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内镜手术中的激光

Lasers in endoscopic surgery.

作者信息

Gyr T, Spörri S, Frenz M, Altermatt H J, Brandenberger A W, Dreher E

机构信息

Department of Obstetrics and Gynecology, University Hospital Bern, Switzerland.

出版信息

Arch Gynecol Obstet. 1993;253 Suppl:S83-8. doi: 10.1007/BF02346802.

DOI:10.1007/BF02346802
PMID:8117166
Abstract

Lasers provide the endoscopic surgeon with a sophisticated tool for high precision cutting, destruction of tissue and coagulation. The laser allows efficient and time-saving operating techniques. Various laser systems emitting at different wavelengths are available. The absorption of the laser is determined by the tissue properties, such as water content or pigmentation, and varies strongly with the wavelength. Each laser offers advantages for the treatment of specific disorders. Further data from clinical studies are required to evaluate whether the advantages found in experimental studies are of significance in clinical use.

摘要

激光为内镜外科医生提供了一种用于高精度切割、组织破坏和凝血的精密工具。激光使得手术技术高效且省时。有多种发射不同波长的激光系统可供使用。激光的吸收取决于组织特性,如水含量或色素沉着,并且随波长变化很大。每种激光在治疗特定疾病方面都有优势。需要临床研究的更多数据来评估实验研究中发现的优势在临床应用中是否具有重要意义。

相似文献

1
Lasers in endoscopic surgery.内镜手术中的激光
Arch Gynecol Obstet. 1993;253 Suppl:S83-8. doi: 10.1007/BF02346802.
2
CO2 laser laparoscopic surgery. Adhesiolysis, salpingostomy, laser uterine nerve ablation and tubal pregnancy.二氧化碳激光腹腔镜手术。粘连松解术、输卵管造口术、激光子宫神经切除术及输卵管妊娠。
Baillieres Clin Obstet Gynaecol. 1989 Sep;3(3):525-43. doi: 10.1016/s0950-3552(89)80007-0.
3
[Thermal preparation techniques in gynecologic endoscopy--technical, experimental and clinical results (n=2000)].妇科内镜检查中的热准备技术——技术、实验及临床结果(n = 2000)
Zentralbl Gynakol. 1994;116(1):1-15.
4
A new wave guide for use with a CO2 delivery system for laparoscopic surgery.一种用于腹腔镜手术二氧化碳输送系统的新型波导。
J Reprod Med. 1993 Nov;38(11):875-8.
5
Fibreoptic laser laparoscopy.纤维光学激光腹腔镜检查
Baillieres Clin Obstet Gynaecol. 1989 Sep;3(3):545-62. doi: 10.1016/s0950-3552(89)80008-2.
6
Advantages of laser application in endoscopic surgery.激光在内镜手术中的应用优势。
Endosc Surg Allied Technol. 1993 Aug;1(4):213-6.
7
Transabdominal laser colpotomy.经腹激光阴道切开术
J Reprod Med. 1989 Jul;34(7):438-40.
8
Contact Nd:YAG adapts well to laparoscopic surgery.接触式钕钇铝石榴石激光很适合腹腔镜手术。
Clin Laser Mon. 1990 Mar;8(3):40-2.
9
Laparoscopic use of the argon laser in nonendometriotic reproductive pelvic surgery.氩激光在非子宫内膜异位症生殖盆腔手术中的腹腔镜应用。
J Reprod Med. 1986 Nov;31(11):1011-3.
10
Instruments and equipment used in operative laparoscopy.
Baillieres Clin Obstet Gynaecol. 1994 Dec;8(4):687-705. doi: 10.1016/s0950-3552(05)80050-1.

本文引用的文献

1
Experience with the carbon dioxide laser in gynecologic microsurgery.二氧化碳激光在妇科显微手术中的应用经验。
Am J Obstet Gynecol. 1983 Jul 1;146(5):585-8. doi: 10.1016/0002-9378(83)90808-6.
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Carbon dioxide laser microsurgery of the uterine tube.输卵管二氧化碳激光显微手术
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3
Salpingo-ovariolysis: a comparison between laser surgery and electrosurgery.输卵管卵巢粘连松解术:激光手术与电外科手术的比较
Fertil Steril. 1986 Apr;45(4):489-91. doi: 10.1016/s0015-0282(16)49274-5.
4
A clinical study of the CO2 laser and electrosurgery for adhesiolysis in 172 cases followed by early second-look laparoscopy.一项关于172例患者采用二氧化碳激光和电外科进行粘连松解术并随后进行早期二次腹腔镜检查的临床研究。
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5
A comparative study of postoperative adhesions following laser surgery by laparoscopy versus laparotomy in the rabbit model.兔模型中腹腔镜激光手术与开腹手术后粘连的比较研究。
Obstet Gynecol. 1989 Aug;74(2):220-4.
6
Neodymium: YAG laser hysteroscopy in large submucous fibroids.钕钇铝石榴石激光宫腔镜检查在大型黏膜下肌瘤中的应用
Fertil Steril. 1990 Dec;54(6):999-1003. doi: 10.1016/s0015-0282(16)53994-6.
7
[Tube-preserving endoscopic surgical procedures in unruptured tubal pregnancy. What significance does laser use have?].[未破裂输卵管妊娠的保留输卵管内镜手术。激光的使用有何意义?]
Geburtshilfe Frauenheilkd. 1990 Mar;50(3):207-11. doi: 10.1055/s-2007-1026464.
8
Resectoscopic myomectomy.宫腔镜子宫肌瘤切除术
Fertil Steril. 1991 Jun;55(6):1041-4. doi: 10.1016/s0015-0282(16)54349-0.
9
The role of lasers in advanced operative laparoscopy.
Obstet Gynecol Clin North Am. 1991 Sep;18(3):545-53.
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Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata.二氧化碳激光腹腔镜手术与剖腹手术治疗子宫内膜瘤的比较。
Fertil Steril. 1992 May;57(5):965-73.