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We have used the Q-switched ruby laser in the treatment of pigmented skin lesions since 1991 to treat approximately 2,000 patients out of which more than 1,000 were treated for nevus of Ota. This laser was effective in treating almost all cases of nevus of Ota, ectopic mongolian spot, blue nevus, ephelides and aquired bilateral nevus of Ota-like macules, However, a large degree of variation was observed among individuals when treating pigmented nevus, and the laser was ineffective in some cases despite repeated irradiation of the affected area. Great care should be taken with patients with nevus spilus because reccurence was observed in many cases and sometimes the area actually became darker. It was found that the laser was effective in removing black tattoos, but the treated site was aggravated in many cases where the tattoo was red or yellow. は じめに 色素性 皮膚 病変 につ いて は古来 雪状炭酸療 法、皮膚 剥離術 、植 皮術、放射線療法な どとい ろいろ行 われてきた がそのいずれ も本 当に満足 のい くものば か りでは なかった。我 々は1991 年よ りQス イ ッチル ビー レーザー を導入 し、以 来色素性皮膚病変約2000例 を治療 してきた。 対象は太 田母斑、異所性 蒙古斑、青色母斑、色 素性母 斑、扁平母 斑、雀卵斑、遅発性両側性大 田母斑様色素斑、老人性色素斑、脂漏性角化症、 刺青等で あ り、そ して扁平母斑、色素性母斑を 除いてかな りの効果 を上げることが出来た。 こ れ ら各々の治療効果 と限界について述べ る。

Effect and Limit of Q-switched Ruby Laser Treatment for Pigmented Lesion of Skin