点阵铒激光治疗面部各种瘢痕的疗效及影响因素分析

目的:观察应用点阵铒激光治疗面部各种瘢痕的疗效,并对影响疗效的各种因素进行分析。方法:应用点阵铒激光对132例面部瘢痕患者皮损进行磨削、大范围平扫,分析对比依据不同影响因素分组后各组显效率差异,探索对治疗效果有影响的相关因素。结果:所有患者治疗后随访6个月,有效率97.8%,显效率85.7%,无严重不良反应。患者病史长短、皮损的临床分型、病损程度各组显效率差异有统计学意义(P<0.05),性别等其他因素对疗效无影响。结论:点阵铒激光治疗面部瘢痕疗效好,不良反应小,皮损稳定后及早治疗预后较好,皮损程度轻者预后较好,不同临床分型治疗效果不同。

Study on efficacy and influencing factors of treatment for facial scars with Erbium fractional laser

Objective To observe the efficacy of treatment for facial scars and investigate its influencing factors.Methods 132 patients with facial scars were treated with Erbium fractional laser.After scar resurfacing was performed,large scale of the scar was scanned.The differences between groups divided by several influencing factors were analysed to investigate the regarding factors that influenced prognosis.Results All the patients were followed up for 6 months after the operation.The operation worked among 97.8% of all the patients while overall effective power was 85.7%.No serious adverse effects were observed.Conclusion The efficacy of Erbium fractional laser to treat facial scars is satisfying with few adverse effects.The sooner to treat after scar stabilization the better.The prognosis of patients with slight lesion is better and clinical type also affects the efficacy.