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烧伤瘢痕的激光治疗

Laser Treatment of Burn Scars.

作者信息

Altemir A, Boixeda P

机构信息

Servicio de Dermatología, Hospital Universitari Sagrat Cor, Grupo Hospitalario Quirónsalud, Barcelona, España.

Servicio de Dermatología, Hospital Universitario Ramon y Cajal, Madrid, España.

出版信息

Actas Dermosifiliogr. 2022 Nov-Dec;113(10):938-944. doi: 10.1016/j.ad.2022.06.018. Epub 2022 Aug 11.

Abstract

Burn scars cause high morbidity in the form of contractures, body disfigurement, and itching, and they also have a high emotional impact that adversely affects patient quality of life. Laser therapy has proven effective in this setting. It is superior to topical treatments and can be used in conjunction with surgery, helping to reduce morbidity. The use of lasers in hospital dermatology departments, however, is still limited. Carbon dioxide laser resurfacing is the most widely used modality for reducing scar thickness, improving textural abnormalities, and treating contractures. Treatments improve mobility for patients with constrictions. Pulsed dye laser treatments are particularly useful for reducing erythema in recent burn scars and preventing subsequent hypertrophy. Pigment laser treatments with short pulse durations (nanoseconds or picoseconds) can improve hyperpigmentation. In this article, we review the evidence for the use of laser therapy for burn scars and propose a treatment algorithm.

摘要

烧伤疤痕会导致诸如挛缩、身体毁容和瘙痒等高发病率问题,并且对患者的情绪也有很大影响,会对患者的生活质量产生不利影响。激光治疗在这种情况下已被证明是有效的。它优于局部治疗,可与手术联合使用,有助于降低发病率。然而,医院皮肤科对激光的使用仍然有限。二氧化碳激光换肤是减少疤痕厚度、改善质地异常和治疗挛缩最广泛使用的方法。治疗可改善有挛缩患者的活动能力。脉冲染料激光治疗对于减轻近期烧伤疤痕的红斑和预防随后的增生特别有用。短脉冲持续时间(纳秒或皮秒)的色素激光治疗可改善色素沉着。在本文中,我们回顾了激光治疗烧伤疤痕的证据并提出了一种治疗方案。

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