Rogge Fabrice Jacques, Cambier Bernard
Department of Plastic, Reconstructive and Aesthetic Surgery, Academic Hospital Sint-Blasius Dendermonde, Belgium.
J Cosmet Laser Ther. 2008 Sep;10(3):143-7. doi: 10.1080/14764170802132694.
Traumatic events as well as surgery can cause a large variety of scars, which are often a major psychological concern to patients. Moreover, patients often report itching or burning sensations as well as pain. We investigated the efficacy of purely non-ablative laser therapy in order to improve the appearance and quality of these scars.
A total of 62 patients with problem scars were enrolled in the study. The purely thermal, non-ablative scar mode of an Er:YAG laser (BURANE XL; Wavelight AG, Erlangen, Germany) was used. One to six treatment sessions were performed. The improvement of scar redness, scar flatness, scar quality, itching and burning sensations as well as pain and patient satisfaction were evaluated.
The overall scar quality improved in 93% of patients. Similarly, the flatness improved in 89% of scars, itching sensation in 79% and burning sensation in 86% of patients. In 91% of scars a decrease of scar redness was seen and all painful scars showed a pain reduction. Average patient satisfaction was 7.4 on a 10-point scale. Sixty-one patients would recommend the therapy to another person. Side effects were limited to transient erythema and oedema.
The high success rate combined with the low side-effects resulted in high patient satisfaction. Post-traumatic or post-surgical scars can safely and effectively be treated by the thermal scar mode of the Er:YAG laser used.
创伤事件以及手术会导致各种各样的疤痕，这常常是患者主要的心理担忧。此外，患者经常报告有瘙痒、灼痛以及疼痛的感觉。我们研究了单纯非剥脱性激光治疗改善这些疤痕外观和质量的疗效。
共有62例有问题疤痕的患者纳入本研究。使用铒钇铝石榴石激光（BURANE XL；德国埃尔朗根的Wavelight AG公司）的单纯热非剥脱性疤痕模式。进行了1至6次治疗。评估疤痕发红、疤痕平整度、疤痕质量、瘙痒和灼痛感觉以及疼痛和患者满意度的改善情况。
93%的患者疤痕整体质量得到改善。同样，89%的疤痕平整度得到改善，79%的患者瘙痒感得到改善，86%的患者灼痛感得到改善。91%的疤痕发红减轻，所有疼痛的疤痕疼痛均减轻。患者平均满意度在10分制中为7.4分。61名患者会向他人推荐该治疗方法。副作用仅限于短暂的红斑和水肿。
高成功率与低副作用导致患者满意度高。创伤后或手术后疤痕可通过使用铒钇铝石榴石激光的热疤痕模式安全有效地进行治疗。
