Smith M R, Miller J B
J Microsurg. 1980 Mar-Apr;1(5):354-63. doi: 10.1002/micr.1920010505.
The carbon dioxide laser has been used for cutting and cauterizing tissue in a variety of surgical procedures by means of a dry-field air/tissue interface approach. Recently, a new wet-field CO2 laser technique has been developed and is being used successfully in humans to seal intraocular fibrovascular fronds and retinal tears at the time of vitrectomy, to close rubeotic vessels in the iris, and to excise fibrovascular fronds and epiretinal membranes in cases of severe diabetic retinopathy. Specialized wet-field CO2 laser photosurgical probes for use in gynecologic microsurgery have been developed and are being studied experimentally. Other potential applications include otolaryngologic microsurgery, neurosurgery, and gastrointestinal and urologic wet-field surgery.
二氧化碳激光已通过干场空气/组织界面方法用于各种外科手术中的组织切割和烧灼。最近，一种新的湿场二氧化碳激光技术已被开发出来，并成功应用于人体，在玻璃体切除术中封闭眼内纤维血管襻和视网膜裂孔，封闭虹膜新生血管，并切除严重糖尿病视网膜病变病例中的纤维血管襻和视网膜前膜。用于妇科显微手术的专用湿场二氧化碳激光光外科探头已被开发出来并正在进行实验研究。其他潜在应用包括耳鼻喉科显微手术、神经外科手术以及胃肠和泌尿外科的湿场手术。
