范燕芳

(中山医科大学院附属一院特诊激光室广州510080)

[摘要]目的:探讨CO²激光及氦氖激光治疗酒渣鼻的效果。方法:分别采用CO²激光及氦氖激光器,对65例不同期的酒渣鼻进行治疗。其中42例采用CO²激光,23例采用氦氖激光治疗,治疗均采用点状照射。结果:CO²激光治疗的30例红斑期酒渣鼻红斑和毛细血管扩张减少或消失,12例丘疹和鼻赘期患者其症状减少或消失。氦氖激光治疗的23例中,症状均改善。总有效率达到100%。结论:激光点状照射可以减少疤痕产生,两种激光均是治疗酒渣鼻的有效方法。

[关键词]酒渣鼻激光

[中图分类号]R312+R758.73[文献标识码]A[文章编号]1008-6455(2000)09-278-02

DISCUSS OF TREATING BRANDY NOSE BY LASER

FAN Yan-fang

Depart. The special outpatient service Laser Unit,First affiliated hospital

of Sun Yat-Sen University of Medical Science(Guang Zhou510080)

[Abstract]Objective:To investigate the results of CO² and He-Ne laser for the treatment of brandy nose.Method:Sixty-five cases of brandy nose of different stage were treated by CO² and He-Ne laser respectively. Among them, CO² laser was employed in 42 cases and He-Ne laser in 23 cases.Spot scan of laser therapy was used in the treatment.Results:30 cases treated by CO² laser,there are great decrease of disappear in erythema and dilator of twig-shape capillary.There is decrease or disappear of papula and rhinophyma in 12 cases.Among them 23 cases treated by He-NE laser,All get great improvement. Total effectiveness of two kinds laser treatments reached 100%.Conclusion:Spot scan can minimize the formation of scar formation. This two kinds laser are effective ways of treatment for brandy nose.

[Key words]Brandy noseLaser

酒渣鼻是一种发生于局部尤其是面部中央部分的慢性皮肤疾病,早期表现为局部弥漫性皮肤潮红,伴发丘疹、脓疮及毛细血管扩张损害,晚期形成鼻赘。病因尚未明确,目前主要采用药物、冷冻、激光、整形手术等方法治疗。笔者在1998年8月至1999年12月曾对65例酒渣鼻患者通过CO²聚焦点状治疗及He-Ne激光照射,取得较好的效果,现报告如下。

1临床资料セ颊吖65例,其中红斑及毛细血管扩张期53例,丘疹期和鼻赘期12例;男性45例,女性20例;年龄25岁～56岁。65例中有15例曾经药物治疗效果欠佳转由激光治疗。

2治疗方法

2.1二氧化碳激光聚焦点状治疗采用上海第二医科大学生产的ML CO²-30B激光器,波长10.6um,输出功率8W～30W,功率密度在焦点附近2548W/cm2光斑直径0.2mm。ザ悦细血管扩张期的30例以及丘疹和鼻赘期的12例,对其皮损扩张的毛细血管网交点作广泛点状气化,对同时存在的脓疮或脂栓也同时作气化处理。……