McCarthy W H, Shaw H M, Jones P H
Aust N Z J Surg. 1978 Dec;48(6):656-61. doi: 10.1111/j.1445-2197.1978.tb04924.x.
This study describes 18 months' experience with the CO2 laser in the treatment of malignant melanoma and other superficial malignancies. In 110 patients, a general assessment was made of the advantages commonly claimed for the laser. In addition, a comparison between laser and scalpel surgery was made by means of a small retrospective study. Results from 39 patients undergoing wide excision and graft for primary malignant melanoma in association with axillary lymph node dissection indicated that the laser offered no specific advantages over the scalpel for this particular type of operation. The laser was shown to have specific advantages in the treatment of extensive superficial malignancy, in locally recurrent tumours, and in malignancy of soft tissues. In these situations it did minimize blood loss and achieve satisfactory extirpation of the lesion.
本研究描述了二氧化碳激光治疗恶性黑色素瘤和其他浅表恶性肿瘤18个月的经验。对110例患者进行了激光治疗通常所宣称优势的综合评估。此外，通过一项小型回顾性研究对激光手术和手术刀手术进行了比较。39例接受原发性恶性黑色素瘤广泛切除及植皮并伴有腋窝淋巴结清扫术患者的结果表明，对于这种特定类型的手术，激光相比手术刀并无特殊优势。研究表明，激光在治疗广泛的浅表恶性肿瘤、局部复发性肿瘤以及软组织恶性肿瘤方面具有特定优势。在这些情况下，它确实能减少失血，并实现对病变的满意切除。
