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自1989年12月～1991年1月,我科采用长春市激光电器厂生产的cc—2A—30型CO_2激光治疗机治疗皮肤病50例,现将治疗情况报告如下。 1 临床资料:所收集病例均为部队和地方来科门诊患者。其中男性42例,女性8例;年龄16～54岁,治疗病种有寻常疣28例,耳垂穿洞7例,苔癣样皮炎6例,鸡眼、胼胝、雀斑、赘生物各2例,纹身1例。 2 治疗方法,应用30～100瓦连续可调式CO_2激光机进行烧灼治疗。采用局部麻醉,皮损周围皮肤用湿盐水纱布保护,然后将刀头对准皮损进行碳化,形成整齐的碳化创面。病损尽量一次性去除。对疣状皮损在10个以上者,分二次去除,之间间隔在10天～14天,创面凝固后,多数不用抗菌素及纱布保护创面,嘱勿接触生水及其它易污染物品。 3 治疗结果:①疗效判定:皮痂脱落后判断疗效。治愈:皮损全部消退,局部可留有轻度斑痕及色素沉着。好转:皮损消退在80％以上,无效:皮损消退不足80％或如治疗前状。②结果:一次治愈46例(92％),二次治愈2例(4％),好转1例(2％),无效1例(2％)总有效率为98％。(有一例感染经用抗生素已愈)。
From December 1989 to January 1991, our department used Changchun Laser Electric Factory production of cc-2A-30 CO_2 laser treatment of skin diseases in 50 cases, the treatment is now reported as follows. 1 Clinical data: The cases collected were military and local outpatient patients. There were 42 males and 8 females, aged from 16 to 54 years old. There were 28 cases of common warts, 7 cases of ear loosening holes, 6 cases of lichenoid dermatitis, 2 cases of corns, calluses, freckles and neoplasms, and tattoos 1 case. 2 treatment, the application of 30 ~ 100 watts continuously adjustable CO_2 laser machine for burn treatment. Using local anesthesia, the skin around the lesion is protected with wet saline gauze, and then the blade is aligned with the lesion for carbonization to form a neat carbonized wound. Lesions as soon as possible to remove. For verrucous lesions in 10 or more, divided into two removed, the interval between 10 days to 14 days after the wound coagulation, most do not have antibiotics and gauze to protect the wound, do not touch raw water and other easily contaminated items. 3 treatment results: ① determine the efficacy of: skin flap off to determine the efficacy. Cure: skin lesions all subsided, the local may leave a slight scar and pigmentation. Improvement: skin lesions subsided over 80%, invalid: skin lesions subsided less than 80% or as the treatment of anterior. ② Results: One case was cured in 46 cases (92%), the second case was cured in 2 cases (4%), the improvement was in 1 case (2%), and the ineffectiveness in 1 case (2%) was 98%. (One case of infection has been cured with antibiotics).