Baggish M S, Chong A P
J Reprod Med. 1983 Apr;28(4):269-79.
The CO2 laser produces a highly directional and collimated light beam that may be precisely focused to a fine point. Because the laser beam physically removes tissue by vaporization, causes little damage to neighboring cells and seals small vessels, a minimum amount of suture material is required and scar formation is reduced. Although the laser has been utilized commonly in recent years to treat lower genital tract pathology, its application to intraabdominal surgery is in the early developmental phase. Special adaptations of the operative microscope and special accessory instruments are necessary before the laser can be used within the abdominal cavity. One hundred twenty-one cases are described to illustrate the technique and use of the laser for infertility surgery and for the treatment of pelvic endometriosis.
二氧化碳激光产生高度定向且准直的光束，该光束可精确聚焦成一个细点。由于激光束通过汽化物理去除组织，对邻近细胞造成的损伤小且能封闭小血管，因此所需缝合材料最少，瘢痕形成也减少。尽管近年来激光已普遍用于治疗下生殖道病变，但其在腹腔内手术中的应用仍处于早期发展阶段。在激光能够用于腹腔内之前，手术显微镜的特殊改装和特殊辅助器械是必要的。本文描述了121例病例，以说明激光在不育症手术和盆腔子宫内膜异位症治疗中的技术及应用。
