Ehrenberger K, Innitzer J
Wien Klin Wochenschr. 1978 Apr 28;90(9):307-9.
The intense infra-red rays of the CO2 laser effect instant evaporization and carbonization of superficial tissue layers. Simultaneously, small blood vessels in the immediate vicinity of the impact area are occluded, which results in a circumscribed ischaemic operating field. On the other hand, small lymphatic vessels are not sealed. The lymphatic drainage of an area can be blocked mechanically only by a relatively large wall of carbonized tissue. This is why laser surgery does not necessarily prevent propagation of suspended material in the lymphatics, e. g. tumour cells.
二氧化碳激光强烈的红外线会使表层组织立即汽化和碳化。同时,冲击区域附近的小血管会被封闭,从而形成一个局限的缺血手术区域。另一方面,小淋巴管不会被封闭。只有相对较大的碳化组织壁才能机械性地阻断一个区域的淋巴引流。这就是为什么激光手术不一定能防止悬浮物质(如肿瘤细胞)在淋巴管中的传播。