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强脉冲光脱毛术在外耳重建中的应用

The effect of intense pulsed light for hair removal in pediatric auricular reconstruction
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摘要 目的探讨强脉冲光(inlense pulsed light,IPL)脱毛术在耳再造中应用的安全性及疗效。方法自2018年1月至2021年9月,中国医学科学院北京协和医学院整形外科医院将96例耳再造患者按照治疗方法分为扩张组(58例)和非扩张组(38例),均采用IPL进行3~5次治疗,采用695~1200 nm滤光片,脉宽15 ms,单脉冲模式,能量为14~15 J/cm2(非扩张组),13~14 J/cm2(扩张组)。对两组患者进行脱毛效果评价,并记录不良反应发生情况。结果所有患者均完成3次治疗,75例患者完成5次治疗。3次治疗结束后,扩张组毛发密度降低82.28%(75.41%~88.54%)高于非扩张组76.53%(70.10%~85.17%),P<0.05。3次治疗后,扩张组44例患者治疗效果为优秀,非扩张组21例效果为优秀;5次治疗后,扩张组44例患者治疗效果为优,非扩张组31例效果为优秀。治疗后所有患者随访6~11个月,3例出现毛囊炎,2例水疱,均未造成扩张器显露或软骨吸收。结论IPL脱毛术可以安全地用于不同术式外耳重建过程中。 Objective To investigate the safety and efficiency of depilation with intense pulsed light(IPL)in congenital microtia patients during reconstruction treatment sessions.Methods A study was conducted at the Plastic and Reconstructive Surgery Hospital of Peking Union Medical College,Chinese Academy of Medical Sciences.From January 2018 to September 2021,a total of 96 patients were divided into two groups:the expansion group(58 cases)and the non-expansion group(38 cases),based on the treatment method.All patients received 3 to 5 sessions of IPL treatment using filters ranging from 695 nm to 1200 nm,with a pulse width of 15 ms,single-pulse mode,and energy levels set at 14 to 15 J/cm2 for the non-expansion group and 13 to 14 J/cm2 for the expansion group.The efficacy of hair removal and the occurrence of adverse reactions were evaluated in both groups.Results All patients completed 3 treatments,while 75 patients completed 5 treatments.The reduction of hair density after 3 treatments is higher than the non-expansion group 82.28%(75.41%,88.54%)versus 76.53%(70.10%,85.34%),P<0.05.Among the patients who completed 3 treatments,44 in the expansion group and 21 in the non-expansion group achieved excellent treatment outcomes.After 5 treatments,44 patients in the expansion group and 31 patients in the non-expansion group had excellent results.During the 6 to 11 months follow-up period,three cases of folliculitis and two cases of blisters were observed,none of which resulted in expander exposure or cartilage resorption.Conclusion Hair removal with IPL is a safe and effective photo-epilation method during all stages of ear reconstruction using tissue expander.
作者 刘莹 张玲 胡守舵 黄绿萍 林琳 LIU Ying;ZHANG Ling;HU Shouduo;HUANG Lyuping;LIN Lin(Department of Plastic and Aesthetic Surgery,Beijing Hospital of Traditional Chinese Medicine,Beijing 100038,China)
出处 《中国美容整形外科杂志》 CAS 2024年第2期107-110,127,共5页 Chinese Journal of Aesthetic and Plastic Surgery
关键词 强脉冲光 脱毛 先天性小耳畸形 耳再造术 软组织扩张 Intense pulsed light(IPL) Depilation Microtia Ear reconstruction Soft tissue expansion
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