CO2激光与高频电离子低功率微剥脱治疗面部脂溢性角化的效果比较
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丹阳市第三人民医院皮肤科 江苏省 镇江市 丹阳市212399

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Observation on therapeutic effect of CO2 laser underpower micro-exfoliation on facial seborrheic keratosisGAO Zixiao? The Third People"s Hospital of Danyang, 212399, Jiangsu, China
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    摘要:

    [摘要] 目的 观察连续式CO2 激光低功率微剥脱治疗面部脂溢性角化的疗效。方法 收集2022年1月至2023年12月丹阳市第三人民医院确诊为面部脂溢性角化病的患者46例,采用随机法使用连续式CO2 激光和高频电离子低功率微剥脱治疗,其中CO2 激光组26例,高频电离子组20例。比较两组治疗方法在皮损祛除、即时出血、创面修复、色素沉着临床相关指标情况。结果 高频电离子低功率微剥脱治疗组有效率为81.25%,而低功率CO2 激光微剥脱治疗组总有效率为100%,皮损祛除有统计学差异(P<0.05);低功率CO2 激光微剥脱在治疗即时出血情况(26.92%)优于高频电离子(75%)(P<0.05),差异有统计学意义;而在表皮缺损、皮损修复时间及色素沉着方面两者均无统计学差异(P>0.05)。结论:低功率CO2 激光微剥脱可以有效去除面部脂溢性角化且方便、经济,易于操作。

    Abstract:

    [Abstract] Objective: To observe the curative effect of continuous CO2 laser low-power Minor exfoliation on seborrheic keratosis of face. Methods: From January 2022 to December 2023, 46 patients with facial seborrheic keratosis were diagnosed in the Third People's Hospital of Danyang, and were treated with continuous CO2 laser and high-frequency ionization by random method, including 26 cases in CO2 laser group and 20 cases in high-frequency ionization group. The skin lesion removal, immediate bleeding, wound repair and pigmentation status of the two groups were calculated and compared. Results: The effective rate of high-frequency ion treatment group was 81.25%, while the total effective rate of micro-exfoliation treatment with low power CO2 laser was 100%,and there was a statistical difference (P<0.05). Low-power CO2 laser microdissection was superior to high-frequency ionization therapy (75%&26.92%) in the treatment of instant bleeding (P<0.05), and the difference is statistically significant. However, there was no statistical difference in the epidermal defects, skin lesion repair time and pigmentation (P>0.05) between the two groups. Conclusion: Low-power CO2 laser micro-exfoliation can effectively remove seborrheic keratosis of face, which is convenient, economical and easy to operate.

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  • 收稿日期:2024-08-24
  • 最后修改日期:2024-12-01
  • 录用日期:2024-12-02
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