Lee Sang Ju, Yeo In Kwon, Kang Jin Moon, Chung Won Soon, Kim Young Koo, Kim Beom Joon, Park Kui Young
Yonsei Star Skin & Laser Clinic, Seoul, Korea.
Lasers Surg Med. 2014 Jul;46(5):380-4. doi: 10.1002/lsm.22247. Epub 2014 Apr 11.
Hypertrophic burn scars induce cosmetic and functional complications. Although there are various treatment modalities, an ideal method has not yet been found. Recently, numerous laser treatment modalities have been introduced with encouraging results.
To assess the efficacy and safety of combination therapy with laser-cision and pinhole method using a carbon dioxide (CO2 ) laser.
We conducted retrospective chart review of patients with hypertrophic burn scars treated by combination laser-cision and pinhole method from January 2007 to December 2012.
Nine patients with hypertrophic burn scars (mean age 31.2 years; range, 13-52 years) were treated with combination therapy over the past 6 years. Subjects were treated with one to three treatment sessions at 1-year intervals by laser-cision and five to eight treatment sessions at 2- to 3-month intervals by pinhole method. Two blinded observers evaluated photographs taken at baseline and 6 months after the final treatment. Compared with baseline, there was a mild to moderate improvement in all the patients (Grades 1-4; mean score: 2.89). The patient satisfaction survey revealed a mean improvement score of 3.11.
Combination laser-cision and pinhole method using a CO2 laser may be a new effective treatment option for patients with hypertrophic burn scars.
增生性烧伤瘢痕会引发美容和功能方面的并发症。尽管有多种治疗方式，但尚未找到理想的方法。最近，多种激光治疗方式被引入并取得了令人鼓舞的效果。
评估使用二氧化碳（CO2）激光的激光切割联合针孔法治疗的疗效和安全性。
我们对2007年1月至2012年12月期间采用激光切割联合针孔法治疗的增生性烧伤瘢痕患者进行了回顾性病历审查。
在过去6年中，9例增生性烧伤瘢痕患者（平均年龄31.2岁；范围13 - 52岁）接受了联合治疗。患者接受了1至3次激光切割治疗，间隔1年；以及5至8次针孔法治疗，间隔2至3个月。两名盲法观察者评估了基线时和最终治疗后6个月拍摄的照片。与基线相比，所有患者均有轻度至中度改善（1 - 4级；平均评分：2.89）。患者满意度调查显示平均改善评分为3.11。
使用CO2激光的激光切割联合针孔法可能是增生性烧伤瘢痕患者一种新的有效治疗选择。
