Применение современных Q-Switсhed-лазеров для коррекции сложных косметических дефектов кожи лица


DOI: https://dx.doi.org/10.18565/pharmateca.2021.8.59-66

Н.А. Шанина, А.В. Патрушев, И.Г. Курганская, К.С. Григорьев

Военно-медицинская академия им. С.М. Кирова, Санкт-Петербург, Россия
В статье представлен всесторонний обзор литературы о возможностях лазерной терапии при лечении посттравматических руб-
цов и травматических татуировок. Раскрыты основные физические эффекты и механизмы, лежащие в основе терапевтического действия лазерного излучения. Обсуждены показания к применению, время начала терапии, методики и побочные эффекты абляционных и неабляционных лазерных систем, импульсных лазеров на красителях. Сделан акцент на современных Q-Switсhed-лазерах как на эффективном инструменте лечения сложных косметических дефектов лица. Представлено два клинических случая успешной терапии пациентов с послеоперационными рубцами и травматической татуировкой. Для коррекции рубцовой ткани использован аблятивный фракционный режим Q-Switсhed-лазера. Лечение травматической татуировки проводилось по комбинированной методике с формированием на первом этапе микроотверстий для сброса давления газа и выведения продуктов распада микрочастиц пигмента, на втором осуществлялась фотоакустическая процедура удаления татуировки Q-Switсhed Nd: YAG-лазером с применением гибридного наносекундного импульса большой мощности.

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Об авторах / Для корреспонденции


Автор для связи: Н.А. Шанина, к.м.н. , зав. лазерным отделением клиники кожных и венерических болезней, Военно-медицинская академия 
им. С.М. Кирова, Санкт-Петербург, Россия; Shanina_n@mail.ru 
Адрес: 194044, Россия, Санкт-Петербург, ул. Академика Лебедева, 6


ORCID/eLibrary SPIN:
Н.А. Шанина, http://orcid.org/0000-0002-0254-7048; eLibrary SPIN: 2938-8820
А.В. Патрушев, http://orcid.org/0000-0002-6989-9363; eLibrary SPIN: 1367-5580 
И.Г. Курганская, http://orcid.org/0000-0001-6550-6940; eLibrary SPIN: 7930-2463 
К.С. Григорьев, http://orcid.org/0000-0002-0469-1019; eLibrary SPIN: 6410-0286


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