[1]潘廷猛,陈雪路,施 雯.超脉冲点阵CO2激光联合皮下分离术治疗萎缩性痤疮瘢痕临床观察[J].中国美容医学,2023,(6):82-86.
　PAN Tingmeng,CHEN Xuelu,SHI Wen.Clinical Observation of Ultrapulse Fractional CO2 Laser Combined with Subcision in the Treatment of Atrophic Acne Scars[J].Medical Aesthetics and Beauty,2023,(6):82-86.
点击复制

超脉冲点阵CO2激光联合皮下分离术治疗萎缩性痤疮瘢痕临床观察()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年6期
页码:
82-86
栏目:
出版日期:
2023-06-10

文章信息/Info

Title:
Clinical Observation of Ultrapulse Fractional CO2 Laser Combined with Subcision in the Treatment of Atrophic Acne Scars
文章编号:
1008-6455（2023）06-0082-04
作者:
潘廷猛; 陈雪路; 施 雯
(马鞍山十七冶医院皮肤科 安徽 马鞍山 243000 )
Author(s):
PAN Tingmeng; CHEN Xuelu; SHI Wen
(Department of Dermatology,Maanshan Shiqiye Hospital,Maanshan 243000,Anhui,China)
关键词:
萎缩性痤疮瘢痕; 超脉冲点阵CO2激光; 皮下分离术
Keywords:
atrophic acne scar;  ultrapulse fractional CO2 laser;  subcision
分类号:
R619.6
文献标志码:
A
摘要:
目的：观察超脉冲点阵CO2激光联合皮下分离术治疗萎缩性痤疮瘢痕的疗效及不良反应。方法：将64例萎缩性痤疮瘢 痕患者随机分为试验组（32例）和对照组（32例）。试验组首先对萎缩性痤疮瘢痕皮损行皮下分离术，随后进行超脉冲点阵 CO2 激光治疗，每2个月治疗一次，共治疗3次。对照组仅予超脉冲点阵CO2激光治疗。结果：治疗前两组患者ECCA评分无统计 学意义，治疗后试验组ECCA评分显著低于对照组，下降指数高于对照组。V形、U形、W形瘢痕治疗前后ECCA评分比较差异均 有统计学意义；治疗后试验组三种类型痤疮瘢痕ECCA评分均低于对照组，下降指数优于对照组（P＜0.05）。试验组治疗有 效率为93.75%，明显高于对照组（75.00%）。三种类型痤疮瘢痕治疗有效率比较，试验组V形痤疮瘢痕有效率高于对照组， 差异具有统计意义（P＜0.05）；两组U形及W形痤疮瘢痕治疗有效率差异无统计学意义（P＞0.05）。试验组患者疼痛指数平 均值为5.28±0.96，高于对照组的4.75±1.34（P＜0.05）。试验组不良反应发生率（25.00%）和对照组（21.88%）比较差 异无统计学意义（P＞0.05）。结论：超脉冲点阵CO2激光联合皮下分离术具有良好的临床疗效，可有效改善萎缩性痤疮瘢痕 的症状，不良反应轻微，是治疗萎缩性痤疮瘢痕有效治疗手段。
Abstract:
Objective To observe the effi cacy and adverse reactions of ultrapulse fractional CO2 laser combined with subcision in the treatment of atrophic acne scars. Methods Sixty-four patients with atrophic acne scars were randomly divided into an experimental group (32 cases) and a control group (32 cases). The experimental group underwent subcision of the atrophic acne scars followed by ultrapulse fractional CO2 laser treatment every 2 months for a total of 3 sessions. The control group received only ultrapulse fractional CO2 laser treatment. Results There was no signifi cant diff erence in the ECCA scores between the two groups before treatment. After treatment, the ECCA score in the experimental group was signifi cantly lower than that in the control group, and the reduction index was higher than that in the control group. The diff erences in ECCA scores before and after treatment were statistically signifi cant for V-shaped, U-shaped, and W-shaped scars. After treatment, the ECCA scores for all three types of acne scars in the experimental group were lower than those in the control group, and the reduction index was better than that in the control group (P＜0.05). The effective rate of treatment in the experimental group was 93.75%, signifi cantly higher than that in the control group (75%). When comparing the eff ective rates of treatment for the three types of acne scars, the eff ective rate for V-shaped scars in the experimental group was higher than that in the control group, with a statistically signifi cant diff erence (P ＜0.05). There was no signifi cant diff erence in the eff ective rates of treatment for U-shaped and W-shaped scars between the two groups (P ＞0.05). The average pain index in the experimental group was 5.28±0.96, which was higher than the control group 4.75±1.34 (P＜0.05). There was no signifi cant diff erence in the incidence of adverse reactions between the experimental group (25.00%) and the control group (21.88%) (P ＞0.05). Conclusion Ultrapulse fractional CO2 laser combined with subcision has good clinical effi cacy and can eff ectively improve the symptoms of atrophic acne scars. The adverse reactions are mild. It is an eff ective treatment method for atrophic acne scars.

相似文献/References:

[1] 李丽琴,金 铭,何 莹. 点阵CO2激光与羧基疗法分别联合富血小板血浆治疗萎缩性痤疮瘢痕疗效比较[J].中国美容医学,2021,(3):64.
　LI Li-qin,JIN Ming,HE Ying. Comparison of the Efficacy of Fractional CO2 Laser and Carboxy Therapy Combinedwith Platelet-rich Plasma in the Treatment of Atrophic Acne Scar[J].Medical Aesthetics and Beauty,2021,(6):64.
[2]林 琳,宋俊红,陈立荣.透明质酸敷料联合超脉冲点阵CO2激光对面部痤疮凹陷性瘢痕患者瘢痕 修复情况及疼痛程度的影响[J].中国美容医学,2021,(11):48.
　LIN Lin,SONG Jun-hong,CHEN Li-rong.Effects of Hyaluronic Acid Dressing Combined with Ultra-pulse CO2 Fractional Laser on Scar Repair and Pain Degree in Patients with Depressed Facial Acne Scar[J].Medical Aesthetics and Beauty,2021,(6):48.
[3]杨 帅,蒋小姣,马海燕.超脉冲点阵CO2激光联合窄谱强脉冲光治疗创伤后早期增生性瘢痕效果分析[J].中国美容医学,2022,(2):58.
　YANG Shuai,JIANG Xiaojiao,MA Haiyan.Effect Analysis of Early Treatment of Post-traumatic Hypertrophic Scar with Ultra-pulsed Fractional CO2 Laser Combined with Dye Pulse Light[J].Medical Aesthetics and Beauty,2022,(6):58.
[4]姜晓铮 曹 蒙 综述,王 焱 审校.痤疮瘢痕的治疗新进展[J].中国美容医学,2022,(2):186.
　JIANG Xiaozheng,CAO Meng,WANG Yan.Advanced Progress of Treatment for Post-acne Scars[J].Medical Aesthetics and Beauty,2022,(6):186.
[5]范林明,马 飞,李 晟,等.超脉冲点阵CO2激光联合强脉冲光在皮肤年轻化治疗中的效果及安全性分析[J].中国美容医学,2022,(3):29.
　FAN Linming,MA Fei,LI Sheng,et al.Application Effect and Safety of Ultra-pulse Fractional CO2 Laser Combined with Intense Pulsed Light in Skin Rejuvenation[J].Medical Aesthetics and Beauty,2022,(6):29.
[6]刘晓雪,聂梦茜,云小君.超脉冲点阵CO2激光联合外用表皮生长因子治疗面部痤疮凹陷性瘢痕的疗效及对炎症反应的影响[J].中国美容医学,2022,(10):43.
　LIU Xiaoxue,NIE Mengqian,YUN Xiaojun.Efficacy of Ultra-pulse Fractional CO2 Laser Combined with Epidermal Growth Factor for External Use in the Treatment of Depressed Facial Acne Scars and Its Influence on Inflammatory Response[J].Medical Aesthetics and Beauty,2022,(6):43.
[7]徐圣经,张 敏,徐文静,等.超脉冲点阵CO2激光联合rh-bFGF治疗凹陷性痤疮瘢痕的疗效及对ECCA评分的影响[J].中国美容医学,2022,(11):42.
　XU Shengjing,ZHANG Min,XU Wenjing,et al.Efficacy of Ultra-pulsed Fractional CO2 Laser Combined with Epidermal Growth Factor rh-bFGF in the Treatment of Depressed Acne Scars and Its Impact on ECCA Score[J].Medical Aesthetics and Beauty,2022,(6):42.
[8]王艺淳,李 燕,宋 静,等.不同类型点阵激光治疗萎缩性痤疮瘢痕的疗效对比研究[J].中国美容医学,2022,(11):46.
　WANG Yichun,LI Yan,SONG Jing,et al.Comparison on the Curative Effect of Different Fractional Laser on Atrophic Acne Scars[J].Medical Aesthetics and Beauty,2022,(6):46.
[9]谷明娟,郭果香,胡春敏,等.重组人表皮生长因子外用联合超脉冲点阵CO2激光治疗面部痤疮凹陷性瘢痕疗效分析[J].中国美容医学,2023,(2):89.
　GU Mingjuan,GUO Guoxiang,HU Chunmin,et al.Curative Effect of Recombinant Human Epidermal Growth Factor for External Application Combined with Ultra-pulse CO2 fractional Laser on Facial Depressed Acne Scars[J].Medical Aesthetics and Beauty,2023,(6):89.
[10]杨亚慧,吴远慧,温丽英,等.皮秒翠绿宝石激光联合富血小板血浆注射治疗萎缩性痤疮瘢痕疗效观察[J].中国美容医学,2023,(5):116.
　YANG Yahui,WU Yuanhui,WEN Liying,et al.Effect of Picosecond Alexandrite Laser Combined with Platelet-rich Plasma Injection in the Treatment of Atrophic Acne Scars[J].Medical Aesthetics and Beauty,2023,(6):116.

更新日期/Last Update: 2023-07-10