Gáspár L, Szabó G
Semmelweis University Medical School, Department of Oral and Maxillofacial Surgery, Budapest, Hungary.
J Clin Laser Med Surg. 1990 Feb;8(1):39-43.
In their patient population, the authors summarize experience with 548 laser operations of oral lesions, the manifestation of the advantages and disadvantages of this technique. The hemostatic effect of the laser is of special significance, which became evident in the surgery of 90 hemangiomas, 17 patients with naveus flammeus, and 14 with clotting disturbance. For protection of the healthy tissues, various laser surgical methods were used--coagulation, vaporization, excision--and the postoperative edema, pain, inflammation, wound healing disturbances, and scarring were minimal. By the use of this method, the oral cavity functions can be well maintained. Following one laser treatment, the relapse rate was lower than 8 percent, after two treatments 1.1 percent. The laser treatment is economically favorable, since the absence of patients from work is minimal. Methods have been elaborated to overcome the disadvantages of laser treatment. It is established that the following can be favorably treated with the CO2 laser: leukoplakia, hemangioma, epulis, granuloma fissuratum, naveus flammeus, and clotting disturbance. The advantages of CO2 laser treatment in oral surgery manifest themselves very markedly.
在他们的患者群体中，作者总结了548例口腔病变激光手术的经验，阐述了该技术的优缺点。激光的止血效果具有特殊意义，这在90例血管瘤、17例鲜红斑痣和14例凝血障碍患者的手术中表现明显。为保护健康组织，采用了各种激光手术方法——凝固、汽化、切除——术后水肿、疼痛、炎症、伤口愈合障碍和瘢痕形成均很轻微。通过使用这种方法，口腔功能能够得到良好维持。单次激光治疗后，复发率低于8%，两次治疗后为1.1%。激光治疗在经济上是有利的，因为患者缺勤时间最短。已经制定了克服激光治疗缺点的方法。现已确定，二氧化碳激光可有效治疗以下疾病：白斑、血管瘤、龈瘤、裂隙性肉芽肿、鲜红斑痣和凝血障碍。二氧化碳激光治疗在口腔外科手术中的优势非常明显。
