<B0AAA5ABC2E5BB F6B322E706466>

Size: px

Start display at page:

Download "<B0AAA5ABC2E5BB F6B322E706466>"

戴惟惠
4 years ago
Views:

1 า ݾ ᕜ ᢏ ݔ ፲ᚃ ݔ ፲ҫጴऌ ܛ ݽޟ ᕛȂΙ ޢ о پ এଽ Ȅ ޟ Ȃ לޟ ԙᇄ Ȃ ޟ ȄߖΙȃ ڍ ԑ پ Ȃ ฒ ٱݲ ӑⴑกȅζ ᇳȂԤџ ᓍ Ⴊ ӎᕛ ޟ Ȃ ݽޟ އ ޟޱ ȂԁΟϞ ࠓ ᕛᢎ ζι ޢ ӵᅋ ȂԤཕ پ ཕӻ ޟ Ϛ ήӈդ ȄζԤџ Ӱ এΡ П ݲ ȂџоҢ ݽپ ᕛ э Ȅ ጕ ᡝ፴ ޟ ӰશȂ ߝ ٺ ሆཌȂ МണȂ ବᄇэഞ ( ܖ ᆎຈᕻ ) ࠓϫ ήэഞ Ȅ ݽޟ ᕛȂᐌ౩Ҭࠉ ϱѵмᝦ ȂЅ ޱ Ռ ޟ ငᡛȂհΙᙏ ޟ 攵䒖䑢䕂朜 ϭಝȅս яଔȃऔփ ܖ Փ ޟ Ȃ ࠌϚӵҏМ ޟ ଆ ጒ Ȅ ਲ਼ᐃ ـ Ȃ ޱ லԤՌ൵Ж Ιૡ эഞ Ϸ έ Ȃᅌ ᎈ Ȃ ڷ ӕᢪ ȞყΙȟ1Ȅ Ѕଝᕻ Ж౩ራᛤȄ੫տ ᗙӵ Ᏸ $ 㶼 UROOLQJ Ȉ ७ پ Ȃ ᎈυᅌ Ȃ ܖޑ ᆅ ޑ Ȅ ϛ ߧޟ ЍԑȂЖස ۦ Ґ ӒԙዣȂΰ ۻ ήலԥ ή ޟ ܜ ಢᙑᡊᆰ क़Ж౩ ޑ ᄘலல ኇ ڗ ޱ ᇄӣᏰ Ȃ ՍҪή ቹ ܖ ๐ጰቹȄᅌଢ଼ ޟ ϣଢ଼ȃ Մኇ Ρሬᜰ Ȅ ޟ э ȂΙૡၶ Ȃ ݽ ᕛਝ ݎ ၶ ٹ Ȅ ճဣȃ Ȃӵ ޥ Һ ଢ଼ϛৠ ನ Ϟࠉ އ Њ Ȃ ל ԙ ಢ % 嶈 ⶀ ER[FDU Ȉ ғ ல Ҫ ጳ ᇄ Ϟ ޟ Һ Ȃ நΙኺȂ ᙑȂՄᏲमҪጳಢᙑ ޟ ༳ഞȄ ޱܖ ߖн ޟޢ ဣ৯Ȃ ଔ پ ѲѲП ޱ ՌϏདྷў ȃᔠ Ȃᡱনҏ П ޟ Ȅ ޟ Ȃ ϛ Ȃ ϐ ޟއ ȂЬΰ ݶ Ȃ އ ᕛਝϛ Ȅ эഞ לޟ ԙনӱȃк

2 榖斂恩㗁奊 -2851$/ 2).$2+6,81* 0(',&$/ $662&,$7,21 92/ 12 & 挽 LFHSLFN Ȉ Ι ଔ پ խн७ᑖϛ σȃծࠓ Ȃ ӕᢣ ږ ΣΙኺȄ ᆍ ݽޟ ᕛ ଽȄ Ϛ Ȃ ޟޱ Ȃல 濣攵䒖䑢㽸朜濕㶼巨濕嶈ⶀ 挽 Ʋ லϚ ѫԥ Ι ᄘȂՄ ӫӻᆍ ӵӣι ᖛΰȄ ܚ оӵ ݽ ᕛ ਢȂζலலሯ ӻᆍᕛ ݲ Ȃ ܚ ᒝᚘ ନԒ ݽޟ ᕛȄ ݽ ᕛ Ȃ Ӱ Ԫ ѓ ڍ এ ഋ $ 䞦䕬斵 ѓ Π Ͻ ᆇ Ⴊ ( ߝ ݰ ۊ Խ ) Ѕ Ө Ⴊ ( ߝ ݰ 2940 ۊ Խ )Ȅк ցңዥ Ȃᑑўэ ڷ ғலҫጳ ޟ ဣ৯Ȃ ڏ ዥ ٮ џ ږ ᐭ ϷȄ 1. Ͻ ٲ ಢᙑȂ ᘞ ጲন ҩ ޟ ҡȅ ᘈ ඈ ή ޟ ܜ ᡊᆰ Ȅ ٽ ԃ ٺ Ңӎ ȃዥ ߝȂ ѓ घ ڍ ȃ έ এ ޟ ο ඈ ЅฒጣႫ ݰ Ⴊ ӎᕛ೩രȃ ܖ নਢ ȂоЅџ ߝႀјԑ ޟ ٺ ҢᏢడ Ҫήথᚔ Ȅ औȄՄиᄇ ᆍΡ پ ᇳȂՓશ ᐦ 2. ཬ ޟ ᡝᑖ၄ӱȄѓ ՌϏ ޟ ᐠ ߨலଽȄӔ ޱ ȂӰ કᚽ ܒ σȃ ቨҡ ޟ ጲন ҩȃռᡝ ȂՌᡝઍ Ҫጳ ҡο οȃ ל ԙ ޟ ȃ ҪಢᙑȂ ޟ ݧ ܖ ሖ ܖ ጲন ޟ ಢᙑȂ ܚ оᑑএιȃ ڍ ԩ Ȃ ҩ Ȅ லல ᑑϚЊήўΟȄӰԪҬࠉϐᅚ Մή७ ܚ ඪ ݽ ᕛ ޟ ПԒȂԤ ᅚၶЍҢȄ ޟ ବᄇ ڏ ϛιᆍ ޟ ђਝȃմԥ ࠌޟ ӣਢѓ Ο ڍ ᆍђਝȄ 斵䔀 % 枙㝫斵 ॴతႪ ғԓ ޟ Ӫᆎ ȶϷࢲԒ Ⴊ (fractional laser)ȷȃ ڏ ন ౩ ඳ ଶо Ӓ७કᚽԒ ޟ ฐπ ȂՄ Ҭࠉശᕱࠏ ޟ Ι ݽ ᕛ Ⴊ ޟ հң७ᑖ ωͻȃ ԁ ӵҫ ПԒȄ ၇७άϷԙ೨ӻϚӣ ޟ ጳΰᢣΟ೨ӻ ޟ ωќ ȂՄ Οσ Ȅ 2,3 ໔ ޟ ғலҫጳґհң ڗ ȄԃԪΙ پ Ȃ џցң ٲ ο ں ޟ ғலҫጳȃ

ȞphotothermalȟਝᔖȂ ήଽ ໔ ޟ ඈ Ȃ ٮ Ѝ ᆍΡৠ І ޟ ӎᎪ ݰ ȞphotoacousticȟਝᔖȂ Ҫጳ ᘈȄॴతႪ Ϸ ء Ͻ Ѕߨ ء Ͻ ϱ ޟ ՓશᎪ ȂӰԪΙ Ң ଶ Ȅ ߧږ ȄҬࠉϐԤᚂৱ ѺᔖҢ ء Ͻ ॴޟ తႪ ΰक़ ޟ ݽޟ ᕛȂछ FDA ζ ҪऌႪ Ң ᑑҪႪ ȶϷࢲϽȷȄ ڏ ᓺᘈ џ эഞ ݽޟ

ᘈࠌ ؠ Ԥ ء Ͻ ޟ ਝ ݎ Ȃᄇ ဣ৯σ ޟ э Ȃਝ ݎ ၶ৯Ȅ 濣 Ⲥ濣㭹䔀ℋƲ 濣ᶣ䕬䢐斵㭹䔀䒖䑢㧟 Ʋ ' 㿟䲘方㮠 ฒ ጣ Ⴋ ݰ Ȟradiofrequencyȟ ᄇ ઍҪቹёዥȂџߴ ጲন ҩ ޟ ቨ ҡȃ༲၄э Ѷў ޟ ᡝᑖȂ ٮ ԤഋϷ Ͻ ಢᙑ ޟ ਝ ݎ ȄҬࠉԤӨᆍϚ ӣ ޟ ᐠ ȂЅϚӣ ݽޟ ᕛПԒȂ ٽ ԃ ᵊ濣

3 ȞphotothermalȟਝᔖȂ ήଽ ໔ ޟ ඈ Ȃ ٮ Ѝ ᆍΡৠ І ޟ ӎᎪ ݰ ȞphotoacousticȟਝᔖȂ Ҫጳ ᘈȄॴతႪ Ϸ ء Ͻ Ѕߨ ء Ͻ ϱ ޟ ՓશᎪ ȂӰԪΙ Ң ଶ Ȅ ߧږ ȄҬࠉϐԤᚂৱ ѺᔖҢ ء Ͻ ॴޟ తႪ ΰक़ ޟ ݽޟ ᕛȂछ FDA ζ ҪऌႪ Ң ᑑҪႪ ȶϷࢲϽȷȄ ڏ ᓺᘈ џ эഞ ݽޟ ᕛᎌᔖ ȞყέȟȄ оഋϸӵકᚽҫጳȃᄇ ғலҫጳᇄ Ϛ ᄇ ڏ ઍғ ޟ հңᐠᙽȃҭࠉ ۦ Ϟ ဣ৯σ ޟ ȂԤও Ґ Ӓጂᇯᚄ Ȅ Ⴚ ޟ ਝ ݎ Ȅ ᘈ Ȃ ၶ ߨ ء Ͻ ॴޟ తႪ Ȃ ඈ ၶδȄ ߨ ء Ͻ ॴޟ తႪ Ȃࠌо ߝݰ 1550 ۊ Խ ޟ Ⴊ кȅᓺᘈ Ѻᄇߒ Ҫ ޟ ߨலሆཌȂՄ ޢ ໔ Ս ቹȂӰԪ нฒ οȃ ඈ ȞყΠȟȄ ᘈࠌ ؠ Ԥ ء Ͻ ޟ ਝ ݎ Ȃᄇ ဣ৯σ ޟ э Ȃਝ ݎ ၶ৯Ȅ 濣 Ⲥ濣㭹䔀ℋƲ 濣ᶣ䕬䢐斵㭹䔀䒖䑢㧟 Ʋ ' 㿟䲘方㮠 ฒ ጣ Ⴋ ݰ Ȟradiofrequencyȟ ᄇ ઍҪቹёዥȂџߴ ጲন ҩ ޟ ቨ ҡȃ༲၄э Ѷў ޟ ᡝᑖȂ ٮ ԤഋϷ Ͻ ಢᙑ ޟ ਝ ݎ ȄҬࠉԤӨᆍϚ ӣ ޟ ᐠ ȂЅϚӣ ݽޟ ᕛПԒȂ ٽ ԃ ᵊ濣 Ⲥ濣㭹䔀ℋƲ 濣ᶣ昜㬻枙㝫斵㭹䔀䒖䑢㧟 Ʋ & 䕬䢐斵 Ι ф ݽ ᕛ ޟ ց ᏢȄ Ҫ ऌ Ⴊ Шо ۊޟ ऌႪ Ȃ ڏ Ⴊ Ⴋ ݰ Ȃᚖ Ⴋ ݰ ȂϷࢲԒႫ ݰ Ȃ ҪϱᏲବԒႫ ݰ ȄΙૡବᄇၶ ޟ ၶԤਝȄ 䕬 ℰ ፐ ਢ (10 ऌ )Ȃ Ӱ Ԫ џ -12 σσ६ճⴊ ᄇ Ҫጳಢᙑ ޟ ӎዥ ցңବᓞ ܖ ωφаȃ ઍҪቹ ޟ פ ޟ οᘾӫᐠᙽȃσൽᕻ

ᕛਝ ݎ லல ή ܜ Ȃӈդᡱጲন ҩቨҡ ޟ П ϚԁȂџՃኌ ٺ Ңၶଽᐨ ޟ έ෩ ݲ Ȃ ᡐ ਝ ݎ ϚԁȄԤ೨ӻϚӣ ሖȄϚ ݽ ᕛ Ԥਢ Ԥᡐҩ ܖ э ޟ ᏢడȂџо ҪήϸസȄ ᘈ ᡐቶ ޟ հңȅ ৠ ߧȂሯ ၶߝ ޟ ඈ Ȅ 悛 ޢ ༲ ш ᏘȈ ሖ (hyaluronic

4 榖斂恩㗁奊 -2851$/ 2).$2+6,81* 0(',&$/ $662&,$7,21 92/ 12 Ϧሖ ጳȂฐ ሖ ጳȈ ቹ ޟ ཌথ ጳȄᗶณၶ ڷ Ȃծ ᄇ ޟ э ȂϗԤਝ ݎ Ȅ ү ሖ ጳЅ έ෩ ሖȈ ၶ 濣Ⲥ濣㭹䔀ℋƲ 濣ᶣ枙㝫斵悛㭹䔀㧟 Ʋ ቹ ޟ ጳȄӕᢪ ᡊᆰ സᘞȂ ࠌ ٲ ಢᙑ ޟ Ȃᄇ Ⴊ ݽޟ ᕛਝ ݎ லல ή ܜ Ȃӈդᡱጲন ҩቨҡ ޟ П ϚԁȂџՃኌ ٺ Ңၶଽᐨ ޟ έ෩ ݲ Ȃ ᡐ ਝ ݎ ϚԁȄԤ೨ӻϚӣ ሖȄϚ ݽ ᕛ Ԥਢ Ԥᡐҩ ܖ э ޟ ᏢడȂџо ҪήϸസȄ ᘈ ᡐቶ ޟ հңȅ ৠ ߧȂሯ ၶߝ ޟ ඈ Ȅ 悛 ޢ ༲ ш ᏘȈ ሖ (hyaluronic ցңளԥ ӻಠବ (microneedling) acid)ȃጲন ҩ (collagen) Ȃџ Ҫ ޟ ᅌᎈȂ ܖ ବᓞ ޢ ޢ ю ޟ ᐠᏢȂ ή ޟ ᡝᑖ၄ӱȄՍ ညΣҪጳ ޟ Ӵ ږ ΣҪጳȂΙП७џഋϷકᚽ П ݲ Ȃџо ٺ Ңବᓞ ݧ Ȃζџо ٺ ๖ ޟ ಢᙑȂѪП७Ӱ ӵҫጳ ҢቈᏢȂᕡ оଽᔆпԓ ΣҪጳ ϱ ל ԙ೨ӻཌω ޟ ഺ Ȃ ଢ଼ ο ϱȅѫѵȃζԥо ಋ ޟ ПԒȂ ও ᐠ ڙ ȂՄ ҡ ޟ ጲন ҩȟყ ༲၄эഞ ޟ ᡝᑖȄ ѲȟȄ ᄇ ቹ ڗ 4 ϛቹ ޟ ȂၶԤ ਝ ݎ Ȅ 偘 ݎ ሖ ጳȂ ᵒ濣Ⲥ濣㭹䔀ℋƲ 濣ᶣ僐服勁㭹䔀䑢 Ʋ

5 ΙኺȂᄇ ݽ ᕛਝ ޟݎ ȅ ڧ (sculptra)ȃӏጸ (ellanse) Ȃ ΣҪ ޟ ඈ ߝ ζөϛ ӣȃӱԪலல ጳ Ȃџ ږ ᐭጲন ҩ ޟ ҡȃቨё ሯ ࡊᇧϽȂಢӫӻᆍᕛ ݲ Ȃӫ ݽځ Ҫጳ ޟ ᡝᑖȂ༲၄эഞȄᄇ ᅌଢ଼ ᕛȂϗ ႀ ڗ ၶԁ ޟ ਝ ݎ ȄӰԪȂ ޟ э Ȃਝ ݎ ၶԁȞყϤȟȄ ࠉ ޟ १ Ȅ 䢏ㄉ圑仁㑅䈹 ѓ Й ϸଶѕઍҫಋ Ȅ $ ㄉ圑攢Ȉ ޢ σ ޟ ϸଶ௬ȃӕ οᖁӫȅ ѯ ᇳȂ ၶσ ޟ эഞ Ȃ ԙιన ಠ ޟ ᖁӫ Ȅ % 䗝䕬䢹㟋Ȉ ڥ Ն Ҫጳ ޟ ઍҪ ಢᙑȂಋ ڗ э ޟ ညήȂᄇ ၶ ޟ ȂԤϚᒿ ޟ ਝ ݎ Ȅ(Shilpa K) Ս ڏ т ൲Ֆω ݖ Ֆዎ (platelet -rich plasmaȇprp)ȃ Ι ૡ ሄ օ ޟ ՓȂ ܚ о ӻ ӫ ڏځ тᕛ ݲ Ιଔ ٺ ҢȄџҢ ޟ ݧ ПԒȂ ޢ ܖ ༯ ܡ 1. Jacob CI, Dover JS, Kaminer MS. Acne scarring: a classification system and review of treatment options. J Am Acad Dermatol. 2001;45: Cohen BE, Brauer JA, Geronemus RG. Acne scarring: A review of available therapeutic lasers. Lasers Surg Med. 2016;48: Zaleski-Larsen LA, Fabi SG, McGraw T, et al. Acne Scar Treatment: A Multimodality Approach Tailored to Scar Type. Dermatol Surg. 2016;42 Suppl 2:S Dogra S, Yadav S, Sarangal R: Microneedling for acne scars in Asian skin type: an effective low cost treatment modality. J Cosmet Dermatol. 2014;13: Shilpa K, Sacchidanand S, Leelavathy B, et al. Outcome of Dermal Grafting in the Management of Atrophic Facial Scars. J Cutan Aesthet Surg. 2016;9: ӵᖛΰȅս ڏ ᕛਝȂࠌᗙԤ ތ ដȄ 䰎妔 ᗙԤ೨ӻႪ ӎᕛѕѵऋпԓȃ џң ݽپ ᕛ ȂҏМฒ ݲ Ӓഋ क़Ȅശ१ ޟ Ȃ ޟޱ ᄘȂ Ȃ७ᑖσω Ϛ ༲шᏘȈѮᢊҬࠉԤ

new高市醫誌100_0801.pdf

new高市醫誌100_0801.pdf е ע ᚃ ࢨϧᚃଲ ℋ墾僅䬊ὗ ҥϛ ऋσଉॴᇄϛ σᏰᖒй അȂശߑ೩ Ң پ Ϸ ݙ ߖ ԑ پ Ȃ Ρ ώ ස ኋ $UWL FLDO ᘞၥଉ ޟ AI ᐠᏢΡȶω ȷȂѺߖ,QWHOOLJHQFH $, ӵөএሴ ӴȂ σചᖝ ח ஈ ᚂৱᆣӫ ၐຟ Ρ խн ଝ! Ґ پ ж х กȂӵӫ Ϸኵ 360 Ϸ ήο 456 Ϸ ȶΡȷ ѴᐊЖȂ Ս ܐ ȊϚџᗗ ޟ ଽϷȂ Ι ᜌ AI