■铒-YAG激光多年来一直是皮肤科的工作马。令人惊讶的是,关于这种新颖的激光置换和消融技术对印度皮肤浅表性皮肤病的疗效和不良反应的数据有限。
■评估铒-YAG激光消融在浅表皮肤病变中的疗效和安全性。
■二百五十名各种浅表皮肤病患者,可通过铒-YAG激光治疗,在研究中被招募。所有患者均接受了铒-YAG激光治疗。激光会话的数量,注量,频率和其他参数根据各自的皮肤病进行个体化。临床反应评估为4级(100%病变清除率),3级(75-99%),2级(50-75%)或1级(<50%)。
■我们研究组的总体平均年龄为37.70岁。在我们的研究中,52.38%的扁平疣,36.84%的脂溢性角化病,56.4%的棕榈黄疣,22%为获得性黑素细胞痣,23.8%的足底疣和40%的皮脂腺增生显示完全清除。最常见的不良反应是50.4%的病例出现激光后红斑,其次是36.8%的疼痛。除此之外,在11.6%和12%的病例中观察到疤痕和色素沉着不良,分别。3个月随访复发9例(23.07%),脂溢性角化病11例(28.9%),扁平疣10例(23.8%),足底疣9例(42.8%)。
■这项研究表明,铒-YAG消融对扁平疣等浅表病变取得了良好的效果,脂溢性角化病,棕榈黄住房,足底疣,皮脂腺增生和获得性黑素细胞痣。因此,Er:YAG激光可以提供一步程序,具有更好的美容效果和较低的复发率。
UNASSIGNED: Erbium-YAG laser has been the working horse in dermatology for years. Surprisingly, data on the efficacy and adverse effects of this novel resurfacing and ablative technique of erbium-YAG laser for superficial dermatoses in Indian skin is limited.
UNASSIGNED: To evaluate the efficacy and safety profile of erbium-YAG laser ablation in superficial cutaneous lesions.
UNASSIGNED: Two hundred and fifty patients of various superficial dermatoses, treatable by erbium-YAG laser, were recruited in the study. All the patients were subjected to erbium-YAG laser sessions. The number of laser sessions, fluence, frequency and other parameters were individualized as per the respective dermatosis. The clinical response was evaluated as grade 4 (100% lesion clearance), grade 3 (75-99%), grade 2 (50-75%) or grade 1 (<50%).
UNASSIGNED: The overall mean age of our study group was 37.70 years. In our study, 52.38% cases of verruca plana, 36.84% cases of seborrheic keratosis, 56.4% cases of xanthelasma palpebrarum, 22% cases of acquired melanocytic nevus, 23.8% cases of plantar wart and 40% cases of sebaceous hyperplasia showed complete clearance. The most common adverse effect was post-laser erythema in 50.4% of cases, followed by pain in 36.8%. Besides this, scarring and dyspigmentation were observed in 11.6% and 12% of cases, respectively. The rate of recurrence on 3 months follow-up was 9 (23.07%) cases in xanthelasma palpebrarum, 11 (28.9%) cases in seborrheic keratosis, 10 (23.8%) cases in verruca plana and 9 (42.8%) cases in plantar warts.
UNASSIGNED: This study suggested that erbium-YAG ablation achieved good results for superficial lesions like verruca plana, seborrheic keratosis, xanthelasma palpebrarum, plantar wart, sebaceous hyperplasia and acquired melanocytic nevus. Thus, Er: YAG laser can offer a one-step procedure with better cosmetic results and a lesser rate of recurrence.