江南大学附属医院口腔科
目的 观察810 nm调Q激光（QSAL）治疗口腔黏膜黑斑（OMM）患者的随访研究。方法 回顾性分析调查2020年6月至2023年6月在我院接受诊治的100例OMM患者临床资料，根据治疗方法的不同分为QSAL组（实施810 nm QSAL术，50例）、手术切除组（实施手术切除术，50例）。观察两组愈合速度及术前、术后7d、术后1个月的视觉模拟评分（VAS），分析两组术后医生整体评价（PGA）评分及自我满意度，统计两组在随访12个月过程中的并发症及复发情况。结果 QSAL组的平均愈合速度为（2.63±0.42）周，手术切除组的平均愈合速度为（3.56±0.31）周，两组比较，QSAL组愈合速度较快（P＜0.05）；相较于术前，术后7d VAS评分均升高，但QSAL组评分数据更低（P＜0.05）；两组术后PGA评分结果相当（P＞0.05）；在自我满意度方面，QSAL组总满意率占比更高（P＜0.05）；在并发症方面，QSAL组总发生率占比较低（P＜0.05），两组复发率占比相当（P＞0.05）。结论 810 nm QSAL术与手术切除术治疗OMM患者在术后PGA评分及复发方面效果相似，但810 nm QSAL术能加快愈合速度，减轻术后疼痛，提高患者自我满意度，且术后长期并发症较低。
Objective To observe the follow-up study of patients with oral mucosal black spots (OMM) treated with 810 nm Q-switched laser (QSAL). Methods: A retrospective analysis was conducted on the clinical data of 100 OMM patients who were diagnosed and treated in our hospital from June 2020 to June 2023. According to different treatment methods, they were divided into the QSAL group (performed with 810 nm QSAL surgery, 50 cases) and the surgical resection group (performed with surgical resection, 50 cases). Observe the healing speed of the two groups and the Visual Analogue Scale (VAS) before the operation, 7 days after the operation, and 1 month after the operation. Analyze the overall physician Evaluation (PGA) score and self-satisfaction of the two groups after the operation. Statistically analyze the complications and recurrence of the two groups during the 12-month follow-up process. The average healing speed of the QSAL group was (2.63±0.42) weeks, and that of the surgical resection group was (3.56±0.31) weeks. Compared between the two groups, the healing speed of the QSAL group was faster (P < 0.05). Compared with that before the operation, the VAS scores at 7 days after the operation were all increased, but the score data of the QSAL group was lower (P < 0.05). The postoperative PGA score results of the two groups were comparable (P > 0.05); In terms of self-satisfaction, the proportion of the total satisfaction rate in the QSAL group was higher (P < 0.05); In terms of complications, the proportion of the total incidence in the QSAL group was relatively low (P < 0.05), and the proportion of the recurrence rate in the two groups was comparable (P > 0.05). Conclusion: 810 nm QSAL surgery and surgical resection have similar effects in terms of postoperative PGA score and recurrence for OMM patients. However, 810 nm QSAL surgery can accelerate the healing speed, alleviate postoperative pain, improve patients" self-satisfaction, and has lower long-term postoperative complications.
