Apfelberg D B
Atherton Plastic Surgery Center, CA 94027, USA.
Ann Plast Surg. 1997 Feb;38(2):95-100. doi: 10.1097/00000637-199702000-00001.
Thirteen patients with mild and severe acne scarring have been treated with the Ultra Pulse carbon dioxide laser over a 24-month period. Nine patients had full-face and 4 patients had regional reurfacing. All patients were pretreated with a Retin-A preparation. The patients healed in an average of 7.3 days and erythema was gone in an average of 7.6 weeks. Eight patients with mild acne experienced a good (1 patient) or excellent (7 patients) result. Of the 5 patients with severe acne characterized by marked irregularity, deep defects, and atrophy, 2 patients experienced fair results and 2 experienced good results (1 patient was lost to follow-up). Thus, laser resurfacing for severe atrophic acne achieves only moderate results, while treatment for mild acne can provide excellent results.
在24个月的时间里，13名患有轻度和重度痤疮疤痕的患者接受了超脉冲二氧化碳激光治疗。9名患者进行了全脸治疗，4名患者进行了局部换肤治疗。所有患者均预先使用维甲酸制剂进行治疗。患者平均在7.3天内愈合，红斑平均在7.6周内消退。8名轻度痤疮患者获得了良好（1例）或极佳（7例）的治疗效果。在5名患有以明显不规则、深度缺损和萎缩为特征的重度痤疮患者中，2名患者治疗效果一般，2名患者治疗效果良好（1例失访）。因此，激光换肤治疗重度萎缩性痤疮仅能取得中等效果，而治疗轻度痤疮可获得极佳效果。
