新材料和药品在皮肤磨削术中的应用

自1905年Ｋｒｏｍａｙｅｒ首次应用磨削术治疗皮肤病以来,此法在治疗皮肤表浅性损害方面已得到了广泛应用,磨削术所用的机械设备和材料药品也不断更新,使得此项技术在临床应用中日臻完美,临床治疗效果也显著提高。一、临床资料1999年1月～2000年11月,共为82例实施了磨削术。其中面部天花或痤疮后遗留的凹陷性瘢痕36例,前臂自残性烟头烫伤瘢痕12例,疣状表皮增生16例,疣状痣2例。皮指腺痣4例,雀斑12例。每例患者磨削次数1～4次,间隔3～9个月,无1例患者发生感染或新的瘢痕增生,均达到了预期的治疗效果。色素沉着总发生率为86%,发生时间为术后15…     

Q-Nd:YAG激光治疗面部色素性病变的疗效观察

面部色素性病变常见有雀斑、太田痣、咖啡斑及文刺色素沉着等。传统的治疗方法有冷冻术、皮肤磨削术、化学剥脱术及二氧化碳激光治疗术等，我院自2000年5月至2003年6月，应用中国长春光机所生产的Q开关钇-钕石榴石(Q-Nd：YAG)激光器，治疗面部色素性病变共291例，取得了满意的效果，现报道如下。     

复方酚液化学剥脱治疗全面部雀斑的临床应用分析

目的:探讨复方酚液化学剥脱治疗全面部雀斑的临床应用价值。方法:回顾性分析笔者近五年来应用复方酚液化学剥脱治疗全面部55例雀斑的患者临床效果。结果:随访3个月,痊愈50例(90.9%),显效5例(9.1%),总有效率100%;随访3年,无复发14例(25.5%),轻度复发32例(58.2%),中度复发5例(9.1%),重度复发4例(7.2%)。主要并发症为色素沉着,平均消退时间为(4.0+1.2)月。结论:复方酚液化学剥脱术是治疗全面部雀斑较为理想的一种方法,操作得当,就能够取得良好的治疗效果,值得临床推广。     

皮肤磨削术的临床应用专栏

正编者按:皮肤磨削术是一项历史悠久的医学美容换肤技术,其适应证较为广泛,目前已用于多种皮肤病治疗及皮肤美容修复中,如:白癜风、无色素痣、雀斑、咖啡斑等色素性皮肤病的治疗,部分浅表低度恶性皮肤肿瘤的治疗,瘢痕及皱纹等美容性修复。皮肤磨削方法较多,如手动磨削、机械磨削、微晶磨削、激光磨削等,临床工作     

皮肤磨削加盐擦法治疗色素性皮肤病

皮肤磨削术治疗色素性皮肤病已有较多作者报道[1],为了进一步提高疗效,我科运用皮肤磨削加盐擦法治疗雀斑、雀斑样清。粉尘或文刺染身1997年至1998年共35例,并与单纯用磨削术之相同病例25例比较,经随访6月疗效观察,磨别加盐擦法的效果更满意,现报道如下。1临床资料60例为住院病例,其中男性19例,女性41例,年龄5岁-43岁。雀斑和轻型雀斑样痣引例、粉尘或文刺染身29例。对照组25例采用单纯皮磨创术;治疗组35例在皮肤磨削之后再结合盐擦法,治疗后1月及6月观察疗效两组对比有显著性差异。2治疗方法根据不同病交部位患者取合适的体位,拟磨削的部位…     

479例面部皮损皮肤磨削术治疗分析

应用皮肤磨削术治疗面部皮损病人，采用面部神经阻滞和皮下浸润麻醉，用牙科台钻带动砂轮，以１００００ｒ／分的速度在面部皮损区进行磨削，术后加压包扎。手术结果显示本手术对天花、水痘、寻常性痤疮形成的凹状瘢痕及雀斑有显著疗效，而对严重外伤继发瘢痕及聚合性痤疮形成的肥厚性瘢痕及太田痣、粉尘染色、文身等色素性损害，单纯行皮肤磨削术疗效不佳。文中重点对手术的适应证的选择、磨削深度和并发症的处理方法进行了讨论，只要适应证选择适当、磨削深度掌握准确，并做好并发症的预防及处理，结合必要的辅助的手术，本手术不失为治疗面部皮损的好方法     

ReCell技术联合磨削术治疗凹陷性痤疮瘢痕应用分析

目的:评价细胞自体体外再生技术(ReCell技术)联合机械磨削技术在治疗面部凹陷性痤疮瘢痕中的治疗效果。方法:通过10例面部凹陷性痤疮瘢痕患者应用ReCell联合机械磨削技术,观察术后3个月面部皮肤的平整程度、光泽度,与手术前患者面部皮肤情况对比来判断此方法的治疗效果。结果:9例患者治疗效果明显,皮肤光泽平整度较前明显好转,1例面部痤疮瘢痕无改善。结论:ReCell联合机械磨削技术与单纯的机械磨削相比能促进创面的愈合,加速磨削后创面的上皮化,减少由于磨削不均匀而造成的皮肤色度不均匀,能有效的改善患者的面部痤疮瘢痕外观,提高患者的满意度,是治疗面部凹陷性痤疮瘢痕的有效手段,具有很好地应用价值。     

微损伤高速磨削术治疗皮肤色素性病变

目的：研究微损伤高速磨削术的应用及其适应证选择。方法：磨削系统选用牙科高速打磨机，磨削头为8号球形车针。选择138例皮肤色素沉着患者进行皮肤磨削的应用观察。结果：术后5～14个月随访75例，皮肤总优良率为74．7％，总好转率为16．0％，总无效率为9．3％。结论：微创高速磨削术治疗皮肤色素性病变的最佳适应证为典型雀斑、老年斑、放疗性色素沉着、表浅瘢痕色斑和移植皮片色斑，禁忌证为不典型雀斑和黄褐斑。     

光子嫩肤技术治疗面部雀斑的临床观察

目的证明应用光子嫩肤仪治疗面部雀斑是有应用前景,并可推广的治疗方法.方法采用波长560 nm的IPL Quantum SR光子嫩肤仪治疗面部雀斑1～3次,每次间隔3～4周,术前术后拍照对比,观察临床效果,并一一做好记录.结果 671例患者随访6个月至1年.593例治疗效果稳定,78例经第2个疗程治疗后,雀斑基本消退.以雀斑减少50%以上为有效,减少80%以上为显效.667例有效(占99.5%),568例显效(占84.6%),4例无效(占0.6%).结论使用光子嫩肤仪治疗雀斑方便快捷,安全有效,操作简单,无需休息,患者易于接受,是目前值得推广、有应用前景的治疗方法之一.     

与胶原Ⅰ合成相关的光老化皮肤磨削术后的临床改善

与胶原Ⅰ合成相关的光老化皮肤磨削术后的临床改善皮肤磨削术是光化性角化病、光化性雀斑样痣和光老化性皱纹的成功的治疗方法，但对其特殊的生物学机制参与了解甚少。组织学研究报告，皮肤磨削术和化学脱皮后，真皮乳头出现表皮下新生胶原带或“修复带”，可能对皮肤磨削...     

微晶磨面加细胞活能治疗痕痕色斑疗效观察

目的：探讨微晶磨面加细胞活能治疗疤痕、色斑的疗效。方法：采用微晶磨面及微晶磨面加细胞活性能护理的方法对52例疤痕、色斑患者治疗并进行对照。结果：微晶磨面加活能治疗色斑治愈率达50％,与单独微晶磨面相比较有显著性差异,两种方法对痕痕治疗结果无显著性差异,结论：微晶磨面后加细胞活性面部护理能明显提高对色斑的治愈率。     

Comparative study of dermabrasion, phenol peel, and acetic acid peel

Six areas of the face and forehead of a 36-year-old white female presenting with a benign congenital blue nevus of the skin were treated by dermabrasion, bichloracetic acid, and the classic phenol peel. Comparative results at six months showed each of these methods to be approximately equal in the depth of penetration and in the quality of skin on healing. However, in these small test sites, dermabrasion appeared to remove pigment slightly more efficiently. Therefore, her forehead and cheeks were treated with dermabrasion and subsequently with chemical peel. An attempt was made to touch up the dermabraded areas with acetic acid. Full thickness burns occurred, which resulted in thick scarring that required many months to finally heal. We conclude that at least in the treatment of pigmented lesions, the modalities of phenol, acetic acid, and dermabrasion are approximately equal.     

Shaving and dermabrasion of the facial lesions in tuberous sclerosis. A case report

Tuberous sclerosis is a disease characterised by convulsive seizures, mental deficiency and angiofibromas. These angiofibromas are hamartomas consisting of hyperplastic connective and vascular tissue. A case is reported where multiple angiofibromas of the face resulted in significant disfigurement. The lesions were treated by shaving and dermabrasion; the short-term result was very satisfactory.     

Comparative study of dermabrasion,phenol peel,and acetic acid peel

Six areas of the face and forehead of a 36-year-old white female presenting with a benign congenital blue nevus of the skin were treated by dermabrasion, bichloracetic acid, and the classic phenol peel. Comparative results at six months showed each of these methods to be approximately equal in the depth of penetration and in the quality of skin on healing. However, in these small test sites, dermabrasion appeared to remove pigment slightly more efficiently. Therefore, her forehead and cheeks were treated with dermabrasion and subsequently with chemical peel. An attempt was made to touch up the dermabraded areas with acetic acid. Full thickness burns occurred, which resulted in thick scarring that required many months to finally heal. We conclude that at least in the treatment of pigmented lesions, the modalities of phenol, acetic acid, and dermabrasion are approximately equal.     

Adult-onset facial colloid milium successfully treated with the long-pulsed Er:YAG laser.

BACKGROUND: Adult colloid milium is a rare cutaneous deposition disorder that frequently involves areas of chronic sun exposure, especially the face and dorsal hands. Attempts to remove these lesions are generally unsuccessful, but dermabrasion has been reported to be effective. OBJECTIVE: To present an effective therapeutic alternative to dermabrasion for facial colloid milium. METHODS: A 41-year-old man with extensive facial colloid milium underwent full-face resurfacing with a long-pulsed Er:YAG laser (9.8 J/cm2, 5 mm spot, 10-msec pulse duration). Additional passes were performed over the areas of dense colloid milium to achieve approximately 80% ablation of lesions.results. At the 7-month follow-up there was no scarring, textural changes, dyspigmentation, or clinical evidence of recurrence. CONCLUSION: Long-pulsed Er:YAG laser should be considered an effective alternative to dermabrasion for facial colloid milium.     

The Treatment of Eruptive Syringomas in an African American Patient with a Combination of Trichloroacetic Acid and CO2 Laser Destruction

BACKGROUND: Eruptive syringomas are uncommon benign adnexal neoplasms. They are numerous and disseminated and often have a predilection for the neck, face, chest, and axillary fossae. Because they are persistent, usually numerous, and often on exposed sites, the lesions may be disfiguring and often pose significant cosmetic concerns for patients. Many treatment modalities such as dermabrasion, electrodesiccation with curettage, and scissors excision have been tried with some success, but more recently lasers have provided good to excellent results. OBJECTIVE: To describe an approach to the treatment of eruptive syringomas in an African American patient with a combination of trichloroacetic acid (TCA) and CO2 laser resurfacing, providing acceptable cosmetic results without significant side effects. METHODS: We describe an African American patient with eruptive syringomas of the face treated with a combination of TCA and CO2 laser resurfacing with good results. RESULTS: While the syringomas were not completely ablated, the combination of TCA and CO2 laser resurfacing provided acceptable cosmetic results without significant side effects. CONCLUSION: The TCA pretreatment probably removed some of the bulk of the surface of the lesions, thereby reducing the number of laser passes required to flatten the remainder of the lesions and thus lessening the potential for thermal damage at the treated sites and of surrounding normal skin.     

Successful Treatment of a Hypochromic Scar with Manual Dermabrasion: Case Report

BACKGROUND: Manual dermabrasion is a simple and safe cosmetic procedure that is used to improve unsightly cutaneous disorders. OBJECTIVE: To describe an 11-year-old white female patient who was successfully treated with manual dermabrasion for a hypochromic scar on the left forearm. RESULTS: The hypochromic wound healed without scar and with good cosmetic appearance. CONCLUSION: Although similar to conventional dermabrasion in terms of cosmetic results, manual dermabrasion presents a less expensive and safe alternative.     

Clinical Comparative Study Between Cryotherapy and Local Dermabrasion for the Treatment of Solar Lentigo on the Back of the Hands

BACKGROUND: Solar lentigo is a common and unsightly dermatosis that has a variety of proposed treatments. OBJECTIVE: This study was done to assess the efficacy and the effectiveness of localized dermabrasion compared with cryotherapy with liquid nitrogen on solar lentigo on the back of the hands. METHODS: Ten female patients aged 64-96 years with solar lentigo on the back of the hands were treated with dermabrasion or cryotherapy and observed over a 6-month period. RESULTS: The postsurgery signs and symptoms were less intense and better tolerated with localized dermabrasion. More than 50% of the patients treated with cryotherapy still had hypochromia in the treated areas 6 months after treatment, compared with 11% of the patients treated with dermabrasion. The percentage of recurrence was the same with the both treatments (55.55%). CONCLUSION: Localized dermabrasion is an efficacious and effective technique comparable to cryotherapy for the treatment of solar lentigo on the back of the hands.     

Dermabrasion

This review presents skin anatomy, dermabraders, indications for dermabrasion and microdermabrasion, and dermabrasion techniques for the face, along with potential complications. Dermabrasion is a minimally invasive technique used for skin resurfacing. Its applications include treatment of rhytids, abnormal scarring, and premalignant lesions. The risks of complications are low and include pigment changes, hypertrophic scarring, and infection. Despite the introduction of newer therapies, such as lasers and chemical peels, dermabrasion remains an effective tool for physicians to combat the effects of aging without the downtime required for surgery.     

全颜面皮肤磨削术治疗面部痤疮瘢痕

目的 研究用全颜面皮肤磨削术治疗面部痤疮瘢痕。方法 自1996年2月至2004年5月用全颜面皮肤磨削术治疗面部痤疮瘢痕110例。结果 痊愈45例，显效：40例，有效25例。平均创面愈合时间10d。结论 全颜面皮肤磨削术治疗面部痤疮瘢痕值得在皮肤磨削整形术中推广应用。