首页 中华整形外科杂志 2024年40卷04期 激光美容相关常见疾病诊疗指南(2024版)
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激光美容相关常见疾病诊疗指南(2024版)
激光美容相关常见疾病诊疗指南编写组 
中华医学会整形外科学分会
中国整形美容协会激光美容分会
作者及单位信息
·
DOI： 10.3760/cma.j.cn114453-20240114-00021
Guideline for the diagnosis and treatment in laser and aesthetic medicine (2024)
Group for the Guideline for the Diagnosis and Treatment in Laser and Aesthetic Medicine
Chinese Medical Association of Plastic Surgery
Chinese Society of Laser and Aesthetic Medicine, Chinese Association of Plastics and Aesthetics
Lin Xiaoxi
Authors Info & Affiliations
Group for the Guideline for the Diagnosis and Treatment in Laser and Aesthetic Medicine
Chinese Medical Association of Plastic Surgery
Chinese Society of Laser and Aesthetic Medicine, Chinese Association of Plastics and Aesthetics
Lin Xiaoxi
Department of Plastic and Reconstructive Surgery, Department of Laser and Aesthetic Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
·
DOI： 10.3760/cma.j.cn114453-20240114-00021
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摘要
激光美容是指通过对人体皮肤或皮下组织实施合适剂量的激光/强脉冲光、射频、超声等治疗，以达到去除皮肤病灶，改善外观及状况的目的。近30年来，随着光、电、声等物理技术的发展，激光美容领域研究成果很大程度上解决了临床疾病的治疗问题和美容的基本需求，但至今尚缺乏完整而系统的、基于较高等级证据的临床指南，以指导临床从业人员规范化的诊疗实践。该指南结合国内外相关的高证据等级文献和激光治疗专家共识/指南，组织国内激光美容各疾病领域专家共同参与制定，旨在为相关常见疾病的进一步规范诊疗提供参考。指南涵盖了以下常见皮肤病变：黄褐斑、颧部褐青色痣、太田痣、雀斑、雀斑样痣、咖啡牛奶斑、贝克尔痣、黑眼圈、文身、炎症后色素沉着、色素脱失与减退、黑色素痣、汗管瘤、睑黄瘤、疣状表皮痣、增生性瘢痕、瘢痕疙瘩、痤疮瘢痕、膨胀纹、毛孔粗大、毛细血管扩张、葡萄酒色斑、面部静态细纹、面部松弛、非侵入性减脂、脱毛。指南主要内容包括疾病病因和临床表现、治疗可选光电技术、推荐光电设备和参数以及激光优选方案。
激光美容;指南;激光;强脉冲光;射频;超声;黄褐斑;颧部褐青色痣;太田痣;雀斑;雀斑样痣;咖啡牛奶斑;贝克尔痣;黑眼圈;文身;炎症后色素沉着;色素脱失与减退;黑色素痣;汗管瘤;睑黄瘤;疣状表皮痣;增生性瘢痕;瘢痕疙瘩;痤疮瘢痕;膨胀纹;毛孔粗大;毛细血管扩张;葡萄酒色斑;面部静态细纹;面部松弛;非侵入性减脂;脱毛
ABSTRACT
Laser and aesthetic medicine refers to the medical field that using laser/intense pulsed light, radio frequency, ultrasound, and other treatments on human skin or subcutaneous tissue to remove skin lesions and improve appearance and condition. Over the past 30 years, with the development of technologies, research achievements in laser and aesthetic medicine have largely solved the problems of common diseases and the basic needs for aesthetic purpose. However, there is still a lack of complete and systematic clinical guidelines based on high-level evidence to guide standardized diagnosis and treatment for clinical practitioners. The guide combines relevant literature with high level of evidence and international consensus/guidelines. The authors organized experts in the related 26 disease in China. The aim is to provide reference for future standardized diagnosis and treatment in laser and aesthetic medicine. The guideline covers the following common skin conditions: melasma, acquired bilateral nevus of Ota-like macules, nevus of Ota, freckles, solar lentigines, café-au-lait macules, Becker’s nevus, infraorbital dark circles, tattoo removal, post-inflammatory hyperpigmentation, vitiligo and hypopigmentation, melanocytic nevi, syringoma, xanthelasma palpebrarum, verrucous epidermal nevus, hypertrophic scar, keloid, acne scar, striae distensae, enlarged facial pores, telangiectasia, port-wine stains, facial rhytid, facial laxity, non-invasive fat reduction, hair removal. The guideline includes the etiology and clinical manifestations of the diseases, optional technologies for treatment, recommended equipment and parameters, and preferred solutions.
Laser and aesthetic medicine;Guidelines;Laser;Intense pulsed light;Radio frequency;Ultrasonic;Melasma;Acquired bilateral nevus of Ota-like macules;Nevus of Ota;Freckles;Solar lentigines;Café-au-lait macules;Becker’s nevus;Infraorbital dark circles;Tattoo removal;Post-inflammatory hyperpigmentation;Vitiligo and hypopigmentation;Melanocytic nevi;Syringoma;Xanthelasma palpebrarum;Verrucous epidermal nevus;Hypertrophic scar;Keloid;Acne scar;Striae distensae;Enlarged facial pores;Telangiectasia;Port-wine stains;facial rhytid;facial laxity;Non-invasive fat reduction;Hair removal
Lin Xiaoxi, Department of Plastic and Reconstructive Surgery, Department of Laser and Aesthetic Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China, Email:
mocdef.6ab21ixoaixnil
The authors have no financial interest to declare in relation to the content of this article.
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引用本文
激光美容相关常见疾病诊疗指南编写组,中华医学会整形外科学分会,中国整形美容协会激光美容分会. 激光美容相关常见疾病诊疗指南(2024版)[J]. 中华整形外科杂志,2024,40(04)：362-442.
DOI:10.3760/cma.j.cn114453-20240114-00021PERMISSIONS
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目录
| 指南的目标人群 | 363 |
| 指南的使用人群 | 363 |
| 指南证据质量分级 | 363 |
| 指南制定过程与方法 | 364 |
| 黄褐斑 | 364 |
| 颧部褐青色痣 | 367 |
| 太田痣 | 368 |
| 雀斑 | 369 |
| 雀斑样痣 | 370 |
| 咖啡牛奶斑 | 372 |
| 贝克尔痣 | 373 |
| 黑眼圈 | 374 |
| 文身 | 377 |
| 炎症后色素沉着 | 379 |
| 色素脱失与减退 | 381 |
| 黑色素痣 | 384 |
| 汗管瘤 | 385 |
| 睑黄瘤 | 386 |
| 疣状表皮痣 | 387 |
| 增生性瘢痕 | 388 |
| 瘢痕疙瘩 | 390 |
| 痤疮瘢痕 | 392 |
| 膨胀纹 | 394 |
| 毛孔粗大 | 395 |
| 毛细血管扩张 | 397 |
| 葡萄酒色斑(鲜红斑痣) | 399 |
| 面部静态细纹 | 401 |
| 面部松弛 | 403 |
| 非侵入性减脂 | 404 |
| 脱毛 | 406 |
| 指南外审意见 | 409 |
| 参与指南制定专家名单 | 409 |
展开表格
近30年来，激光美容基础研究、声光电设备和临床应用研究迅速发展，随着激光美容诊疗相关技术的普及，亟需针对本领域各个疾病制定系统而实用的诊疗指南。因此，中华医学会整形外科学分会联合中国整形美容协会激光美容分会制定本指南，旨在为行业内各学科医护人员提供详尽、实用、客观及基于较高等级证据的临床指导性意见。
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备注信息
A
林晓曦，上海交通大学医学院附属第九人民医院整复外科、激光美容科，上海 200011，Email：
mocdef.6ab21ixoaixnil
B
感谢以下指南协调组人员在指南制定过程中做出的贡献(按姓氏汉语拼音排序)：
曹东升(安徽医科大学第二附属医院整形外科)、曹莉(苏州科技城医院皮肤科)、陈潇(常德市第一人民医院医疗美容科)、陈清海(中國澳門醫學美容協會會長，澳門皮膚激光整形美容醫學會會長)、陈向东(上海铂诗玥医疗美容诊所皮肤美容科)、陈华(内蒙古医科大学附属医院整形美容烧伤科)、迟英姿(北京新星靓京广医疗美容医院美容皮肤科)、董继英(上海交通大学医学院附属第九人民医院整复外科)、丁文蕴(北京协和医院整形美容外科)、付俊(橙蝶医美集团上海中心美容皮肤科)、韩玉(北京大学口腔医院第二门诊部美容皮肤科)、何梅(成都市第二人民医院医学美容中心)、胡葵葵(广东省妇幼保健院整形美容科)、黄海(上海美莱整形美容门诊部皮肤美容科)、黄金龙(江苏省中医院整形外科)、黄莉宁(南方医科大学皮肤病医院珠江新城医学美容中心)、黄雯(复旦大学附属华山医院皮肤科)、黄玉成(郑州人民医院医学美容中心)、黄咏梅(西宁市第一人民医院皮肤科)、金燕(北京安贞医院整形美容科)、康晓静(新疆维吾尔自治区人民医院皮肤科)、李康勇(深圳春天微微医院美容皮肤科)、李伟(上海交通大学医学院附属第九人民医院整复外科)、黎咏璇(广东省佛山市第一人民医院医学美容科)、刘刚(四川省医学科学院四川省人民医院皮肤科)、刘丽红(北京研塑医疗美容诊所皮肤美容科)、刘雪梅(武汉雪毓格医疗美容诊所皮肤科)、刘之力(大连市皮肤病医院激光美容科)、刘质彬(长沙爱思特医疗美容医院皮肤无创科)、林碧雯(解放军总医院第一医学中心皮肤科)、林孟盈(厦门长庚医院皮肤科)、林新瑜(电子科技大学附属四川省人民医院皮肤科)、陆琳娜(上海交通大学附属第九人民医院眼科)、路永红(成都市第二人民医院皮肤科)、罗宏(深圳市第三人民医院皮肤科/医疗美容科)、罗玲(佛山美莱医疗美容医院非手术中心)、吕开阳(上海交通大学医学院附属新华医院整形外科)、马兰(杭州市西溪医院皮肤科)、毛辉(湖北省黄石市中心医院医院皮肤医疗美容科)、欧阳天祥(上海交通大学医学院附属新华医院整形外科)、钱晓莺(浙江省荣军医院皮肤美容科)、施虹敏(上海交通大学医学院附属仁济医院皮肤科)、苏明山(北京苏明山医疗美容诊所)、苏振民(泉州市儿童医院·妇幼保健院整形外科)、童芸(浙江省金华市中心医院整形美容中心)、谈伟强(浙江大学医学院附属邵逸夫医院整形外科)、谭雪晶(大连医科大学附属第一医院皮肤科)、汪蓓青(上海铂诗玥医疗美容诊所皮肤美容科)、王展(深圳芙必优诊所美容皮肤科)、吴晓琰(南通大学附属医院医学美容科)、夏文华(北京海医诚美医疗美容门诊部皮肤美容科)、肖嵘(中南大学湘雅二医院皮肤科)、徐小珂(深圳小珂丽格医疗美容诊所美容皮肤科)、徐阳(北京美莱医疗美容医院非手术中心)、薛仰杰(亳州市人民医院烧伤整形科)、晏丹(湖南省郴州市第一人民医院整形美容科)、杨高云(首都医科大学附属北京友谊医院皮肤科)、杨军(吉林铭医整形美容医院皮肤美容科)、尹恒(卓正医疗长沙睿清医疗美容诊所)、尤艳(哈尔滨医科大学附属第四医院皮肤科)、余力(上海交通大学附属第九人民医院整复外科)、俞楠泽(北京协和医院整形外科)、曾三武(天津市第一中心医院皮肤科)、查锦东(深圳藤加医学中心)、张力[西北大学第一医院(原陕西省第四人民医院)医务科]、章伟(上海市皮肤病医院医学美容科)、章一新(上海交通大学医学院附属第九人民医院整复外科)、郑永生(北京正美医疗美容诊所)、郑罡(东南大学医学院附属徐州医院皮肤科)、郑利雄(深圳市人民医院皮肤科)、周海林(合肥轻壹医疗美容诊所皮肤科)、竺闻雨(瑞安竺闻风皮肤科诊所)、朱小华(复旦大学附属华山医院皮肤科)、邹平志(湘潭市中心医院整形创疡烧伤外科)、左雯君(上海韩啸医疗美容门诊部)
C
本文作者与论文刊登的内容无利益关系
D
The authors have no financial interest to declare in relation to the content of this article.
E
本指南根据近期文献报告的证据等级，兼顾专病各相关科室专家的观点，但临床实践中应根据患者具体情况选择合理方案。本指南提出的治疗规范适用于指导整形外科、皮肤科及激光美容科等相关科室医生进行临床工作，不作为患者和非相关专业医师寻求治疗的参考。
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