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二氧化碳激光输卵管显微手术。

Tubal microsurgery with the carbon dioxide laser.

作者信息

Fayez J A, Jobson V W, Lentz S S, Payne D G, Westra D F, Martin D K

出版信息

Am J Obstet Gynecol. 1983 Jun 15;146(4):371-3. doi: 10.1016/0002-9378(83)90815-3.

DOI:10.1016/0002-9378(83)90815-3
PMID:6407322
Abstract

Thirty New Zealand White female rabbits underwent tubal resection and reanastomosis for comparison of conventional microsurgery and laser microsurgical techniques. The rabbits were divided into three groups. The first group of 10 rabbits had 3 cm of tissue resected by knife from each uterine horn; the cut ends were then reanastomosed in one layer with 8-0 Vicryl sutures with the use of the operating microscope. The second group of 10 rabbits had 3 cm of tissue resected by laser from each uterine horn; the cut ends were then reanastomosed in one layer with 8-0 Vicryl. The third group of 10 rabbits had 3 cm of tissue resected by laser from each uterine horn; the cut ends were then reanastomosed by "welding" the tissues with the laser. All rabbits in the first group became pregnant. Only four in the second group became pregnant, but none in the third group became pregnant. It is concluded that the carbon dioxide laser beam as used in this study has no place in tubal resection and reconstruction.

摘要

30只新西兰雌性白兔接受了输卵管切除和重新吻合手术,以比较传统显微手术和激光显微手术技术。兔子被分为三组。第一组10只兔子,从每个子宫角用手术刀切除3厘米组织;然后在手术显微镜下用8-0薇乔缝线将断端进行单层吻合。第二组10只兔子,从每个子宫角用激光切除3厘米组织;然后用8-0薇乔缝线将断端进行单层吻合。第三组10只兔子,从每个子宫角用激光切除3厘米组织;然后用激光“焊接”组织来进行断端吻合。第一组所有兔子都怀孕了。第二组只有4只怀孕,但第三组没有一只怀孕。结论是本研究中使用的二氧化碳激光束在输卵管切除和重建中没有用武之地。

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