Fairhurst M V, Roenigk R K, Brodland D G
Department of Dermatology, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1992 Jan;67(1):49-58. doi: 10.1016/s0025-6196(12)60279-1.
Since it was developed in the 1960s, the carbon dioxide (CO2) laser has had an important role in the practice of dermatology. The CO2 laser has some advantages over conventional techniques used in dermatologic surgical treatment. It routinely provides a bloodless surgical field as well as unusual surgical precision. Although the CO2 laser is specifically indicated for certain conditions, in other situations, only marginal benefit may be noted in comparison with standard techniques such as scalpel surgical procedures, dermabrasion, cryosurgery, and electrosurgery. In this article, we briefly review the history and physics of the CO2 laser, its operation, and safety principles and discuss dermatologic conditions that are treated with the CO2 laser. We also describe 8 representative cases from our experience with more than 800 cases of CO2 laser treatment in the practice of dermatology at the Mayo Clinic since 1986.
自20世纪60年代研发以来，二氧化碳（CO2）激光在皮肤科实践中发挥了重要作用。与皮肤科手术治疗中使用的传统技术相比，CO2激光具有一些优势。它通常能提供无血的手术视野以及非凡的手术精度。尽管CO2激光专门适用于某些病症，但在其他情况下，与手术刀手术、皮肤磨削术、冷冻手术和电外科手术等标准技术相比，可能仅能观察到有限的益处。在本文中，我们简要回顾CO2激光的历史和物理原理、其操作及安全原则，并讨论使用CO2激光治疗的皮肤科病症。我们还介绍了自1986年以来在梅奥诊所皮肤科实践中800多例CO2激光治疗经验中的8个代表性病例。
