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摘要: 瘢痕的形成与演变是一个涉及炎症反应、血管新生及胶原沉积等多环节参与的复杂过程,可对患者外观、功能及心理健康产生长期影响。尽管点阵激光、血管靶向激光、强脉冲光平台等已在瘢痕治疗中被广泛应用,但临床仍缺乏相对统一的治疗策略。该文基于笔者团队十余年临床实践,回顾瘢痕激光治疗的发展概况及基本机制,提出了以“早期褪红、规律干预、动态评估、安全有效的能量参数设置及联合或序贯治疗”为核心的临床策略,以供临床参考；同时对瘢痕激光治疗的未来发展方向进行展望。Abstract: The formation and evolution of scars is a complex process involving multiple stages, including inflammation, angiogenesis, and collagen deposition, which exerts long-term impacts on patients' appearance, function, and mental health. Although fractional lasers, vascular-targeted lasers, and intensive pulsed light platforms have been widely utilized in scar management, a standardized clinical strategy remains to be established. Based on over a decade of clinical experience of our team, this paper reviews the developmental history and fundamental mechanisms of laser therapy for scars. It proposes a comprehensive clinical strategy centered on "early vascular targeted therapy, regular intervention, dynamic evaluation, safe and effective parameter setting, and combined or sequential therapy" to provide a reference for clinical practice. Furthermore, the paper discusses future perspectives in laser scar treatment.
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Key words:
- Cicatrix /
- Laser therapy /
- Early intervention /
- Combination therapy
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参考文献
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