1927nm 铥激光与 2940nmEr:YAG 激光治疗面部萎缩性痤疮瘢痕的疗效和安全性比较:一项前瞻性、同期对照的Split-face 临床试验。
Efficacy and safety comparison between 1927 nm thulium laser and 2940 nm Er:YAG laser in the treatment of facial atrophic acne scarring: a prospective, simultaneous spilt-face clinical trial.
机构信息
Department of Dermatology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
出版信息
Lasers Med Sci. 2022 Apr;37(3):2025-2031. doi: 10.1007/s10103-021-03465-0. Epub 2021 Nov 26.
Acne scarring is a common disfiguring complication of acne, and fractional lasers are widely applied in improving it. This study is to compare the efficacy and safety of fractional non-ablative 1927 nm thulium laser (FTL) and fractional ablative 2940 nm Er:YAG laser (FEL) in the treatment of acne scarring. Subjects with moderate or severe atrophic facial acne scarring received 3 sessions of FTL on the left side of face and FEL on the right side of face at an average interval of 4-6 weeks. Major assessments included Goodman&Baron quantitative global scarring grading system (GBS), self-rated improvement and satisfaction score. Twenty-seven subjects completed the study; for FTL side, average GBS decreased from 11.15 ± 5.04 at baseline to 7.07 ± 4.87 with an improvement percent of 36.54%; for FEL side, average GBS decreased from 10.81 ± 4.46 to 7.00 ± 4.07 with an improvement percent of 35.27%. Adverse effects include transient pain, erythema, edema, and increase of acne. No significant difference was found between two lasers. Both FTL and FEL improved atrophic acne scarring and were well-tolerated. Increase of acne during laser treatment may have a negative impact on efficacy. Trial registration number was NCT04813419 and date of registration was 19th, March, 2021, retrospectively registered.
痤疮瘢痕是痤疮常见的毁容性并发症,点阵激光广泛应用于改善痤疮瘢痕。本研究旨在比较非剥脱性 1927nm 铥激光(FTL)和剥脱性 2940nm Er:YAG 激光(FEL)治疗痤疮瘢痕的疗效和安全性。中重度萎缩性面部痤疮瘢痕患者,在 4-6 周的平均间隔内,接受 3 次左侧 FTL 和右侧 FEL 治疗。主要评估包括 Goodman&Baron 定量整体瘢痕分级系统(GBS)、自我评估改善和满意度评分。27 例患者完成了研究;FTL 侧,GBS 平均从基线时的 11.15±5.04 下降至治疗后的 7.07±4.87,改善率为 36.54%;FEL 侧,GBS 平均从基线时的 10.81±4.46 下降至治疗后的 7.00±4.07,改善率为 35.27%。不良反应包括短暂疼痛、红斑、水肿和痤疮加重。两种激光之间无显著差异。FTL 和 FEL 均能改善萎缩性痤疮瘢痕,且耐受性良好。激光治疗期间痤疮加重可能对疗效有负面影响。试验注册号为 NCT04813419,注册日期为 2021 年 3 月 19 日,为回顾性注册。