switched 532 laser. Treatment was given once every 3-6 months. The appropriate treatment parameters were selected according to the patient's condition. The effects of age, gender, size, morphology and margin of the lesion on the treatment were observed. Results Among the 55 patients treated with Q 532 laser after 2 to 5 treatments, 19 cases were cured, 13 cases markedly effective, 15 cases moderately effective, 8 cases invalid with a total effective rate of 85%. Conclusions Q 532 laser is an effective and safe treatment for recurrent Café-au-lait spots.
作者
沙爽
佟立
Sha Shuang;Tong Li(Department of Dermatology,Affiliated Hospital of Inner Mongolia University for Nationalities,Tongliao 028000,China;Clinical Medical College of Inner Mongolia University for Nationalities,Tongliao 028000,China)
出处
《中华医学美学美容杂志》
2019年第4期319-321,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
