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[妇科手术后伤口部分裂开并发症的激光治疗。临床研究]

[The laser therapy of wound complications with partial dehiscence following gynecologic operations. Clinical studies].

作者信息

Burgudzhieva T

出版信息

Akush Ginekol (Sofiia). 1989;28(6):55-60.

PMID:2633645
Abstract

Clinical studies were carried out on 160 women, aged from 26 to 58 years, with partial wounded dehiscence after gynecological operations. The influence of helium neon laser energy with densities of power of 100, 90, 80, 70, 50 m W/cm2 at exposition time of the field of 1.5 min was studied in respect to anesthetic and antiinflammatory effects, initial clearing of devitalized tissues with the appearance of young granulation tissue on the wounded defects till the final healing of the complicated operative wounds. Resorption of inflammatory tissue changes and analgetic effect occurred for the shortest periods of treatment in patients with wounded dehiscences, irradiated with densities of power of laser irradiation of 90 mW/cm2. Initial clearing of devitalized tissues with appearance of young granulation tissue was achieved by the smallest number of irradiations with density of power of laser irradiation within the ranges of 90-70 mW/cm2. The highest alternatively relative part of healed partial wounded dehiscences for a period of 5-10 days of treatment was achieved by the applied density of power of laser irradiation within the ranges of 100-70 mW/cm2. The density of power of the laser irradiation of 50 mW/cm2 was slightly effective in respect to its stimulating possibilities both at the inflammatory phase and at the phases of proliferation and reorganization of the wounded process.

摘要

对160名年龄在26至58岁之间、妇科手术后出现部分伤口裂开的女性进行了临床研究。研究了功率密度为100、90、80、70、50 mW/cm²的氦氖激光能量在照射时间为1.5分钟时,对麻醉和抗炎作用、清除失活组织并在伤口缺损处出现年轻肉芽组织直至复杂手术伤口最终愈合的影响。在接受90 mW/cm²激光照射密度的伤口裂开患者中,炎症组织变化的吸收和镇痛效果在最短治疗期内出现。在90 - 70 mW/cm²范围内,以最小照射次数实现了失活组织的初步清除并出现年轻肉芽组织。在治疗5 - 10天期间,应用100 - 70 mW/cm²范围内的激光照射功率密度,实现了愈合的部分伤口裂开的最高交替相对比例。50 mW/cm²的激光照射功率密度在炎症期以及伤口过程的增殖和重组阶段,其刺激可能性方面效果稍差。

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