Department of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Qingchun East Road 3#, Hangzhou, Zhejiang Province, 310000, People's Republic of China.
Department of Plastic Surgery, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang Province, People's Republic of China.
Lasers Med Sci. 2024 Mar 8;39(1):89. doi: 10.1007/s10103-024-04012-3.
Various treatment modalities have been applied to atrophic scars. Fractional CO laser treatment has attracted increasingly more attention because of its quicker recovery time and fewer side effects. However, its limitation of sculpting the edge is an urgent shortcoming. In order to achieve a more effective result with fewer complications, we have integrated ultrapulse CO and fractional CO lasers to for the treatment of facial atrophic scars. The study included 25 patients (10 males and 15 females) diagnosed with moderate to severe atrophic scars between August 2020 and July 2022. All subjects underwent the same surgical treatment. The effects were assessed at baseline, 1 week, 1 month, and 3 months using photographic evidence. Objective evaluation of the results was conducted using a quartile grading scale, while the subjects' satisfaction and any adverse events were also recorded. The patients in the study underwent more than two laser sessions (2-5), resulting in substantial improvement in their appearance. The time interval between each session was 3-6 months. The majority of the patients (19/25, 76%) had a significant or even excellent improvement. Any adverse events observed, such as erythema, superficial crusting, and PIH, were of a mild nature and temporary in duration. This treatment combined two CO lasers is an effective and safe choice for atrophic scars in Asians.
各种治疗方法已应用于萎缩性瘢痕。由于恢复时间更快、副作用更少,分束 CO2 激光治疗受到越来越多的关注。然而,其边缘雕刻的局限性是一个亟待解决的缺点。为了实现更有效的效果并减少并发症,我们整合了超脉冲 CO2 和分束 CO2 激光器来治疗面部萎缩性瘢痕。这项研究纳入了 25 名(10 名男性,15 名女性)在 2020 年 8 月至 2022 年 7 月间被诊断为中重度萎缩性瘢痕的患者。所有患者均接受了相同的手术治疗。使用照片证据在基线、1 周、1 个月和 3 个月时评估效果。使用四分位分级量表对结果进行客观评估,同时记录患者的满意度和任何不良反应。研究中的患者接受了两次以上的激光治疗(2-5 次),外观有了显著改善。每次治疗之间的时间间隔为 3-6 个月。大多数患者(25 例中的 19 例,76%)有明显甚至极好的改善。观察到的任何不良反应,如红斑、浅表结痂和 PIH,均为轻度且短暂的。这种联合两种 CO2 激光器的治疗方法是亚洲人治疗萎缩性瘢痕的有效且安全的选择。
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