Lenz H, Degen T
Abteilung für Hals-Nasen-Ohren-Krankheiten und Gesichtschirurgie, St.-Franziskus-Hospital, Köln.
Laryngol Rhinol Otol (Stuttg). 1988 Mar;67(3):110-5.
A laser surgery procedure for treating tattoos using argon ion laser is described. The epithelial changes during continuous radiation are land marks for laser surgery procedure: 1. The coagulation zone, 2. its bubble-like rise, 3. its breaking, 4. the beginning of the carbonisation zone and 5. setting of a decreasing coagulation zone for smoothing the edges. From the very onset of the carbonisation zone radiation is discontinued and continued only in the periphery producing a decreasing coagulation zone. Punctiform and line-pattern laser application is employed; the untreated areas in between are treated in the following session. The average time between the sessions is 7 weeks and the average number of sessions for a tattoo is 3.1. The observation time is on an average 2 years and 1 month. 134 tattoos of 43 patients are treated by this technique. In 18.6% of the tattoos very good results are achieved, in 51.5% a good result, in 28.4% a satisfactory result and in 1.5% an unsatisfactory result. Hypopigmentations are seen in 19.4%, atrophic scars in 12.7%, hypertrophic scars in 14.9% and a rest of tattoos in 8.9%. Keloids are not seen. Using this argon laser technique for treating tattoos you will obtain better results with fewer side effects than in those studies which are accomplished treating tattoos with argon lasers and described in literature up to now.
描述了一种使用氩离子激光治疗纹身的激光手术方法。连续辐射过程中的上皮变化是激光手术的标志：1. 凝固区；2. 其气泡状隆起；3. 其破裂；4. 碳化区的开始；5. 形成逐渐减小的凝固区以平滑边缘。从碳化区一开始就停止辐射，仅在外围继续辐射以产生逐渐减小的凝固区。采用点状和线状激光照射；其间未处理的区域在后续疗程中进行处理。疗程之间的平均间隔时间为7周，纹身的平均疗程数为3.1次。观察时间平均为2年零1个月。用这种技术治疗了43例患者的134处纹身。18.6%的纹身取得了非常好的效果，51.5%取得了好效果，28.4%取得了满意效果，1.5%效果不满意。色素减退见于19.4%的纹身，萎缩性瘢痕见于12.7%，肥厚性瘢痕见于14.9%，其余纹身有8.9%出现问题。未见瘢痕疙瘩。使用这种氩激光技术治疗纹身，与迄今为止文献中描述的用氩激光治疗纹身的研究相比，能获得更好的效果且副作用更少。
