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[激光在妇科中的应用可能性及意义]

[Possibilities and significance of using lasers in gynecology].

作者信息

Mecke H, Riedel H H

机构信息

Zentrum für Operative Medizin I der Christian-Albrechts-Universität Kiel.

出版信息

Zentralbl Gynakol. 1987;109(21):1273-84.

PMID:3324559
Abstract

Since 1973 laser technology has found its way into gynecology as well as other branches of medicine. CO2-, Neodym-YAG-, and argon-laser have been used. Experience has been made with the laser treatment of benign and precancerous lesions of the vulva, vagina, and cervix uteri. The laser is also being used increasingly for infertility operations, adhesiolysis and treatment of endometriosis. Since 1979, the laser has also been applied pelviscopically for these indications. As an advantage of laser techniques the possibility of operating atraumatically and relatively bloodlessly has been named. Disadvantages have been found in the high cost of the equipment, the special training required of the physician, and the possible danger for the patient and the operation theatre staff. Until now, there has been no definite proof that laser technology gives better results in the various operations mentioned than conventional methods.

摘要

自1973年以来,激光技术已进入妇科以及医学的其他分支领域。已使用二氧化碳激光、钕钇铝石榴石激光和氩激光。已积累了对外阴、阴道和子宫颈的良性及癌前病变进行激光治疗的经验。激光也越来越多地用于不育症手术、粘连松解术和子宫内膜异位症的治疗。自1979年以来,激光也已用于这些适应症的腹腔镜手术。作为激光技术的一个优点,人们提到了无创伤和相对无血操作的可能性。缺点是设备成本高、医生需要特殊培训以及对患者和手术室工作人员可能存在危险。到目前为止,尚无确凿证据表明激光技术在上述各种手术中比传统方法能取得更好的效果。

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