Evaluation of the therapeutic effect of ultra pulse carbon dioxide fractional laser combined with intense pulsed light for early treatment of scar after deep Ⅱ degree burns
10.3760/cma.j.cn114453-20200217-00050
- VernacularTitle:超脉冲二氧化碳点阵激光联合强脉冲光早期治疗深Ⅱ度烧伤后瘢痕的效果评价
- Author:
Chen GONG
1
;
Suxia HE
;
Yonglin LI
Author Information
1. 郑州市第一人民医院整形外科 450000
- Keywords:
Carbon dioxide;
Fractional laser;
Intense pulsed light;
Burns;
Cicatrix
- From:
Chinese Journal of Plastic Surgery
2020;36(10):1080-1084
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the therapeutic effect of ultra pulse carbon dioxide fractional laser combined with intense pulsed light for early treatment of scar after deep Ⅱ degree burns.Methods:48 patients with scar after deep Ⅱ burns were admitted to the First People′s Hospital of Zhengzhou from January 2017 to November 2018. Patients accepted the first treatment of intense pulsed light 2-4 weeks after complete healing of wounds, and then followed per 4 weeks, totally for 3 times. Then patients accepted ultra pulse carbon dioxide fractional laser 4 weeks after the 3 intense pulsed light treatments, and then followed per 3 months, totally for 3 times. Before the first treatment, 1 month after 3 treatments of intense pulsed light and 3 months after 3 treatments of ultra pulse carbon dioxide fractional laser, the curative effect was assessed by Vancouver scar scale (VSS), Observer scar assessment scale (OSAS) and Patient scar assessment scale (PSAS).Results:The VSS, OSAS and PSAS scores after 3 treatments of intense pulsed light were all significantly lower than those before the first treatment( P<0.05). The VSS, OSAS and PSAS scores after 3 treatments of ultra pulse carbon dioxide fractional laser were all significantly lower than those before the first treatment and 3 treatments of intense pulsed light ( P<0.05). Conclusions:Ultra pulse carbon dioxide fractional laser combined with intense pulsed light has definitely clinical effect on early treatment of patients with scar after deep Ⅱ degree burns with significant application value.