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675nm 激光治疗对深色皮肤型的面部黄褐斑是否有效?

Could 675-nm Laser Treatment Be Effective for Facial Melasma Even in Darker Phototype?

机构信息

Laser Cutaneous Cosmetic and Plastic Surgery Unit, Villa Donatello Clinic, Florence, Italy.

Biologist, Florence, Italy.

出版信息

Photobiomodul Photomed Laser Surg. 2021 Oct;39(10):634-636. doi: 10.1089/photob.2021.0076. Epub 2021 Sep 30.

DOI:10.1089/photob.2021.0076
PMID:34597175
Abstract

The study assesses the safety and efficacy of a 675-nm laser source on melasma. Melasma is a frequent acquired skin disease defined by the presence of hyperpigmented macules on the face. Study protocol included up to three sessions of the 675-nm laser. Objective evaluation was assessed by using a 5-point visual analogue pain scale (VAS) (range, 0-4). Treatment tolerance was assessed using the 5-point VAS. A mean 3.1 ± 0.7 improvement was reached according to photographic evaluation by VAS. Patients treated one time showed mean clearance of 3.3 ± 0.76, patients treated two times showed mean clearance of 3.0 ± 0.71, and patients treated three times showed mean clearance of 3.0 ± 1. Pain score mean was 1.2 ± 0.4. The 675-nm laser system seems to be safe and effective even in the treatment of facial melasma in patients with Fitzpatrick phototypes IV to V.

摘要

该研究评估了 675nm 激光源治疗黄褐斑的安全性和疗效。黄褐斑是一种常见的后天性皮肤疾病,其特征是面部出现色素沉着斑。研究方案包括最多三次 675nm 激光治疗。采用 5 分视觉模拟疼痛量表(VAS)(范围 0-4)进行客观评估。采用 5 分 VAS 评估治疗耐受性。根据 VAS 摄影评估,平均改善 3.1±0.7。单次治疗的患者平均清除率为 3.3±0.76,两次治疗的患者平均清除率为 3.0±0.71,三次治疗的患者平均清除率为 3.0±1。疼痛评分均值为 1.2±0.4。675nm 激光系统似乎是安全有效的,即使在治疗 FItzpatrick 光型 IV 至 V 型的面部黄褐斑患者中也是如此。

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引用本文的文献

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High-powered 675-nm laser: Safety and efficacy in clinical evaluation and in vitro evidence for different skin disorders.高功率 675nm 激光:临床评估中的安全性和疗效,以及不同皮肤疾病的体外证据。
Skin Res Technol. 2024 Sep;30(9):e70019. doi: 10.1111/srt.70019.
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Experience using 675 nm laser on three cases of Fitzpatrick skin type IV-V with melasma.
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Skin Res Technol. 2024 May;30(5):e13748. doi: 10.1111/srt.13748.
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