Division of Dermatology, University of Alberta, Edmonton, Alberta, Canada.
Dermatol Surg. 2010 Mar;36(3):299-306. doi: 10.1111/j.1524-4725.2009.01434.x. Epub 2010 Jan 19.
Fractional photothermolysis represents a new modality of laser skin resurfacing that was developed to provide a successful clinical response while minimizing postoperative recovery and limiting treatment complications.
To review all of the reported complications that develop as a result of fractional ablative and nonablative laser skin resurfacing.
A literature review was based on a MEDLINE search (1998-2009) for English-language articles related to laser treatment complications and fractional skin resurfacing. Articles presenting the highest level of evidence and the most recent reports were preferentially selected.
Complications with fractional laser skin resurfacing represent a full spectrum of severity and can be longlasting. In general, a greater likelihood of developing post-treatment complications is seen in sensitive cutaneous areas and in patients with intrinsically darker skin phototypes or predisposing medical risk factors.
Although the overall rate of complications associated with fractional laser skin resurfacing is much lower than with traditional ablative techniques, recent reports suggest that serious complications can develop. An appreciation of all of the complications associated with fractional laser skin resurfacing is important, especially given that many of them can be potentially prevented. The authors have indicated no significant interest with commercial supporters.
分数光热解是一种新型的激光换肤模式，旨在提供成功的临床疗效，同时尽量减少术后恢复期并减少治疗并发症。
综述因分数消融性和非消融性激光换肤而产生的所有报告的并发症。
根据 MEDLINE 搜索（1998-2009 年），对与激光治疗并发症和分数皮肤重塑相关的英文文章进行文献回顾。优先选择具有最高证据水平和最新报告的文章。
分数激光皮肤重塑的并发症代表了一个完整的严重程度谱，并且可能是持久的。一般来说，在敏感的皮肤区域和固有较深肤色的皮肤类型或有内在医疗风险因素的患者中，发生治疗后并发症的可能性更大。
尽管与传统消融技术相比，与分数激光皮肤重塑相关的并发症总体发生率要低得多，但最近的报告表明可能会出现严重的并发症。了解与分数激光皮肤重塑相关的所有并发症都很重要，尤其是因为其中许多并发症是可以预防的。作者表示没有与商业支持者有重大利益关系。
