Treatment of 153 Japanese patients with Q-switched alexandrite laser

Treatment of 153 Japanese patients with Q-switched alexandrite laser
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DOI:
10.1007/s10103-006-0436-4
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发表时间:
2007-09-01
影响因子:
2.1
通讯作者:
Tamaki, Kunihiko
Tamaki, Kunihiko
中科院分区:
工程技术3区
文献类型:
--
作者:
Kagami, Shinji;Asahina, Akihiko;Tamaki, Kunihiko

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我们最近使用调q翠绿宝石激光治疗各种色素性皮肤病变。我们回顾性地比较了153名来我科就诊的日本患者的治疗结果。这种方法对于外溢痣/咖啡色斑点效果不太好,看起来不耐激光,特别是当色素沉着在1岁以后出现,5岁以后治疗,位于面部,椭圆形,边缘光滑,患者为男性时。这种方法对老年性黄斑、太田痣和蒙古斑同样有效,但对获得性双侧太田样斑痣效果较差。一些骶骨蒙古斑或浅色老年性黄斑患者治疗后出现严重的炎症后色素沉着。总的来说,经过多次治疗,取得了良好的治疗效果。然而,应该考虑使用其他激光或其他治疗方式来治疗痣溢出/咖啡色斑点。
We have recently used Q-switched alexandrite laser for the treatment of various kinds of pigmented skin lesions. We retrospectively compared therapeutic outcomes of 153 Japanese patients who consulted our department. This approach was not very efficient for nevus spilus/cafe-au-lait spots, which seemed laser-resistant, especially when the pigmentation had appeared after I year of age, was treated after 5 years of age, was located on the face, was oval with a smooth border, and the patient was male. This approach was equally effective for senile lentigo, nevus of Ota, and Mongolian spots, but less effective for acquired bilateral nevus of Ota-like macules. Some patients with sacral Mongolian spots or those with light-colored, senile lentigo developed severe post-inflammatory hyperpigmentation after treatment. As a whole, good therapeutic outcome was achieved after multiple treatment sessions. However, the use of other lasers or other treatment modalities should be considered to treat nevus spilus/cafe-au-lait spots.