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[妇科手术后伤口浸润、血清肿和血肿的激光治疗。临床研究]

[Laser therapy of wound infiltrates, seromas and hematomas following gynecologic operations. Clinical research].

作者信息

Burgudzhieva T

出版信息

Akush Ginekol (Sofiia). 1989;28(4):55-60.

PMID:2802098
Abstract

The therapeutic possibilities of helium-neon laser light with densities of power (DP)-100, 90, 80, 70 and mW/cm2 as well as exposition time of the field of 1.5 min were studied in 109 women with skin subcutaneously located wound infiltrates, seromas and hematomas after gynecological operations. Clinical observations were carried out on 32 women with more deeply located (epifascial) infiltrates, irradiated by DP of laser light (LL) of 100 mW/cm2. The initial resorption of inflammatory tissue changes and analgetic effect was established even after 1-3 irradiations with DP of 100,90 and 80 mW/cm2. The final resorption of postoperative wound complications and healing of complicated operative wounds was achieved after irradiation with LL of 100, 90, 80 and 70 mW/cm2 for the shortest intervals (1-3 and 4-6 days). The investigated DP of LL of 50 mW/cm2 was not sufficiently effective for resorption and healing of wound skin and subcutaneously located infiltrations, seromas and hematomas. Resorption of epifascial wound infiltrations by DP of 100 mW/cm2 was not achieved.

摘要

对109例妇科手术后皮肤皮下有伤口浸润、血清肿和血肿的女性,研究了功率密度(DP)分别为100、90、80、70和50mW/cm²以及照射野时间为1.5分钟的氦氖激光的治疗可能性。对32例有更深层(筋膜上)浸润的女性进行了临床观察,用功率密度为100mW/cm²的激光(LL)照射。即使在以100、90和80mW/cm²的DP进行1 - 3次照射后,也观察到了炎症组织变化的初步吸收和镇痛效果。在用100、90、80和70mW/cm²的LL照射最短间隔时间(1 - 3天和4 - 6天)后,实现了术后伤口并发症的最终吸收和复杂手术伤口的愈合。所研究的50mW/cm²的LL的DP对伤口皮肤和皮下浸润、血清肿和血肿的吸收及愈合效果不佳。100mW/cm²的DP未能实现筋膜上伤口浸润的吸收。

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Akush Ginekol (Sofiia). 1989;28(4):55-60.
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