Laser techniques in gynaecology.

J Keckstein, V Sasse, A Roth, E Karageorgieva, F Tuttlies
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Abstract

Lasers have been in use for 15 years in laparoscopic surgery. The CO2-laser in particular has become very popular in the field of gynaecology for the treatment of endometriosis and adhesions. Results achieved with the CO2-laser seem to be superior to those of conventional instruments, although only a small number of randomised prospective studies exist. Fibre lasers, such as the Nd:YAG-, KTP, and Argon-lasers combine vaporisation- and/or coagulation-effects within the same operating instrument. Time-consuming changes of instruments during the procedure are unnecessary. Nevertheless, technical problems and high costs of these laser systems on the one hand, and unfulfilled and unrealistic expectations by physicians and patients alike on the other hand hinder wide-spread use of this technique.

妇科激光技术。
激光在腹腔镜手术中已经使用了15年。特别是二氧化碳激光在妇科治疗子宫内膜异位症和粘连方面非常受欢迎。尽管只有少数随机前瞻性研究存在,但二氧化碳激光取得的结果似乎优于传统仪器。光纤激光器,如Nd:YAG-, KTP,和氩激光器结合汽化和/或凝固效应在同一操作仪器。手术过程中不需要更换耗时的器械。然而,一方面,这些激光系统的技术问题和高成本,另一方面,医生和病人的不满足和不切实际的期望阻碍了这项技术的广泛应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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