摘要
目的比较点阵式超脉冲CO_2激光与点阵式Er:YAG激光治疗面部毛孔粗大的疗效及安全性。方法面部毛孔粗大患者60例,随机分为两组,每组30例,分别采用点阵式CO_2激光与点阵式Er:YAG激光治疗。疗程结束后随访3个月,应用面部毛孔标准照片评价法进行临床疗效评估并比较两组疗效。结果点阵CO_2激光组治疗前与治疗后3个月患者面部毛孔标准照片评分分别为(4.97±0.77)和(2.00±0.95),点阵Er:YAG激光组分别为(5.03±0.77)和(2.40±0.82),组内比较治疗前后差异具有统计学意义(P<0.05)。组间比较点阵CO_2激光组疗效优于点阵Er:YAG激光组,疗效差异具有统计学意义(P<0.05)。点阵CO_2激光组与点阵Er:YAG激光组的满意率分别为83.3%和90.0%,差异无显著意义(P>0.05)。两组患者治疗后疼痛轻微,可出现短暂的红斑、肿胀及脱痂期,无一例发生皮肤永久性色素沉着、色素减退及瘢痕形成。结论点阵式CO_2激光与点阵式Er:YAG激光均能有效改善面部毛孔粗大,点阵式CO_2激光疗效优于点阵式Er:YAG激光,但短暂性色素沉着发生几率略高,恢复时间更长。两者都是较理想的治疗方法,可根据患者具体情况进行选择。
Objective To observe and compare the clinic efficacy and operation safety of fractionated ultra-pulse CO2 laser and fractionated Er ： YAG laser in the treatment of enlarged facial pores. Methods Totally 60 patients with enlarged facial pores were divided into two groups randomly ： 30 of them were treated with fractionated uhrapulse CO2 laser and the rest with fractionated Er ： YAG laser. During the follow-up conducted 3 months after the treatment, the clinical improvement was evaluated with a photographic scale for grading the widening of pores, and the adverse reaction was assessed. Results After the treatment, the improvement in the appearance of facial pores was distinctive （ P 〈 0. 05 ） in each group. The differ- ence between the fractionated ultra-pulse C02 laser group and fractionated Er ： YAG laser group in clinic efficacy was statistically signifi- cant （P 〈 0.05 ）. The patients＇satisfaction rate was 83.3% for the fractionated ultrapulse CO2 laser group and 90. 0% for the fraction- ated Er：YAG laser group. The adverse events were limited to transient pain, erythema, edema and crust desquamates. No permanent hyperpigmentation, hypopigmentation or scar was observed. Conclusions Both fractionated ultra-pulse CO： laser and fractionated Er：YAG laser may shrink enlarged facial pores effectively with minimal side effects.
出处
《中国激光医学杂志》
CAS
2017年第5期274-278,共5页
Chinese Journal of Laser Medicine & Surgery
