Đánh giá hiệu quả điều trị sẹo lõm do trứng cá bằng laser co2 vi điểm và laser co2 vi điểm kết hợp tiêm huyết tương giàu tiểu cầu

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Tác giả: Thị Thu Hải Lê, Thị Đông Nguyễn, Thị Hồng Minh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại: 616.5 Diseases of integument

Thông tin xuất bản: Tạp chí y học việt nam (tổng hội y học việt nam), 2022

Mô tả vật lý: 25-29

Bộ sưu tập: Metadata

ID: 489618

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Đánh giá hiệu quả điều trị sẹo lõm do trứng cá bằng laser CO2 vi điểm đơn thuần và laser CO2 vi điểm kết hợp tiêm huyết tương giàu tiểu cầu (PRP). Đối tượng và phương pháp nghiên cứu(:) 32 bệnh nhân sẹo lõm do trứng cá mức độ từ trung bình đến nặng được chọn và chia ngẫu nhiên thành 2 nhóm A (laser CO2 vi điểm đơn thuần) và B (laser CO2 vi điểm kết hợp tiêm huyết tương giàu tiểu cầu), điều trị mỗi tháng 1 lần, so sánh kết quả sau 3 tháng điều trị. Nghiên cứu tiến cứu, thử nghiệm lâm sàng so sánh trước và sau điều trị. Kết quả(:) Điểm số sẹo Goodman và Baron trung bình đều giảm ở cả 2 nhóm, giảm nhiều hơn ở nhóm B. Số lượng sẹo lòng chảo và sẹo đáy phẳng giảm nhiều hơn và ít nhất là sẹo phễu. Ban đỏ, phù nề, thời gian bong vảy kéo dài hơn ở nhóm A. Kết luận(:) Điều trị sẹo lõm do trứng cá bằng laser CO2 vi điểm là phương pháp an toàn, hiệu quả. Khi kết hợp với huyết tương giàu tiểu cầu sẽ mang lại hiệu quả tốt hơn, giảm tác dụng phụ.To evaluate the efficacy of CO2 laser versus the combination of PRP and fractional CO2 laser in treatment of acne scar. Subject and method(:) A total of 32 cases with post-acne atrophic scars of moderate to severe grade were randomly( )allotted into Group A and Group B who were treated for three monthly sessions of fractional CO2 laser followed by intradermal PRP injection and fractional CO2 laser monotherapy, respectively. The treatment results were assessed after three months. Result(:) The mean scar score significantly reduced in both groups. The mean change in score was higher in subjects of Group B. The reduction in scar score was significantly higher in patients with rolling scars and boxcar scars and least in ice pick scars. Erythema, edema, pain, and hyperpigmentation were higher in Group A. Conclusion(:) Acne scar treatment by fractional CO2 laser is good results and safety. The combined use of fractional CO2 laser and platelet rich plasma achieved better results. It reduced the downtime of the fractional CO2 laser.

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