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强脉冲光用于亚洲皮肤的光嫩肤治疗。

Photorejuvenation for Asian skin by intense pulsed light.

作者信息

Negishi K, Tezuka Y, Kushikata N, Wakamatsu S

机构信息

Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Daini Hospital, Tokyo, Japan.

出版信息

Dermatol Surg. 2001 Jul;27(7):627-31; discussion 632. doi: 10.1046/j.1524-4725.2001.01002.x.

Abstract

BACKGROUND

Dermabrasion and deep chemical peeling are used in the treatment of photoaged skin. These ablative procedures are effective enough to produce a certain improvement but have often caused postinflammatory hyperpigmentation among Asian patients. To avoid such adverse effects, a new, nonablative procedure has been sought.

OBJECTIVE

To determine the effectiveness of photorejuvenation for Asian skin using intense pulsed light (IPL). The specific parameters used, improvement ratios, side-effects, and downtime required are also discussed.

METHODS

Ninety-seven patients were treated for photoaging using IPL. The cutoff filters of 550 nm and 570 nm were utilized for three to six treatments at intervals of 2 to 3 weeks.

RESULTS

Treatment results were evaluated and rated by both patients and physicians at the end of the third treatment based on improvement in pigmentation, telangiectasia, and skin texture. A combined rating of "good" or "excellent" was given to more than 90% of the patients for pigmentation, more than 83% for telangiectasia, and more than 65% for skin texture. There were some minor complications in four cases: one had erythema that continued to the next day and three had minor blisters leaving no marks.

CONCLUSION

Photorejuvenation using IPL is a completely safe and effective procedure even for Asian skin. It will be increasingly used for skin rejuvenation in the future.

摘要

背景

皮肤磨削术和深层化学剥脱术用于治疗光老化皮肤。这些剥脱性手术有足够的疗效以产生一定改善,但在亚洲患者中常引起炎症后色素沉着。为避免此类不良反应,人们一直在寻找一种新的非剥脱性手术方法。

目的

确定使用强脉冲光(IPL)对亚洲皮肤进行光嫩肤的有效性。还讨论了所使用的具体参数、改善率、副作用以及所需的停工期。

方法

97例患者接受IPL治疗光老化。使用550nm和570nm的截止滤光片,每隔2至3周进行3至6次治疗。

结果

在第三次治疗结束时,由患者和医生根据色素沉着、毛细血管扩张和皮肤质地的改善情况对治疗结果进行评估和评级。超过90%的患者色素沉着评分为“良好”或“优秀”,超过83%的患者毛细血管扩张评分为“良好”或“优秀”,超过65%的患者皮肤质地评分为“良好”或“优秀”。有4例出现一些轻微并发症:1例出现红斑并持续至次日,3例出现小水泡但未留痕迹。

结论

即使对于亚洲皮肤,使用IPL进行光嫩肤也是一种完全安全有效的手术方法。未来它将越来越多地用于皮肤年轻化。

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