Allameh Farzad, Javadi Atefeh, Dadkhahfar Sahar, Naeeji Zahra, Moridi Atefeh, Tadayon Niki, Alahyari Sam
Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Lasers Med Sci. 2021 Sep 19;12:e50. doi: 10.34172/jlms.2021.50. eCollection 2021.
Currently, lasers are used to treat many diseases and their complications. However, the use of lasers in pregnant patients is still controversial. In this review, the application of lasers in the fields of urology, surgery, obstetrics, dermatology, and musculoskeletal disorders is evaluated. The following keywords were used to search through PubMed, Google Scholar, and Scopus: pregnancy, laser, urolithiasis, endovenous laser ablation (EVLA) or treatment, leg edema, varicose vein, venous insufficiencies, hair removal, pigmentation, telangiectasia, vascular lesions, Q switch laser, diode laser, holmium, holmium-YAG laser, erbium laser and Pulsed dye laser, low-level laser therapy, high-intensity laser therapy, pain, musculoskeletal disorders, twin to twin transfusion syndrome (TTTS), amnioreduction, and safety. Totally, 147 articles were found, and their abstracts were evaluated; out of 53 articles extracted, 14 articles were about dermatology, 24 articles were about urology, 12 articles were about obstetrics and gynecology, 10 articles were about musculoskeletal disorders and three articles were related to surgery. Laser therapy can be used as a safe treatment for urolithiasis, skin diseases, TTTS and varicose veins of the lower extremities. However, the use of laser therapy for musculoskeletal disorders during pregnancy is not recommended due to lack of evidence, and also we cannot recommend endovenous ablation.
目前，激光被用于治疗多种疾病及其并发症。然而，激光在孕妇中的应用仍存在争议。在本综述中，对激光在泌尿外科、外科、妇产科、皮肤科和肌肉骨骼疾病领域的应用进行了评估。使用以下关键词在PubMed、谷歌学术和Scopus中进行检索：妊娠、激光、尿路结石、静脉腔内激光消融术（EVLA）或治疗、腿部水肿、静脉曲张、静脉功能不全、脱毛、色素沉着、毛细血管扩张、血管病变、Q开关激光、二极管激光、钬、钬-钇铝石榴石激光、铒激光和脉冲染料激光、低强度激光疗法、高强度激光疗法、疼痛、肌肉骨骼疾病、双胎输血综合征（TTTS）、羊水减量术以及安全性。总共检索到147篇文章，并对其摘要进行了评估；在提取的53篇文章中，14篇关于皮肤科，24篇关于泌尿外科，12篇关于妇产科，10篇关于肌肉骨骼疾病，3篇与外科相关。激光疗法可作为尿路结石、皮肤病、TTTS和下肢静脉曲张的安全治疗方法。然而，由于缺乏证据，不建议在孕期将激光疗法用于治疗肌肉骨骼疾病，同时我们也不推荐静脉腔内消融术。
