Ibrahim Shady M, Saudi Wael M, Abozeid Mohamed F, Elsaie Mohamed L
Department of Dermatology, Al Azhar University, Cairo, Egypt.
Department of Dermatology, Misr University for Science & Technology, 6th of October City, Egypt.
Clin Cosmet Investig Dermatol. 2019 Jan 4;12:29-34. doi: 10.2147/CCID.S177622. eCollection 2019.
Fractional CO laser is one of the most effective treatment options used to resurface scars.
To evaluate the efficacy and safety of early treatment of postsurgical scar by fractional ablative CO laser.
A total of 27 Egyptian patients with recent postoperative scars were enrolled in this study. Three sessions of fractional CO laser with a 1-month interval were started 4 weeks after surgery. Vancouver Scar Scale (VSS) was used as an assessment tool at 1 and 3 months after the final treatment. Patients reported their satisfaction using a subjective 4-point scale.
Results demonstrated a statistically significant overall average improvement of the VSS (5.33±1.33) before compared with (2.55±1.06) 3 months after the last laser treatment (≤0.001). Among the individual parameters in the VSS, the most significant improvements were found in pigmentation, height, and pliability. Patient's subjective satisfaction scores showed a significant greater degree of satisfaction after laser treatment.
Fractional ablative CO laser is an effective and safe treatment modality for surgical scars in the early postsurgical period.
剥脱性二氧化碳分数激光是用于瘢痕表面重塑的最有效治疗选择之一。
评估剥脱性二氧化碳分数激光早期治疗术后瘢痕的疗效和安全性。
本研究共纳入27例近期有术后瘢痕的埃及患者。术后4周开始进行3次剥脱性二氧化碳分数激光治疗，每次间隔1个月。在最后一次治疗后1个月和3个月时，使用温哥华瘢痕量表（VSS）作为评估工具。患者使用主观4分制报告其满意度。
结果显示，与最后一次激光治疗后3个月时的VSS（2.55±1.06）相比，治疗前VSS的总体平均改善具有统计学意义（5.33±1.33）（≤0.001）。在VSS的各项参数中，色素沉着、高度和柔韧性改善最为显著。患者的主观满意度评分显示激光治疗后满意度有显著提高。
剥脱性二氧化碳分数激光是术后早期手术瘢痕的一种有效且安全的治疗方式。
