【摘要】 目的:评价Cynergy双波长脉冲染料激光治疗儿童蜘蛛痣的临床疗效和安全性。方法:140例儿童蜘蛛痣患儿随机分成两组,即Cynergy双波长脉冲染料激光组70例和CO₂激光组70例,每次治疗前后评价各自的临床症状和不良反应、分析2组的伤口愈合时间和1次治愈率。结果:所有患儿接受1³次治疗后,总有效率100%,1次治愈率分别为Cynergy激光组91.43%、CO₂激光组95.71%,差异无统计学意义（P>0.05）。结痂脱落时间分别为Cynergy激光组平均5.87 d、CO₂激光组平均6.28 d,差异无统计学意义（P>0.05）。140例患儿出现4例轻度色素沉着、5例轻度色素减退,均在数月后自行恢复。CO₂激光组出现3例萎缩性瘢痕。结论:Cynergy双波长脉冲染料激光治疗儿童蜘蛛痣疗效较好、安全性高、无瘢痕、痛苦小,不良反应少,值得临床进一步推广。更多还原

【Abstract】 Objective:To investigate the efficacy and safety of cynergy multiplex laser in the treatment of spider nevus.Methods:One hundred forty subjects with spider nevus were divided into cynergy multiplex laser treated group（70 cases）and CO₂ laser treated group（70 cases）.The clinical parameters and side effects were evaluated before and after each treatment.The wound healing times and cure rates after single treatment were analyzed.Results:After 1-3 treatments the total effective rates were 100%for both groups.After single treatment the cure rates for cynergy multiplex laser and CO₂ laser treated group were 91.43%and 95.71%,respectively（P>0.05）.The wound healing times for cynergy multiplex laser and CO₂laser treated group were 5.87 d and 6.28 d,respectively（P > 0.05）.4 cases showed mild hyperpigmentation and 5 cases had mild hypopigmentation.The pigmentation changes remitted spontaneously in a few months.Atrophic scars were observed in 3cases treated with CO₂ laser.Conclusion;The study suggests that cynergy multiplex laser is safe and effective for the treatment of spider nevus.更多还原