二氧化碳点阵激光美容技术应用于色素痣治疗中临床效果分析
|
摘要
目的探讨激光美容技术治疗色素性疾病色素痣的临床效果,为临床使用提供参考依据。方法选取我院2016年16月～2018年16月所收治色素痣色素性疾病患者78例,随机分为研究组和对照组。对照组39例,予以微创切除术;研究组39例,予以激光美容针。比较两组临床表现、疗效、不良反应差异。结果研究组患者中,创面愈合时间为(8.19±1.76)d、创面疼痛评分为(2.21±1.07)分,均显著低于对照组,t分别为8.253、4.761,差异具有统计学意义(P <0.05)。研究组总有效率为97.44%,明显高于对照组的79.49%,(P <0.05)。研究组患者中,色素沉着12例、红斑1例,不良反应发生率为33.33%,明显低于对照组的69.23%,X2为8.672,差异具有统计学意义(P <0.05)。结论激激光美容技术可明显提升色素痣临床疗效,缩短治疗周期,减轻患者痛苦,且不良反应更少,安全性高,更有利于改善患者外貌美观度,值得临床推广应用。
Objective To investigate the clinical effect of laser cosmetology in the treatment of pigmented nevus of pigmentary diseases, and to provide reference for clinical use. Methods 78 patients with pigmented nevus treated in our hospital from June 2016 to June 2018 were randomly divided into study group and control group. 39 cases in the control group were treated with minimally invasive resection and 39 cases in the study group were treated with laser cosmetic needle. The differences of clinical manifestations, curative effects and adverse reactions between the two groups were compared. Results In the study group, the wound healing time was(8.19±1.76) D and the wound pain score was(2.21±1.07), which were significantly lower than those in the control group, t was 8.253 and 4.761, respectively, with statistical significance(P <0.05);.The total effective rate was 97.44% in the study group, which was significantly higher than 79.49% in the control group(P <0.05); There were 12 cases of pigmentation and 1 case of erythema in the study group. The incidence of adverse reactions was 33.33%, which was significantly lower than 69.23% and 8.672 in the control group(P <0.05);. Conclusion Laser Laser Beauty Technology can significantly improve the clinical efficacy of pigmented nevus, shorten the treatment cycle, alleviate the pain of patients, and less adverse reactions, high safety, more conducive to improving the appearance and beauty of patients, worthy of clinical application.
Objective To investigate the clinical effect of laser cosmetology in the treatment of pigmented nevus of pigmentary diseases, and to provide reference for clinical use. Methods 78 patients with pigmented nevus treated in our hospital from June 2016 to June 2018 were randomly divided into study group and control group. 39 cases in the control group were treated with minimally invasive resection and 39 cases in the study group were treated with laser cosmetic needle. The differences of clinical manifestations, curative effects and adverse reactions between the two groups were compared. Results In the study group, the wound healing time was(8.19±1.76) D and the wound pain score was(2.21±1.07), which were significantly lower than those in the control group, t was 8.253 and 4.761, respectively, with statistical significance(P <0.05);.The total effective rate was 97.44% in the study group, which was significantly higher than 79.49% in the control group(P <0.05); There were 12 cases of pigmentation and 1 case of erythema in the study group. The incidence of adverse reactions was 33.33%, which was significantly lower than 69.23% and 8.672 in the control group(P <0.05);. Conclusion Laser Laser Beauty Technology can significantly improve the clinical efficacy of pigmented nevus, shorten the treatment cycle, alleviate the pain of patients, and less adverse reactions, high safety, more conducive to improving the appearance and beauty of patients, worthy of clinical application.
引文
[1]龚宇,齐德玉.激光美容技术在治疗色素性疾病中的应用效果观察[J].中国初级卫生保健,2017(12):302-303.DOI:10.3969/j.issn.1001-568X.2017.12.0050.
[2]匡永琴,沈为民,谭子明,等.YQ400A/B增强型激光美容仪治疗面部色素性皮肤病的疗效观察[J].重庆医科大学学报,2010(6):1201-1203.
[3]崔诗悦,牛军州,李慧琼,等.长脉冲800nm半导体激光治疗色素性疾病的临床疗效观察[J].中国美容医学杂志,2015年(5):62-64.
[4]HE Lee,SB Park,JH Lee,etal.Nevus sebaceous treated with fractional carbon dioxide laser followed by pulsed dye laser[J].Indian Journal of Dermatology Venereology and Leprology,2014,80(5):478-80.DOI:10.4103/0378-6323.140336
[5]MC Zipser,J Mangana,PA Oberholzer,etal.Melanoma after laser therapy of pigmented lesions--circumstances and outcomer[J].European Journal,2010,20(3):334-338.DOI:10.1684/ejd.2010.0933
[6]陈光鹏.调Q开关激光治疗常见色素增加性皮肤病的临床效果分析[J].现代诊断与治疗,2016(24):4697-4698.DOI:10.3969/j.issn.1001-8174.2016.24.069.
[7]HR Jalian,MM Avram,KJ Stankiewicz,etal.Combined585 nm pulsed‐dye and 1,064 nm Nd:YAG lasers for the treatment of basal cell carcinomar[J].Lasers in Surgery&Medicine,2014,46(1):1-7.DOI:10.1002/lsm.22201
[8]曾永芳,鲁元刚,杨宏珍,等.二氧化碳点阵激光联合硅酮凝胶治疗面部痤疮瘢痕疗效分析[J].中国医疗美容,2014,4(2):206-208.
[9]GY Lee,HJ Kim,KK Whang,etal.The effect of combination treatment of the recalcitrant pigmentary disorders with pigmented laser and chemical peeling[J].Dermatologic surgery:official publication for American Society for Dermatologic Surgery,2002,28(12):1120-1123.
[10]李红杏,陈海燕,唐玉娟,等.医疗失效模式与效应分析法在皮肤激光美容治疗中的应用效果观察[J].护理实践与研究,2018,15(12):216-217.DOI:10.3969/j.issn.1672-9676.2018.12.043.
[11]M Boleira,LKDA Balassiano,T Jeunon,etal.Complete regression of a melanocytic nevus after epilation with diode laser therapy[J].Dermatol Pract Concept,2015,5(2):99-103.DOI:10.5826/dpc.0502a20
[12]李伟,张玉洁,胡筠,等.激光点云结合逆向工程快速构建软组织立体模型在美容外科的应用[J].中国组织工程研究,2015(15):401-402.DOI:10.3969/j.issn.2095-4344.2015.15.010.
[13]鲍海萍,朱梦洁,苏侃,等.激光美容针治疗色素性疾病78例临床分析[J].现代实用医学,2016,28(9):1222-1223.DOI:10.3969/j.issn.1671-0800.2016.09.050.
[2]匡永琴,沈为民,谭子明,等.YQ400A/B增强型激光美容仪治疗面部色素性皮肤病的疗效观察[J].重庆医科大学学报,2010(6):1201-1203.
[3]崔诗悦,牛军州,李慧琼,等.长脉冲800nm半导体激光治疗色素性疾病的临床疗效观察[J].中国美容医学杂志,2015年(5):62-64.
[4]HE Lee,SB Park,JH Lee,etal.Nevus sebaceous treated with fractional carbon dioxide laser followed by pulsed dye laser[J].Indian Journal of Dermatology Venereology and Leprology,2014,80(5):478-80.DOI:10.4103/0378-6323.140336
[5]MC Zipser,J Mangana,PA Oberholzer,etal.Melanoma after laser therapy of pigmented lesions--circumstances and outcomer[J].European Journal,2010,20(3):334-338.DOI:10.1684/ejd.2010.0933
[6]陈光鹏.调Q开关激光治疗常见色素增加性皮肤病的临床效果分析[J].现代诊断与治疗,2016(24):4697-4698.DOI:10.3969/j.issn.1001-8174.2016.24.069.
[7]HR Jalian,MM Avram,KJ Stankiewicz,etal.Combined585 nm pulsed‐dye and 1,064 nm Nd:YAG lasers for the treatment of basal cell carcinomar[J].Lasers in Surgery&Medicine,2014,46(1):1-7.DOI:10.1002/lsm.22201
[8]曾永芳,鲁元刚,杨宏珍,等.二氧化碳点阵激光联合硅酮凝胶治疗面部痤疮瘢痕疗效分析[J].中国医疗美容,2014,4(2):206-208.
[9]GY Lee,HJ Kim,KK Whang,etal.The effect of combination treatment of the recalcitrant pigmentary disorders with pigmented laser and chemical peeling[J].Dermatologic surgery:official publication for American Society for Dermatologic Surgery,2002,28(12):1120-1123.
[10]李红杏,陈海燕,唐玉娟,等.医疗失效模式与效应分析法在皮肤激光美容治疗中的应用效果观察[J].护理实践与研究,2018,15(12):216-217.DOI:10.3969/j.issn.1672-9676.2018.12.043.
[11]M Boleira,LKDA Balassiano,T Jeunon,etal.Complete regression of a melanocytic nevus after epilation with diode laser therapy[J].Dermatol Pract Concept,2015,5(2):99-103.DOI:10.5826/dpc.0502a20
[12]李伟,张玉洁,胡筠,等.激光点云结合逆向工程快速构建软组织立体模型在美容外科的应用[J].中国组织工程研究,2015(15):401-402.DOI:10.3969/j.issn.2095-4344.2015.15.010.
[13]鲍海萍,朱梦洁,苏侃,等.激光美容针治疗色素性疾病78例临床分析[J].现代实用医学,2016,28(9):1222-1223.DOI:10.3969/j.issn.1671-0800.2016.09.050.