Effect of ablative fractional carbon dioxide laser combined with 1064 nm-Nd: YAG laser in the treatment of postburn hypertrophic scar.

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Pakistan Journal of Medical Sciences Pub Date : 2025-02-01 DOI:10.12669/pjms.41.2.11088

Lingqiao Li, Weichang Shen, Guozhong Lyu

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Abstract

Objective: To investigate the effect of ablative fractional carbon dioxide laser (AFCO2L) combined with 1064 nm-Nd: YAG laser in treating hypertrophic scars (HTS) in burn patients.

Methods: This study retrospectively analyzed the medical records of 119 patients with postburn HTS admitted to The First People's Hospital of Changzhou from March 2021 to October 2023. According to the treatment method, patients who received 1064 nm-Nd: YAG laser treatment were included in the YAG group, while patients who were treated by a combination of 1064 nm-Nd: YAG laser and AFCO2L comprised the combined group. Treatment effects, skin properties, and patients' satisfaction with aesthetics were compared between the two groups.

Results: The total efficacy of the combination group was significantly higher than that of the YAG group (P<0.05). After the treatment, skin elasticity, skin moisture, and pigmentation scores of the combined group were significantly higher than those of the YAG group (P<0.05). The level of satisfaction with the aesthetics was significantly higher in patients who received the combined treatment than those treated with YAG alone (P<0.05).

Conclusions: A combination of AFCO2L and 1064 nm-Nd: YAG laser in the treatment of HTS is associated with a more significant effect, more significant improvement of skin properties, less pigmentation, and overall increased patient satisfaction with the aesthetics compared to the treatment with 1064 nm-Nd: YAG laser alone.

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烧蚀分形二氧化碳激光联合1064 nm-Nd: YAG激光治疗烧伤后增生性瘢痕的疗效观察。

目的：探讨烧蚀分形二氧化碳激光（AFCO2L）联合1064 nm-Nd: YAG激光治疗烧伤患者增生性瘢痕（HTS）的疗效。方法：回顾性分析常州市第一人民医院2021年3月至2023年10月收治的119例烧伤后HTS患者的病历。根据治疗方法，将接受1064 nm-Nd: YAG激光治疗的患者称为YAG组，将接受1064 nm-Nd: YAG激光与AFCO2L联合治疗的患者称为联合组。比较两组患者的治疗效果、皮肤特性及美观满意度。结果：AFCO2L联合1064 nm-Nd: YAG激光治疗HTS的效果更显著，皮肤性能改善更明显，色素沉着更少，总体上患者对美观的满意度比单独使用1064 nm-Nd: YAG激光治疗更明显。

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来源期刊

Pakistan Journal of Medical Sciences 医学-医学：内科

CiteScore

4.10

自引率

9.10%

发文量

363

审稿时长

3-6 weeks

期刊介绍： It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.