激光治疗酒渣鼻疗效探析.docVIP

激光治疗酒渣鼻疗效探析(中山医科大学院附属一院特诊激光室　广州510080) [摘　要]　目的:探讨CO2激光及氦氖激光治疗酒渣鼻的效果。　方法:分别采用CO2激光及氦氖激光器,对65例不同期的酒渣鼻进行治疗。其中42例采用CO2激光,23例采用氦氖激光治疗,治疗均采用点状照射。　结果:CO2激光治疗的30例红斑期酒渣鼻红斑和毛细血管扩张减少或消失,12例丘疹和鼻赘期患者其症状减少或消失。氦氖激光治疗的23例中,症状均改善。总有效率达到100%。　结论:激光点状照射可以减少疤痕产生,两种激光均是治疗酒渣鼻的有效方法。 [关键词]　酒渣鼻　激光 [中图分类号]R312+R758.73　[文献标识码]A　[文章编号]1008-6455(2000)09-278-02 DISCUSS OF TREATING BRANDY NOSE BY LASER FAN Yan-fang Depart. The special outpatient service Laser Unit,First affiliated hospital of Sun Yat-Sen University of Medical Science(Guang Zhou　510080) [Abstract]　Objective:To investigate the results of CO2 and He-Ne laser for the treatment of brandy nose.　Method:Sixty-five cases of brandy nose of different stage were treated by CO2 and He-Ne laser respectively. Among them, CO2 laser was employed in 42 cases and He-Ne laser in 23 cases.Spot scan of laser therapy was used in the treatment.　Results:30 cases treated by CO2 laser,there are great decrease of disappear in erythema and dilator of twig-shape capillary.There is decrease or disappear of papula and rhinophyma in 12 cases.Among them 23 cases treated by He-NE laser,All get great improvement. Total effectiveness of two kinds laser treatments reached 100%.　Conclusion:Spot scan can minimize the formation of scar formation. This two kinds laser are effective ways of treatment for brandy nose. [Key words]　Brandy nose　Laser 酒渣鼻是一种发生于局部尤其是面部中央部分的慢性皮肤疾病,早期表现为局部弥漫性皮肤潮红,伴发丘疹、脓疮及毛细血管扩张损害,晚期形成鼻赘。病因尚未明确,目前主要采用药物、冷冻、激光、整形手术等方法治疗。笔者在1998年8月至1999年12月曾对65例酒渣鼻患者通过CO2聚焦点状治疗及He-Ne激光照射,取得较好的效果,现报告如下。 1　临床资料?患者共65例,其中红斑及毛细血管扩张期53例,丘疹期和鼻赘期12例;男性45例,女性20例;年龄25岁～56岁。65例中有15例曾经药物治疗效果欠佳转由激光治疗。 2　治疗方法 2.1　二氧化碳激光聚焦点状治疗　采用上海第二医科大学生产的ML CO2-30B激光器,波长10.6um,输出功率8W～30W,功率密度在焦点附近2548W/cm?2光斑直径0.2mm。?对毛细血管扩张期的30例以及丘疹和鼻赘期的12例,对其皮损扩张的毛细血管网交点作广泛点状气化,对同时存在的脓疮或脂栓也同时作气化处理。治疗后严格防止感染,用无菌纱布覆盖创面,每天换药至伤口无渗液,必要时在伤口愈合约3周后再治疗一次,治疗后追踪3个月并观察结果。 2.2　氦氖激光局部照射?采用上海第二医科大学生产的ML He-Ne-30B激光器,波长632.8nm,输出功率10W～30W,光斑直径2mm～4mm,光束垂直对准皮损中心照射,每次5分钟～15分钟,每天一次,7～1