調Q1064nm激光和點陣1064nm激光治療黃褐斑的臨床研究

[摘要]目的：探討調Q1064nm激光和點陣1064nm激光治療面部黃褐斑的臨床療效。方法：回顧性分析46例患者的臨床資料，A組:24例，用調Q1064nm激光治療，每月治療1次，連續治療5次；B組:22例，用點陣1064nm激光治療，每2周治療1次，每例患者治療10次。兩組患者均在療程結束隨訪1年后進行評估。結果：A組24例患者經過調Q1064nm激光治療5次后，臨床治愈7例，顯效12例，有效5例，無效0例，總有效率79.17%；B組22例患者采用點陣1064nm激光治療10次后，臨床治愈12例，顯效7例，有效3例，無效0例，總有效率86.36%；兩組總有效率比較無顯著差異。結論：采用調Q1064nm激光和點陣1064nm激光治療面部黃褐斑，有效、安全、無副作用，是目前治療面部黃褐斑最有效的方法。

[關鍵詞]黃褐斑；激光治療；Q開關1064nm激光；1064nm點陣激光

[中圖分類號]R758.4+2 [文獻標識碼]A [文章編號]1008-6455（2012）05-0804-02

Study on therapertic effect of moth-patch treated by 1064nm Q- switched laser: and 1064nm fractional laser

ZHONG Gui-ling，HU Ying，BAI Li，LI Su-xia，ZHU lei，YAN Ling

（Department of Plastic and Cosmetic Surgery，The Third Affiliated Hospital of Sun Yat-Sen University， Guangzhou，510630，Guangdong，China）

Abstract： Objective To observe and compare the therapeutic effect of moth-patch treated by using 1064nm Q- switched laser and 1064nm fractional laser. Methods A total of 46 moth-patch cases were treated with 1064nm Q- switched laser and 1064nm fractional laser differently. Group A contains 24 cases.All of them were treatded by 1064nm Q- switched laser. The interval duration between treatments is 1 month. The treating time is 5. Group B contains 22 cases. All of them were treatded by 1064nm fractional laser. The interval duration between treatments is 2 weeks. The treating time is 10. Results The therapeutic effect group A and group B all of the 46 cases was evaluated one year later. In group A， All of them were treatded by 1064nm Q- switched laser. 7 cases were completely cured， 12 cases showed good effect， 5 cases were moderately improved and none was invalid. All effect rate was 79.17%. In group B， All of them were treatded by 1064nm fractional laser. 12 cases were completely cured， 7 cases showed good effect， 3cases were moderately improved and none was invalid.All effect rate was 86.36%.There was no statistic difference between this two group. Conclusion This two methods， treating moth-patch with 1064nm Q- switched laser and 1064nm fractional laser，are good effective， safe and no side effect.

Key words:moth-patch;therapy with laser;Q- switched laser; fractional laser

近年來，激光技術飛速發展，調Q1064nm激光和點陣1064nm激光廣泛應用于整形美容，使各種色素性皮膚疾病得到有效治療。對于黃褐斑患者，調Q1064nm激光治療可以獲得滿意療效[1-2]，而點陣1064nm激光治療的國內尚無報道[3-5]。本文回顧筆者科室2010年7月～2011年1月門診采用德國進口的QX祛斑王激光美容機進行治療的46例面部黃褐斑患者，均取得了滿意療效，現總結如下。

1 資料和方法

1.1一般資料：46例患者均符合黃褐斑的臨床診斷標準[6]，即:①面部淡褐色至深褐色，界限清楚的斑片，通常對稱性分布，無炎癥表現及鱗屑；②無明顯自覺癥狀；③女性多發，主要發生于青春期后；④病情有季節性，常夏重冬輕；⑤排除其他疾病引起的色素沉著。排除標準：①年齡小于18 歲，大于55 歲；②妊娠或哺乳期婦女；……