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激光治疗甲病的临床应用
引用本文:李锦,周炳荣,骆丹.激光治疗甲病的临床应用[J].国际皮肤性病学杂志,2016(3):181-183.
作者姓名:李锦  周炳荣  骆丹
作者单位:210029,南京医科大学第一附属医院皮肤科
摘    要:甲病,包括嵌甲、甲真菌病及甲营养不良,临床治疗困难,对患者及医生造成很大的困扰.激光的应用使得甲病的治疗有了新进展.CO2激光能够迅速破坏局部组织,切除肥厚甲襞,又能够瞬间凝固小血管,在治疗嵌甲中取得良好效果.Nd:YAG激光、CO2点阵激光以及二极管激光等,为甲真菌病提供治疗新选择.CO2点阵激光形成的微治疗区可以显著增强外用药物在甲中的渗透与吸收,使其甲营养不良的治疗中也展现了肯定的疗效.

关 键 词:指(趾)甲  激光疗法  真菌病  营养不良  安全

Clinical application of lasers in the treatment of nail disorders
Abstract:Nail disorders,including onyxis,onychomycosis and onychodystrophy,are usually difficult to treat in clinical practice,and often bother both patients and clinicians.With the application of lasers,much progress has been made in the treatment of nail diseases.CO2 laser exerts a favorable therapeutic effect on onyxis by quickly damaging local tissues,resecting hypertrophic nail folds,and instantly coagulating small vessels.Nd:YAG laser,fractional CO2 laser and diode laser provide new options for the treatment of onychomycosis.Moreover,fractional CO2 laser could evidently enhance penetrance and absorption of topical agents into nails by forming microscopic treatment zones,and have shown definite efficacy in the treatment of onychodystrophy.
Keywords:Nails  Laser therapy  Mycoses  Malnutrition  Safety
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