Morrow D M, Morrow L B
Morrow Skin Institute, Rancho Mirage, CA 92270.
J Dermatol Surg Oncol. 1992 Apr;18(4):307-13. doi: 10.1111/j.1524-4725.1992.tb03676.x.
This study compares and contrasts the use of the CO2 laser with the conventional cold-steel scalpel and electrocautery in cosmetic blepharoplasty. Ten patients underwent bilateral, upper, and lower eyelid cosmetic blepharoplasty using the CO2 laser as the exclusive cutting and cauterizing instrument for one eye, and the cold-steel scalpel and electrocautery as the exclusive cutting instrument and cauterizing tool for the remaining eye. This comparison evaluated administrative factors, procedural ease, and long- and short-term results. The benefits of using the CO2 laser rather than the cold-steel scalpel in blepharoplasty are reduced operative time, less bleeding, superior intraoperative visibility, less bruising and swelling, no pain or discomfort, and a shorter recuperation period. There were no complications with either the scalpel or the laser. Using the laser with standard safety protocols presents no greater risk to the patients undergoing blepharoplasty than does using the cold steel scalpel with an electrocautery device. The disadvantages of using the laser compared with the steel scalpel include the cost of purchasing and maintaining the laser equipment, the need for additional and extensive laser training for surgeons and assistants, and the need for two assistants rather than the one needed for scalpel surgery.
本研究比较并对比了二氧化碳激光与传统冷钢手术刀及电灼术在眼部整形手术中的应用。10名患者接受了双侧上睑和下睑眼部整形手术，一只眼睛使用二氧化碳激光作为唯一的切割和烧灼工具，另一只眼睛则使用冷钢手术刀作为唯一的切割工具，并用电灼术作为烧灼工具。该比较评估了管理因素、手术操作的简便程度以及长期和短期效果。在眼部整形手术中使用二氧化碳激光而非冷钢手术刀的好处包括手术时间缩短、出血减少、术中视野更清晰、瘀伤和肿胀减轻、无疼痛或不适以及恢复时间更短。使用手术刀或激光均未出现并发症。按照标准安全规程使用激光，对于接受眼部整形手术的患者而言，并不比使用配备电灼装置的冷钢手术刀带来更大风险。与钢手术刀相比，使用激光的缺点包括购买和维护激光设备的成本、外科医生和助手需要额外接受广泛的激光培训，以及需要两名助手而非手术刀手术所需的一名助手。
