Q开关激光治疗双侧面部获得性太田痣样斑287例疗效研究.docVIP

Q开关激光治疗双侧面部获得性太田痣样斑287例疗效研究[摘要]目的:比较Q开关紫翠宝石755nm激光、Nd:YAG 1 064nm激光和倍频Nd:YAG 532nm激光对双侧获得性太田痣样斑的治疗效果和副作用。方法:运用Q开关紫翠宝石755nm激光、Nd:YAG 1064nm激光和倍频Nd:YAG 532nm激光分别对287例患者进行治疗。结果:经过1～13次治疗后,痊愈140例,显效66例,有效59例,无效22例,总有效率71.8%,总治愈率48.8%。倍频Nd:YAG 532nm激光治疗起效快而副反应明显,Q开关紫翠宝石755nm激光和Nd:YAG 1 064nm激光起效慢但副反应轻微。结论:三种Q开关激光均能有效治疗双侧获得性太田痣样斑,长程低能量的Q开关紫翠宝石755nm激光和Nd:YAG 1 064nm激光因副反应轻微更适合美容患者的需要。 [关键词]双侧获得性太田痣样斑;Q开关;紫翠宝石激光;Nd:YAG激光;倍频 [中图分类号]R616.4 [文献标识码]A[文章编号]1008-6455(2010)06-0869-02 The analysis of 287 Acquired bilateral nevus of Ota-like macules(ABNOM) treated with Q-switchedLasers TAN Jun,WU Dong-hui, ZHONG Qian (Department of Plastic and Laser Cosmetic Surgery, People’s Hospital of Hunan Province, Changsha410005,Hunan,China ) Abstract:Objective To discuss the therapeutic effect of Acquired bilateral nevus of Ota-like macules (ABNOM) treated with Q-switched lasers. Methods 287 cases of ABNOM were treated with Q-switched alexandrite laser, Nd:YAG laser or Double-frequency Nd:YAG laser seperatedly. Results After 1～13 times of treatments, 140 cases were cured,66 cases showed marked improvement,59 cases had fare blanching and 22 cases were evaluated as uneffective. The gross effective rate were 71.8%,and the completely recovered rate were 48.8%. The patients treated with double-frequency Nd:YAG laser showed more rapid response and underwent more obvious side-effects than with the other two lasers. Conclusions the Q-switched lasers are effective for treating ABNOM. To achieve safe and satisfactory recovery of ABNOM,long term and low energy Q-switched alexandrite or Nd:YAG laser is recommended. Key words:Acquired bilateral nevus of Ota-like macules (ABNOM); Q-switched; alexandrite laser; Nd:YAG laser; Double-frequency 双侧获得性太田痣样斑(Acquired bilateral nevus of Ota-like macules,ABNOM)为对称分布于双侧颧部、颞部、眼睑,群集而又不融合的圆形、椭圆形,粟粒至黄豆大小的褐青色斑点,好发于中青年女性。既往采用药物、磨削、冷冻、剥脱术等方法,均不能达到满意疗效,甚至出现瘢痕、色素异常等,近年来,应用调Q开关激光治疗屡有报道,并已取得不错的效果。临床上常用的调Q开关激光有紫翠宝石激光(755nm),Nd:YAG激光(1 064nm),倍频Nd:YAG激光(5