双波长立体点阵激光联合翠绿宝石激光照射对面部皮肤年轻化的疗效观察

目的评估双波长立体点阵激光联合翠绿宝石激光对面部皮肤年轻化的效果和安全性。方法颜面部色素性病变及皱纹明显的患者156例,年龄35～56岁,采用双波长（1 320 nm＋1 440 nm）立体点阵激光联合翠绿宝石激光（波长755 nm）照射后治疗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 156例患者中轻度改善35例（22.4%）,中度改善102例（65.4%）,显著改善19例（12.2%）,有效率为100%,满意率为77.6%,无1例出现水疱、色素沉着、色素减退等并发症。结论双波长立体点阵激光联合翠绿宝石激光照射对面部皮肤年轻化是一种安全、有效的方法。

Effects of Combined Therapy of 3-Dimensional Dual-Wave Long Lattice Laser and Alexandrite Laser for Facial Rejuvenation

Objective To evaluate the efficacy and safety of the combined therapy of 3D double-wave point-lattice laser and alexandrite laser for facial rejuvenation. Methods Altogether 156 patients aged over 35 years old with obvious nevi and wrinkles in the face were given 2 courses of joint restoration treatment with Cynosure-AffirmTM 3D double-wave(1 320 nm+1 440 nm) point-lattice laser and Cynosure-AccoladeTM alexandrite laser(755 nm).The patients paid a return visit a month after the last treatment.With the results of clinical observation and photograph-based comparison,the therapeutic efficacy was graded by improvement of depressed scars,numbers of disappeared nevi and elimination of facial wrinkles as no effect,slight effect,moderate effect and excellent effect.The effective power of the treatment was determined according to the ratios of slight,moderate and excellent efficacy.Complications such as hyperpigmentation,depigmentation and hyperplastic scar were not found. Results The therapy has effects on all the 156 patients and no complication occurred.While slight efficacy being observed in 35 cases(22.4%),moderate efficacy in 102 cases(65.4%) and excellent efficacy in 19 cases(12.2%),a total effective rate of 100% and a satisfactory rate of 77.6% were realized. Conclusions The combination of 3D double-wave point-lattice laser and alexandrite laser is safe and effective for facial rejuvenation and worthy of promotion.