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大光斑低能量Q开关Nd:YAG激光治疗黄褐斑的疗效观察

Effect of Q-switch Nd:YAG laser with large spot and Low Fluence for the treatment of Melasma

来源期刊: 广州医药 | 53-54 发布时间:2021-11-30 收稿时间:2025/11/13 17:06:16 阅读量:5
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关键词:
Q开关Nd:YAG激光黄褐斑
Q-switched Nd:YAG laserMelasma
DOI:
10.3969/j.issn.1000-8535.2016.01.018
收稿时间:
2015-08-27 
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引用总数:
0  
目的 评估大光斑低能量Q开关Nd:YAG激光治疗黄褐斑的疗效和安全性。方法 采用Q开关Nd∶YAG激光器以波长1064 nm,光斑6~7 mm,能量2.0~2.5 J/cm2,对黄褐斑患者进行治疗,以治疗处呈现微红为治疗终点,每月1次,治疗5次,共治疗黄褐斑36例。结果 36例患者中基本治愈8 例(22.23%),显效15例(41.67%),好转9例(25%),无效4例(11.11%),前两者之和为总有效率,达63.89%。患者耐受性好,无明显副作用。结论 大光斑低能量Q开关Nd:YAG激光为治疗黄褐斑提供了安全有效的方法。
Objective To evaluate the efficacy and security of Q-switched laser with Large Spot and Low Fluence for the treatment of melasma. Methods Thirty-six patients with melasma were enrolled in study. 1064 nm Q-switched Nd:YAG laser was used with light spot of 6-7 mm and 2.0-2.5 J/cm2 in fluence.Treatments are ended when the melasma area turns slight red. Subjects were received a total of 5 treatments at one month intervals. Results Thirty-six patients completed the trial. 22.23% of patients achieved 90% to 100% clearance and 41.67% achieved 60% to 90% clearance. The total efficient rate reached 63.89% .Side effects was minimal and all the patients tolerated the treatment well. Conclusion Q-switched Nd:YAG laser with Large Spot and Low Fluence provides a safe and effective treatment method for melasma.
1、 KIM IH. Basic theory in laser therapy for melasma:subcelluar selective photothermolysis[J]. Pigment Cell&Melanoma Research,2009,22(3):347. KIM IH. Basic theory in laser therapy for melasma:subcelluar selective photothermolysis[J]. Pigment Cell&Melanoma Research,2009,22(3):347.
2、 TOKUYA OMI, RIE YAMASHITA, SEIJI KAWANA, et al. LowFluence Q-Switched Nd: YAG Laser toning andQ-Switched ruby laserin the treatment of melasma:a comparative split-face ultrastructural study[J]. Laser Therapy,2012,21(1):15-21. TOKUYA OMI, RIE YAMASHITA, SEIJI KAWANA, et al. LowFluence Q-Switched Nd: YAG Laser toning andQ-Switched ruby laserin the treatment of melasma:a comparative split-face ultrastructural study[J]. Laser Therapy,2012,21(1):15-21.
3、 麦跃,周敏,彭双发,等. Q-开关1064nm激光治疗黄褐斑临床疗效观察[J].实用皮肤病学杂志 2008,1(4):234-236. 麦跃,周敏,彭双发,等. Q-开关1064nm激光治疗黄褐斑临床疗效观察[J].实用皮肤病学杂志 2008,1(4):234-236.
4、 NOURI K, BOWES L, CHARTIERHARTIER T, et al. Combination treatment of melasma with pulsed CO2 laser followed by Q-switched alexandrite laser:a pilot study[J]. Dermatol Surg,1999,25(6):494-497. NOURI K, BOWES L, CHARTIERHARTIER T, et al. Combination treatment of melasma with pulsed CO2 laser followed by Q-switched alexandrite laser:a pilot study[J]. Dermatol Surg,1999,25(6):494-497.
5、 ANDERSON RR, PARRISH JA. Selective photothermolysis: precise micro-surgery by selective absorption of pulsed radiation[J]. Science,1983,220:524-527. ANDERSON RR, PARRISH JA. Selective photothermolysis: precise micro-surgery by selective absorption of pulsed radiation[J]. Science,1983,220:524-527.
6、 KIM HS, KIM EK, JUNG KE, et al. A split-face comparison of low-fluence Q-switched Nd: YAG laser plus 1550 nm fractional photothermolysis vs. Q-switched Nd: YAG monotherapy for facial melasma in Asian skin[J]. J Cosmet Laser Ther, 2013, 15(3):143-149. KIM HS, KIM EK, JUNG KE, et al. A split-face comparison of low-fluence Q-switched Nd: YAG laser plus 1550 nm fractional photothermolysis vs. Q-switched Nd: YAG monotherapy for facial melasma in Asian skin[J]. J Cosmet Laser Ther, 2013, 15(3):143-149.
7、 RUSCIAN IA, MOTTA A, RUSCIAN IL, et al. Q-switched alexand rite laser-assisted treatment of melasma:2-year follow-up monitoring[J]. J Drugs Derm,2005,4(6):770-774. RUSCIAN IA, MOTTA A, RUSCIAN IL, et al. Q-switched alexand rite laser-assisted treatment of melasma:2-year follow-up monitoring[J]. J Drugs Derm,2005,4(6):770-774.
8、 中国中西医结合皮肤性病专业委员会色素病学组.黄褐斑的临床诊断和疗效判定标准[J]. 中华皮肤科杂志, 2004, 37(7):440. 中国中西医结合皮肤性病专业委员会色素病学组.黄褐斑的临床诊断和疗效判定标准[J]. 中华皮肤科杂志, 2004, 37(7):440.
9、 SIM JH, PARK YL, LEE JS, et al. Treatment of melasma by low-fluence 1064 nmQ-switched Nd:YAG laser[J]. J Dermatolog Treat, 2014,25(3):212-217. SIM JH, PARK YL, LEE JS, et al. Treatment of melasma by low-fluence 1064 nmQ-switched Nd:YAG laser[J]. J Dermatolog Treat, 2014,25(3):212-217.
10、 张大维,李利.黄褐斑治疗的研究进展[J]. 现代临床医学,2008,10(15):73-78. 张大维,李利.黄褐斑治疗的研究进展[J]. 现代临床医学,2008,10(15):73-78.
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