皮肤磨削术是治疗后天性双侧太田痣样斑的有效方法。
Dermabrasion is an effective treatment for acquired bilateral nevus of Ota-like macules.
作者信息
Kunachak S, Kunachakr S, Sirikulchayanonta V, Leelaudomniti P
机构信息
Department of Otolaryngology, Ramathibodi Hospital, Mahidol University, Thailand.
出版信息
Dermatol Surg. 1996 Jun;22(6):559-62. doi: 10.1111/j.1524-4725.1996.tb00374.x.
BACKGROUND
Dermal pigmented lesion, or acquired bilateral nevus of Ota-like macules, is a common entity in Asian skin. There are no established data supporting the safety, effectiveness, and cosmesis of its treatment. The lesions do not respond to bleaching or peeling agents.
OBJECTIVE
To search for a means of treatment that is cost effective, safe, and yields a good cosmetic result. If possible, these requirement should be accomplished within one session.
METHODS
Three hundred and twenty patients who presented themselves with acquired bilateral nevus of Ota-like macules were included in the study. Area dermabrasion using a hand engine with a coarse diamond fraise was performed in every case.
RESULTS
Three hundred and twenty patients (97%) achieved 100% clearance of the pigment. In the remaining 10 patients (3%) there was 5% residual pigment. The wound healed with excellent cosmesis, and without changing skin texture.
CONCLUSION
Dermabrasion is an excellent modality for the treatment of acquired nevus of Ota-like macules.
背景
皮肤色素沉着病变，即获得性双侧太田痣样斑，在亚洲人群中较为常见。目前尚无确凿数据支持其治疗的安全性、有效性及美容效果。这些病变对美白或剥脱剂均无反应。
目的
寻找一种经济有效、安全且美容效果良好的治疗方法。若有可能，应在一次治疗中满足这些要求。
方法
本研究纳入了320例患有获得性双侧太田痣样斑的患者。所有病例均使用配有粗金刚石磨头的手动器械进行区域磨皮术。
结果
320例患者（97%）色素完全清除。其余10例患者（3%）有5%的色素残留。伤口愈合良好，美容效果极佳，且未改变皮肤质地。
结论
磨皮术是治疗获得性太田痣样斑的一种极佳方法。
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