摘要
目的:探讨应用改良完美脉冲技术(AOPT)的治疗模式下不同波段滤光片治疗面部毛细血管扩张症(FT)的效果及安全性。方法:选取128例FT患者的资料,并随机分为对照组和观察组,每组64例,两组均给予AOPT治疗,其中对照组采用波长560~1200nm血管滤光片;观察组采用波长530~650nm和波长900~1200nm血管滤光片,评估两组治疗5个月后及术后随访3个月的临床疗效,比较治疗前、治疗5个月后及术后3个月的面部美学分区评分及毛细血管形态评分,观察两组术后不良反应发生情况以及调查术后随访3个月的面容修复满意度。结果:观察组治疗后及术后随访3个月的临床总有效率分别为93.75%及100.00%,均显著高于对照组的75.00%及90.63%(P<0.05);面部美学分区评分的时间效应、组间效应有统计学意义(P<0.05),毛细血管形态评分的时间效应有统计学意义(P<0.05),两组面部美学分区评分、毛细血管形态评分均较术前有降低,对照组上述评分高于观察组,差异均有统计学意义(P<0.05);观察组的术后不良反应总发生率为1.56%,显著低于对照组的12.50%(P<0.05);观察组术后随访3个月后的面容修复满意度为100.00%,显著高于对照组的93.75%(P<0.05)。结论:应用AOPT技术并采用波长530~650nm和波长900~1200nm血管滤光片治疗FT患者的近、远期疗效明确,能明显改善面部美观度和毛细血管形态,减少术后不良反应,提升患者面容修复满意度。
Objective:To investigate the effectiveness and safety of using Advanced Optimal Pulse Technology(AOPT)with different wavelength band filters in the treatment of facial telangiectasia(FT).Methods:Clinical data from 128 FT patients were collected and they were randomly divided into a control group and an observation group,each consisting of 64 patients.Both groups received AOPT treatment,with the control group using a vascular filter with a wavelength of 560~1200nm,and the observation group using vascular filters with wavelengths of 530~650nm and 900~1200nm.The clinical efficacy of the two groups was assessed after 5 months of treatment and at a 3-month post-surgery follow-up.The facial aesthetic zone score and capillary morphology score were compared before treatment,after 5 months of treatment,and at 3 months after surgery.Postoperative adverse reactions in both groups were observed,and the satisfaction with facial repair at the 3-month post-surgery follow-up was investigated.Results:The total clinical effectiveness rates after treatment and at the 3-month post-surgery follow-up in the observation group were 93.75%and 100.00%,significantly higher than the 75.00%and 90.63%in the control group(P<0.05).There were statistically significant effects of time and between-group differences in facial aesthetic zone scores(P<0.05),and the capillary mor-phology score showed a significant effect over time(P<0.05).Both groups had reduced facial aesthetic zone scores and capillary morphology scores compared to before surgery,with the scores in the control group being higher than those in the observation group(P<0.05).The total incidence of postoperative adverse reactions in the observation group was 1.56%,significantly lower than the 12.50%in the control group(P<0.05).The facial repair satisfaction in the observation group was 100.00%at the 3-month post-surgery follow-up,signifi-cantly higher than the 93.75%in the control group(P<0.05).Conclusion:The use of AOPT technology with vascular filters having wavelengths of 530-650nm and 900-1200nm in the treatment of FT patients provides clear short-term and long-term efficacy.This treatment significantly improves facial aesthetics and capillary morphology,reduces postoperative adverse reactions,and enhances patient satisfaction with facial repair.
作者
李微
朱李霞
党辉
陈小燕
LI Wei;ZHU Lixia;DANG Hui(The First Affiliated Hospital of Air Force Medical University,Shaanxi Xi'an 710032,China)
出处
《河北医学》
2024年第1期61-65,共5页
Hebei Medicine
基金
陕西省重点研发计划项目,(编号:2022SF-493)。
关键词
血管滤光片
完美脉冲技术
术后不良反应
面容修复满意度
Vascular filter with wavelength
Optimal pulse technology
Postoperative adverse re-actions
Facial repair satisfaction
