摘要
目的探讨810 nm半导体激光唇部脱毛的改进及其临床效果。方法回顾性分析2017年1月至2018年10月山西白求恩医院收治的女性脱唇毛患者的临床资料。将2018年1月至10月门诊就诊的患者作为试验组,2017年1月至12月就诊的患者为对照组。2组均采用810 nm以色列飞顿半导体冰点激光脱毛仪,超级滑动式脱毛(SHR)+定点脱毛(HR)联合模式进行治疗。试验组应用表面麻药麻醉、SHR模式哑铃形滑动(起始能量密度8 J/cm2)+HR模式(起始能量密度43 J/cm2)盖章式治疗,患者局部鼓腮配合。对照组未敷表面麻药,采用SHR模式直线往返式滑动+HR模式(起始能量密度41 J/cm2)。2组均于每次治疗前及治疗后6个月,对患者毛发较重一侧口角处的1 cm×1 cm部位,采用毛发分析仪计数1 m左右社交距离肉眼明显可见类似毛发数目,计算脱毛率。评价治疗效果:脱毛率≥90%为痊愈;70%~90%(含70%)为显效;40%~70%(含40%)为好转;<40%为无效。对比2组患者3、5次治疗后的脱毛率、最终脱毛率,分析治疗次数、2组治疗后6个月随访情况及患者的舒适度。计量资料比较采用Wilcoxon秩和检验;计数资料比较采用χ2检验,P<0.05为差异有统计学意义。结果研究共纳入200例患者,其中试验组100例,患者的年龄为(28.58±6.01)岁;对照组100例,年龄为(28.57±6.07)岁。经统计学检验,2组患者在年龄、皮肤类型方面差异无统计学意义。试验组患者的治疗次数为5(5,6)次,低于对照组的7(6,8)次,差异具有统计学意义(T=-9.279,P<0.001)。试验组患者唇部的3次脱毛率为70.0%(68.0%,74.8%)、5次脱毛率为86.0%(83.0%,88.0%),最终脱毛率为89.0%(86.7%,90.0%),均高于对照组[40.0%(37.0%,42.0%)、72.0%(70.0%,74.0%)、86.5%(85.0%,88.0%)],2组比较差异均有统计学意义(T3次=43.986,T5次=25.151,T最终=5.547,P值均<0.001)。单次SHR治疗间断次数试验组≤2次,对照组>2次,治疗期间均无水泡及色素沉着等并发症发生。末�
Objective To investigate the improvement and clinical effect of lip depilation with 810 nm semiconductor laser.Methods Retrospective analysis was performed on female labial hair removal patients admitted to Bethune Hospital in Shanxi from January 2017 to October 2018.The patients who visited the clinic from January 2018 to October 2018 were taken as the experimental group,and those who visited the clinic from January 2017 to December 2017 were taken as the control group.A combination model of super hair removal(SHR)+hair removal(HR)was adopted to perform the treatment with 810 nm YfTON semiconductor freezing point laser hair removal.The experimental group was treated with surface anesthetic and SHR mode dumbbell sliding mode 8 J/cm2+HR mode with high energy(starting from the upper limit of reference energy value),and the patients were treated with local drum and chin coordination.In the control group,no surface anesthetic was applied,and SHR mode was used for linear round-trip sliding+HR mode for reference energy treatment.After the third and fifth treatment,the patients in the two groups were treated with a hair size of 1 cm×1 cm on one side of the mouth corner with heavy hair.A hair analyzer was used to count the number of similar hairs visible to the naked eye at a social distance of about 1 meter.The final hair removal rate was calculated as excellent(70%-90%,including 70%),as improvement(40%-70%,including 40%),as invalid(<40%).The depilation rate after 3 and 5 treatments was compared between the 2 groups,the number of treatments was analyzed,and the recurrence rate and comfort level of the patients were followed up 6 months after treatment.Wilcoxon rank sum test was used to compare the measurement data.Comparison of counting data was tested,and P<0.05 was considered statistically significant.Results A total of 200 patients were included in this study,including 100 in the experimental group,with an age of(28.58±6.01)years.The control group included 100 patients(28.57±6.07)years old.The skin type of patient
作者
张慧华
曲辉
杨时昕
徐红梅
曹敏
梁小英
Zhang Huihua;Qu Hui;Yang Shixin;Xu Hongmei;Cao Min;Liang Xiaoying(Department of Burn Plastic Surgery,Shanxi Academy of Medical Sciences,Shanxi Bethune Hospital,Taiyuan 030009,China)
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2020年第11期1264-1269,共6页
Chinese Journal of Plastic Surgery
关键词
毛发去除
激光
半导体
唇
高能量
Hair removal
Lasers,semiconductor
Lip
High-energy
