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PDL和长脉宽Nd:YAG在早期瘢痕治疗中的疗效对比

李洁 濮哲铭 章一新

组织工程与重建外科杂志2018,Vol.14Issue(2):73-75,86,4.
组织工程与重建外科杂志2018,Vol.14Issue(2):73-75,86,4.

PDL和长脉宽Nd:YAG在早期瘢痕治疗中的疗效对比

Effectiveness Comparison Between Pulsed Dye Laser and Long-Pulsed Nd:YAG Laser in the Treatment of Fresh Scars

李洁 1濮哲铭 1章一新1

作者信息

  • 1. 200011上海市 上海交通大学医学院附属第九人民医院整复外科
  • 折叠

摘要

Abstract

Objective To evaluate and compare the effectiveness of pulsed dye laser(PDL)and the long-pulsed Nd:YAG laser in the treatment of fresh scars. Methods Patients with fresh scars were involved for a comparative randomized split-scar trial. Each scar was divided at the midline into two fields. One half received treatment by pulsed dye laser (Vbeam, Candela Corp.) with a 7 mm spot size at 0.45 ms with 6~9 J/cm2and a 20 ms spray duration with a 20 ms delay. The other half was treated by Nd:YAG (GentleYAG, Candela Corp.) with a 3 mm spot size at 10 ms with 150~180 J/cm2. Patients received 3 laser treatment sessions at one month interval. The scars were evaluated with Vancouver scar scale (VSS) 2 months after treatment. Results Twenty-one patients with average 3.4-week scars were involved. Two months after last treatment, final total VSS analysis revealed significant decline of both PDL and long-pulsed Nd:YAG laser group after treatment (P<0.05), but no statistical difference between the 2 groups (P>0.05). However, the emphasis was different. The PDL sites advantaged in the improvement of vascularity and thickness of scar, whereas Nd:YAG in pliability. Conclusion Both 2 kinds of lasers could improve the appearance of fresh scars but emphasize differently.

关键词

早期瘢痕/脉冲染料激光/长脉宽Nd:YAG激光

Key words

Fresh scars/Pulsed dye laser/Long-pulsed Nd:YAG laser

分类

医药卫生

引用本文复制引用

李洁,濮哲铭,章一新..PDL和长脉宽Nd:YAG在早期瘢痕治疗中的疗效对比[J].组织工程与重建外科杂志,2018,14(2):73-75,86,4.

组织工程与重建外科杂志

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