Reid R
Am J Obstet Gynecol. 1985 Jul 1;152(5):504-9. doi: 10.1016/0002-9378(85)90616-7.
Despite the unique properties of the carbon dioxide laser, many surgeons do not know how to exploit the full potential of this sophisticated instrument. Effective laser operation on the vulva depends upon the accuracy of delineation of disease, the use of optimum power densities, and the ability to exercise precise control over depth of ablation. This article describes a surgical technique that capitalizes upon these principles, thereby maximizing the margin between favorable and poor outcomes. Superficial laser vulvectomy is a safe and efficient procedure in the hands of expert physicians, but should not be attempted by those who are less experienced. Indications for this operation and safeguards against surgical misadventure are also discussed.
尽管二氧化碳激光具有独特的性能，但许多外科医生并不清楚如何充分发挥这种精密仪器的全部潜力。对外阴进行有效的激光手术取决于疾病轮廓描绘的准确性、最佳功率密度的使用以及对消融深度进行精确控制的能力。本文介绍了一种利用这些原则的手术技术，从而最大限度地扩大良好结果与不良结果之间的差距。在专家医生手中，浅表性激光外阴切除术是一种安全有效的手术，但经验不足的医生不应尝试。本文还讨论了该手术的适应症及防范手术意外的措施。
