Wakita K, Izumi T, Sasaki N, Kuramoto H, Nishijima M
Department of Obstetrics and Gynecology, School of Medicine, Kitasato University, Kanagawa.
Nihon Sanka Fujinka Gakkai Zasshi. 1992 Sep;44(9):1142-8.
Thirty-nine patients with cervical neoplasia who were treated by CO2 laser excisional conization were compared with a group of 37 patients whose diagnosis and age were similar were treated by YAG laser excisional conization. Every operation in our series was performed on an outpatient basis. The differences between two groups were statistically significant: The CO2 laser group revealed the advantages in the healing periods from treatment to the end of epithelization (p less than 0.01: T test) and irradiation time (p less than 0.001). There was no difference in the blood loss during the operation. Both initial cure rates were 100% during the follow-up period of 21 to 65 months. During and post operations, more patients required additional measures such as sutures for uncontrollable bleeding in the CO2 laser group. In conclusion, both methods are felt to be good diagnostic and also therapeutic procedures for cervical neoplasia on an outpatient basis.
将39例接受二氧化碳激光切除锥形切除术治疗的宫颈肿瘤患者与37例诊断和年龄相似、接受钇铝石榴石激光切除锥形切除术治疗的患者进行比较。我们系列中的每台手术均在门诊进行。两组之间的差异具有统计学意义：二氧化碳激光组在从治疗到上皮化结束的愈合期（p<0.01：t检验）和照射时间（p<0.001）方面显示出优势。手术期间的失血量没有差异。在21至65个月的随访期内，两种方法的初始治愈率均为100%。在手术期间及术后，二氧化碳激光组有更多患者因无法控制的出血而需要采取额外措施，如缝合。总之，两种方法都被认为是门诊治疗宫颈肿瘤的良好诊断和治疗方法。
