Nezhat Ceana, Kho Kimberly A, Morozov Vadim
Atlanta Center for Special Minimally Invasive Surgery and Reproductive Medicine, Atlanta, Georgia, USA.
JSLS. 2009 Oct-Dec;13(4):479-83. doi: 10.4293/108680809X12589998403967.
To report the feasibility and safety of the use of a novel energy source that uses an electrically neutral beam of pure argon plasma for the laparoscopic management of endometriosis.
In this prospective pilot study, 20 patients undergoing laparoscopic treatment of endometriosis were included. Characteristic endometriotic lesions throughout the pelvis were vaporized or resected using neutral argon plasma. Specimens were evaluated for the presence of endometriosis and thermal effects on tissue. The bases of the treated lesions were biopsied to determine whether residual endometriosis was present.
Neutral argon plasma was used in 18 of the 20 patients for laparoscopic treatment of pelvic endometriosis. All biopsies confirmed complete vaporization or resection with no residual endometriosis at the base. Endometriosis was identified on pathology in all lesions excised. Thermal effects did not interfere with histologic analysis in any of the lesions. No complications occurred.
Neutral argon plasma can be utilized as a multi-functional device that has vaporization, coagulation, and superficial cutting capacities with minimal thermal spread and acceptable outcomes. The use of neutral argon plasma appears to be efficacious and safe for the complete treatment of endometriotic implants.
报告一种使用纯氩等离子体电中性束的新型能源用于腹腔镜下子宫内膜异位症治疗的可行性和安全性。
在这项前瞻性试点研究中，纳入了20例行腹腔镜子宫内膜异位症治疗的患者。使用中性氩等离子体汽化或切除盆腔内典型的子宫内膜异位症病灶。对标本进行子宫内膜异位症存在情况及组织热效应的评估。对治疗病灶的基底进行活检以确定是否存在残留的子宫内膜异位症。
20例患者中有18例使用中性氩等离子体进行腹腔镜下盆腔子宫内膜异位症治疗。所有活检均证实病灶完全汽化或切除，基底无残留子宫内膜异位症。所有切除的病灶经病理检查均发现子宫内膜异位症。热效应未干扰任何病灶的组织学分析。未发生并发症。
中性氩等离子体可作为一种多功能设备，具有汽化、凝固和浅表切割能力，热扩散极小且效果可接受。使用中性氩等离子体似乎对完全治疗子宫内膜异位植入物有效且安全。
