使用肿胀麻醉、20% 三氯乙酸广泛皮下分离术和二氧化碳分次激光单次治疗滚动性痤疮瘢痕
Single Session Treatment of Rolling Acne Scars Using Tumescent Anesthesia, 20% Trichloracetic Acid Extensive Subcision, and Fractional CO2 Laser.
作者信息
Taylor Mark B, Zaleski-Larsen Lisa, McGraw Timothy A
机构信息
*Gateway Aesthetic Institute and Laser Center, Salt Lake City, Utah; †Goldman, Butterwick, Fitzpatrick, Groff & Fabi, Cosmetic Laser Dermatology, San Diego, California.
出版信息
Dermatol Surg. 2017 Jan;43 Suppl 1:S70-S74. doi: 10.1097/DSS.0000000000000895.
BACKGROUND
Successful treatment of acne scars is challenging. Many modalities have been used with marginal success.
OBJECTIVE
The authors describe a combination of a superficial chemical peel, subcision, and fractional carbon dioxide (CO2) laser resurfacing in a single-treatment session as a novel treatment approach for rolling acne scars.
METHODS
A total of 114 patients (75 women and 39 men) with predominantly rolling acne scars were treated with a 20% trichloracetic acid chemical peel, subcision with a novel dissecting instrument, and the CO2 laser under tumescent anesthesia. This was a retrospective, uncontrolled, unblinded study.
RESULTS
The mean improvement after a single treatment was 2.9 on a scale of 1 to 4 with few complications. Ninety percent of the patients were satisfied with their final result and desired no additional treatment.
CONCLUSION
The combination of a trichloracetic acid 20% chemical peel, subcision, and fractional CO2 laser resurfacing combined with tumescent anesthesia is both safe and effective in the treatment of rolling acne scars.
背景
痤疮瘢痕的成功治疗具有挑战性。许多治疗方法的效果都不太理想。
目的
作者描述了一种在单次治疗中联合浅表化学剥脱、皮下分离术和分次二氧化碳（CO2）激光换肤的方法，作为治疗冰锥型痤疮瘢痕的一种新的治疗方法。
方法
共有114例（75例女性和39例男性）以冰锥型痤疮瘢痕为主的患者接受了20%三氯乙酸化学剥脱、使用新型解剖器械进行皮下分离术以及在肿胀麻醉下进行CO2激光治疗。这是一项回顾性、非对照、非盲法研究。
结果
单次治疗后的平均改善程度在1至4分的量表上为2.9分，并发症较少。90%的患者对最终结果满意，无需额外治疗。
结论
20%三氯乙酸化学剥脱、皮下分离术和分次CO2激光换肤联合肿胀麻醉在治疗冰锥型痤疮瘢痕方面既安全又有效。
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