Olbricht S M, Stern R S, Tang S V, Noe J M, Arndt K A
Arch Dermatol. 1987 Mar;123(3):345-9.
We surveyed a selected group of 139 dermatologists and plastic surgeons about their experience with the complications of cutaneous laser surgery. Reported complication rates varied from 0% to 35%, with means of 3.2% for dermatologists and 6.2% for plastic surgeons using the argon laser, and 4.2% for dermatologists and 2.8% for plastic surgeons using the carbon dioxide laser. Hypertrophic scarring was the complication noted most frequently; 69% of physicians using the argon laser and 64% of physicians using the carbon dioxide laser have seen at least one case of hypertrophic scarring. Complications noted less frequently include infection, pain, atrophic scarring, intraoperative or postoperative hemorrhage, and prolonged wound healing. Environmental accidents were few. No procedure-related deaths, ocular damage, or secondary cutaneous malignant neoplasms were reported. We conclude that cutaneous laser surgery has an acceptable risk profile but that complications are not uncommon.
我们就皮肤激光手术并发症的相关经验，对139名皮肤科医生和整形外科医生进行了抽样调查。报告的并发症发生率从0%到35%不等，使用氩激光的皮肤科医生平均发生率为3.2%，整形外科医生为6.2%；使用二氧化碳激光的皮肤科医生平均发生率为4.2%，整形外科医生为2.8%。增生性瘢痕是最常提及的并发症；使用氩激光的医生中有69%，使用二氧化碳激光的医生中有64%至少见过一例增生性瘢痕。较少提及的并发症包括感染、疼痛、萎缩性瘢痕、术中或术后出血以及伤口愈合延长。环境事故很少。未报告与手术相关的死亡、眼部损伤或继发性皮肤恶性肿瘤。我们得出结论，皮肤激光手术的风险状况是可接受的，但并发症并不罕见。
