强脉冲光联合超脉冲二氧化碳点阵激光预防面部外伤清创缝合术后早期瘢痕的临床疗效OA
Curative effect analysis of ultrapulse carbon dioxide fractional laser combined with intense-pulsed light in preventing early scars after facial suture surgery
目的 探究强脉冲光联合超脉冲二氧化碳点阵激光对面部外伤清创缝合术后预防早期瘢痕的临床疗效.方法 选取2023年6月至2025年6月于宁夏医科大学总医院收治的面部外伤清创缝合术后患者200例,依据治疗方法不同将患者分为2组,100例/组(研究组给予强脉冲光联合超脉冲二氧化碳点阵激光治疗,对照组给予超脉冲二氧化碳点阵激光治疗),治疗干预前、末次治疗结束后6个月复查,对比观察两组患者与观察者瘢痕评估量表(POSAS)、改良温哥华瘢痕量表(MVSS)及满意度结果.结果 两组患者治疗干预前一般资料比较,差异无统计学意义(P>0.05);治疗后两组POSAS、MVSS评分比较,差异均有统计学意义(P<0.05);且研究组患者的满意度远高于对照组,差异有统计学意义(P<0.05).结论 强脉冲光联合超脉冲二氧化碳点阵激光可有效预防面部清创缝合术后瘢痕增生,临床疗效明显优于单纯超脉冲二氧化碳点阵激光治疗,值得临床推广应用.
Objective To investigate the clinical efficacy of intense pulsed light combined with ultrapulse carbon dioxide fractional laser in preventing early scars after facial suture surgery.Methods Selected 200 patients with early scars after facial suture surgery admitted to the General Hospital of Ningxia Medical University from June 2023 to June 2025.According to the random number table method,the patients were divided into two groups,100 cases in each group(the study group was treated with intense pulsed light combined with ultrapulse carbon dioxide fractional laser,and the control group was treated with ultrapulse carbon dioxide fractional laser alone).Before treatment and 6 months after the last treatment,the patient and observer scar assessment scale,modified Vancouver scar scale and satisfaction results were compared between the two groups.Results There was no statistically significant difference in general data between the two groups before treatment(P>0.05).After treatment,the differences in POSAS and MVSS scores between the two groups were statistically significant(P<0.05).The satisfaction of patients in the study group was much higher than that in the control group(P<0.05).Conclusion Intense pulsed light combined with ultrapulse carbon dioxide fractional laser can effectively prevent scar hyperplasia after facial debridement and suture,and its clinical efficacy is significantly better than that of ultrapulse carbon dioxide fractional laser alone,which is worthy of clinical promotion and application.
闫美荣;齐晓铭;梁仁章;张晓燕
宁夏医科大学总医院 烧伤整形美容科,宁夏 银川,750000北京大学第一医院宁夏妇女儿童医院 小儿外科,宁夏 银川,750000北京大学第一医院宁夏妇女儿童医院 小儿外科,宁夏 银川,750000宁夏医科大学总医院 烧伤整形美容科,宁夏 银川,750000
强脉冲光超脉冲二氧化碳点阵激光术后早期瘢痕面部清创术
intense pulsed lightultrapulse carbon dioxide fractional laserearly postoperative scarfacial suture surgery
《中国医疗美容》 2026 (5)
6-11,6
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