Martin D C
University of Tennessee, Memphis.
Obstet Gynecol Clin North Am. 1991 Sep;18(3):575-83.
In conclusion, the CO2 laser has been useful for the vaporization and excision of endometriosis through the laparoscope. Removal through the laparoscope, however, requires recognition of the lesion. Microscopic lesions may not be seen through the laparoscope, and deep invasive lesions may be more palpable than visual. Furthermore, small lesions are probably more rapidly coagulated with bipolar electrosurgery or with thermal coagulators (desiccators) than with the laser technique, and lesions of this size do not require the technology associated with lasers. Deep lesions may require laparotomy for recognition prior to excision. Even though the CO2 laser is an excellent and precise tool, bipolar electrosurgical units, bipolar coagulation, unipolar electrosurgical units, thermal coagulators, and fiber-equipped lasers may be more relevant in certain clinical situations. The exact role of all these types of equipment is still developing.
总之，二氧化碳激光已被用于通过腹腔镜汽化和切除子宫内膜异位症。然而，通过腹腔镜进行切除需要识别病变。显微镜下的病变可能无法通过腹腔镜看到，而深度浸润性病变可能触诊比视觉观察更明显。此外，小病变用双极电外科手术或热凝固器（干燥器）凝固可能比用激光技术更快，而且这种大小的病变不需要与激光相关的技术。深度病变在切除前可能需要剖腹手术来识别。尽管二氧化碳激光是一种出色且精确的工具，但在某些临床情况下，双极电外科设备、双极凝固、单极电外科设备、热凝固器和配备光纤的激光可能更适用。所有这些类型设备的确切作用仍在发展中。
