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CO2点阵激光联合5-氨基酮戊酸光动力疗法治疗面部光线性角化病的疗效观察
引用本文:王明,田歆,陆原,王霞,钟萍,柴宝,王鹏,黄春艳,黄长征.CO2点阵激光联合5-氨基酮戊酸光动力疗法治疗面部光线性角化病的疗效观察[J].皮肤性病诊疗学杂志,2022,29(4):342-346.
作者姓名:王明  田歆  陆原  王霞  钟萍  柴宝  王鹏  黄春艳  黄长征
作者单位:1. 华中科技大学协和深圳医院皮肤科,广东深圳518052;2.广州市皮肤病防治所,广东广州510095;3.华中科技大学同济医学院附属协和医院皮肤科,湖北武汉430022
基金项目:深圳市南山区科技计划项目(一般)(2020037)
摘    要: 目的 观察CO2点阵激光联合5-氨基酮戊酸光动力疗法(ALA-PDT)治疗面部光线性角化病的临床疗效与安全性。方法 采用开放性、非对照性临床研究,对15例面部光线性角化病患者进行CO2点阵激光联合ALA-PDT治疗,共治疗1~5次,随访1年,观察疗效及安全性。 结果 2例患者经过1次治疗后获得完全缓解,4例2次治疗后完全缓解,9例3~5次治疗后完全缓解,随访12个月均无复发。 3例报告美容效果极好,7例报告美容效果良好,5例报告美容效果一般。治疗过程中,有11例患者轻微疼痛,4例明显疼痛。结论 CO2点阵激光联合ALA-PDT治疗面部光线性角化病有效,美容效果好。

关 键 词:光线性角化病  光动力疗法  5-氨基酮戊酸  CO2点阵激光  

Efficacy of fractional CO2 laser combined with 5-aminolevulinic acid photodynamic therapy on actinic keratosis in face
WANG Ming,TIAN Xin,LU Yuan,WANG Xia,ZHONG Ping,CHAI Bao,WANG Peng,HUANG Chunyan,HUANG Changzheng.Efficacy of fractional CO2 laser combined with 5-aminolevulinic acid photodynamic therapy on actinic keratosis in face[J].Diagnosis and Therapy Journal of Dermato-Venereology,2022,29(4):342-346.
Authors:WANG Ming  TIAN Xin  LU Yuan  WANG Xia  ZHONG Ping  CHAI Bao  WANG Peng  HUANG Chunyan  HUANG Changzheng
Institution:1.Department of Dermatology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen 518052, China; 2. Guangzhou Institute of Dermatology, Guangzhou 510095, China; 3.Department of Dermatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
Abstract:Objective To observe clinical effects and safety of fractional CO2 laser combined with 5-aminolevulinic acid photodynamic therapy (ALA-PDT) on facial actine keratosis (AK). Methods 15 cases of facial actine keratosis were given fractional CO2 laser combined with 5-ALA-PDT in the open and uncontrolled clinical study, for 1~5 times, followed up for 12 months. Results Two patients achieved complete remission after once treatment, 4 cases achieved complete remission after twice treatments, and 9 cases achieved complete remission after three to five times treatments. There was no recurrence after 12 months of follow up. 3 cases reported excellent cosmetic effect, 7 cases reported good cosmetic effect, and 5 cases reported average cosmetic effect. During the treatment,11 cases of the patients had slight pain,4 cases had obvious pain. Conclusion Fractional CO2 laser combined with 5-aminolevulinic acid photodynamic therapy on facial actine keratosis is a safe, cosmetic and effective treatment.
Keywords:actine keratosisl  photodynamic therapy  5-aminolevulinic acid  fractional CO2 laser  
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