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

摘要

Objective:To investigate and analyze the therapeutic effect and adverse reaction of carbon dioxide laser technology[1] combined with silicone gel in acne scars. Methods:Dot matrix laser is a kind of penetration by punctate stripping technology, with high-efficient and carbon dioxide laser deep penetration characteristics, at the same time, with pigmentation reduce and recovery time shortening. 32 patients with facial acne scars were regarded as the research object, including 12 male patients and 20 female patients. All patients were randomly divided into control group and experimental group. All patients were treated with carbon dioxide laser treatment of facial acne scars. After the operation, the control group didn’t use auxiliary drugs, and the experimental group was combined with silicone gel. In the experimental group and the control group, one week after the operation, 1 month, 3 months respectively, the acne scar recovery was recorded through the pictures taken. Results:One week after operation, facial acne scars of the experimental group and the control group have improved, but the experimental group recovered faster. No new scars appeared in patients of the two groups, 2 cases in the control group had pigmentation, and the experimental group had no pigmentation. 1 months and 3 months later, the two groups had no new scar, acne scar total effective rate was 87.5 %(14/16)in experimental group, and acne scar the total effective rate was 62.5% (10/16) in the control group. 2 cases in the control group had pigmentation, experimental group had no pigmentation. Conclusion:The clinical effect of combined carbon dioxide laser silicone gel in the treatment of acne scar[2] is prominent, with little adverse reaction.%目的：探讨二氧化碳点阵激光技术[1]联合硅酮凝胶在面部痤疮瘢痕上的治疗效果及不良反应，并分析。方法：点阵激光是一种通过点状穿透而剥脱的技术，拥有高效能、穿透深的二氧化碳激光特点，同时又具有减少色素沉积，缩短恢复时间的优点。本次试验的研究对象为32名患有面部痤疮瘢痕的患者，其中男性患者12名，女性患者20名，将所有患者随机分为对照组和实验组。所有患者均用二氧化碳点阵激光治疗其面部痤疮瘢痕，手术后，对照组不用辅助药物，实验组联合硅酮凝胶外用。对实验组和对照组手术后一周、1个月、3个月分别进行拍照，记录面部痤疮瘢痕恢复、有无副反应等。结果：手术后一周实验组和对照组的面部痤疮瘢痕都有好转，但实验组恢复的更快，两组都没有新的瘢痕患者产生，对照组有2例色素沉着，实验组无。1个月和3个月的情况差不多，两组均无新的瘢痕产生，实验组疮瘢痕的总有效率为87.5（14/16），对照组的痤疮瘢痕的总有效率为62.5%（10/16），对照组有2例患者色素沉着，实验组无。结论：二氧化碳点阵激光技术联合硅酮凝胶治疗痤疮瘢痕[2]的临床效果突出，且不良反应小。