Er:YAG像素激光在面部皮肤年轻化中的应用

摘要

目的 评估铒:钇铝石榴石(Er:YAG)像素激光在面部年轻化中应用的效果和安全性.方法 2010年7月至2015年6月解放军第153医院收治颜面部色素性病变及皱纹明显的患者559例,其中男39例,女520例,年龄32~58岁,采用以色列飞顿激光公司Pixel Er:YAG像素激光治疗2个疗程.末次治疗后1个月,按照色素病损消失面积、面部皱纹消失程度评定疗效,同时观察有无色素沉着、色素减退等并发症.结果 559例患者中,轻度改善103例(18.4%),中度改善378例(67.6%),显著改善78例(14%),总有效率为100%,满意率为81.6%,无色素沉着、色素减退、增生性瘢痕等并发症发生.6个月有效维持率为67%.结论Er:YAG像素激光治疗对面部年轻化是一种安全、有效的方法.%Objective To evaluate the clinical effects and safety of Er:YAG fractional laser for facial rejuvenation.Methods Altogether 559 patients aged from 32 to 58 years old with obvious pigmentary lesions and wrinkles in the face were given 2 courses of restoration treatment with the Pixel Er:YAG fractional laser.The patients paid a return visit a month later after the last treatment.With the results of clinical observation and photograph-based comparison,the therapeutic effects were graded by disappearance of pigmentary lesions and elimination of facial wrinkles.Complications such as hyperpigmentation,depigmentation and hyperplastic scar were observed.Results Among the 559 patients, there were 103 cases (18.4%) of slight effect, 378 cases (67.6%) of moderate effect, and 78 cases (14%) of excellent effect,with the total effective rate of 100% and a satisfactory rate of 81.6%.The was no complication such as hyperpigmentation,depigmentation and hyperplastic scar occurred.Effective maintaining rate within 6 months was 67%.Conclusion Er:YAG fractional laser is safe and effective for facial rejuvenation and worthy of promotion.