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新型、变脉宽、长脉冲、532nm 和 1064nm 激光联合制冷喷雾治疗色素性和血管性皮损的安全性和疗效。

Safety and Efficacy of a Novel, Variable-Sequenced, Long-Pulsed, 532-nm and 1,064-nm Laser With Cryogen Spray Cooling for Pigmented and Vascular Lesions.

机构信息

Laser and Skin Surgery Center of New York, New York, New York.

Maryland Dermatology Laser Skin and Vein, Hunt Valley, Maryland.

出版信息

Dermatol Surg. 2023 Jul 1;49(7):689-692. doi: 10.1097/DSS.0000000000003831. Epub 2023 May 9.

Abstract

BACKGROUND

Patients frequently seek treatment for vascular and pigmented lesions. More recently, a novel, variable-sequenced, long-pulsed, 532-nm and 1,064-nm laser with cryogen spray cooling was developed to offer greater flexibility in treatments.

OBJECTIVE

A prospective clinical trial evaluated the safety and efficacy of a novel, variable-sequenced, long-pulsed, 532-nm and 1,064-nm laser with cryogen spray cooling (DermaV, Lutronic, South Korea).

MATERIALS AND METHODS

Subjects with vascular and/or pigmented lesions were enrolled and underwent laser treatments.

RESULTS

Twenty-three subjects were enrolled with vascular lesions (39.1%), pigmented lesions (17.4%), and both (43.5%). Mean age was 53.1 years, and 91.3% were women. Fitzpatrick skin types II-IV were included. All subjects were treated with 532 nm, and 4 were also treated with 1,064 nm. According to 4 blinded physician reviewers, correct before and after photographs were selected in 94.7%, 92.1%, 84.2%, and 76.3% of cases. Overall, 86.8% were responders, meaning that at least 3 of 4 reviewers agreed. For Global Aesthetic Improvement Scale, improvement occurred in 81.6%, 81.6%, 81.6%, and 76.3% of cases. No serious adverse events occurred. Overall, 87.0% of subjects reported being very satisfied or satisfied.

CONCLUSION

A novel, variable-sequenced, long-pulsed, 532-nm and 1,064-nm laser with cryogen spray cooling can safely and effectively improve vascular and pigmented lesions.

摘要

背景

患者经常寻求治疗血管和色素病变。最近,一种新型的、可变序列的、长脉冲的、532nm 和 1064nm 激光与冷冻喷雾冷却技术相结合,为治疗提供了更大的灵活性。

目的

一项前瞻性临床试验评估了一种新型的、可变序列的、长脉冲的、532nm 和 1064nm 激光与冷冻喷雾冷却(DermaV,Lutronic,韩国)的安全性和有效性。

材料和方法

患有血管和/或色素病变的患者被纳入并接受激光治疗。

结果

23 名患者患有血管病变(39.1%)、色素病变(17.4%)或两者兼有(43.5%)。平均年龄为 53.1 岁,91.3%为女性。包括 Fitzpatrick 皮肤类型 II-IV。所有患者均接受 532nm 治疗,4 例患者还接受 1064nm 治疗。根据 4 位盲法医生的评估,94.7%、92.1%、84.2%和 76.3%的病例正确选择了治疗前后的照片。总体而言,86.8%的患者为应答者,即至少有 4 位医生认为治疗有效。对于全球美学改善量表,81.6%、81.6%、81.6%和 76.3%的病例均有改善。未发生严重不良事件。总体而言,87.0%的患者表示非常满意或满意。

结论

一种新型的、可变序列的、长脉冲的、532nm 和 1064nm 激光与冷冻喷雾冷却技术可以安全有效地改善血管和色素病变。

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