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Lasers in the surgical management of endometriosis

机译：激光治疗子宫内膜异位症

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Endometriosis affects millions worldwide. Its symptoms include non-cyclical pelvic pain, dysmenorrhoea, dyspareunia and subfertility. The diagnosis is made by laparoscopy, and operative laparoscopic surgery for endometriosis is also possible. As well as conventional laparoscopic techniques, lasers have been used in laparoscopic surgery for the past two decades. The main advantages of lasers are that they allow surgeons to perform operative surgery via the minimally invasive approach of laparoscopy, the operation is largely bloodless, the injury to the surrounding tissue is highly controllable and postoperative adhesion formation has been shown to be no greater than with conventional methods. The CO2 laser is the most precise laser for the division of adhesions and the accurate and safe vapourization of deposits of endometriosis. Several types of operative procedure to treat endometriosis have been carried out with the CC>2 laser laparoscope. This article provides an overview of laser physics, the effects on the tissues, the clinical use of lasers, the appearance of endometriotic lesions and the management of endometriosis of the peritoneum, ovary, rectovagina, ureter and bladder by laser laparoscopic techniques. ?2004 Elsevier B.V. All rights reserved.
机译：子宫内膜异位症影响全球数百万。其症状包括非周期性盆腔疼痛，痛经，性交困难和生育力不足。诊断是通过腹腔镜进行的，还可以进行腹腔镜手术治疗子宫内膜异位。与传统的腹腔镜技术一样，在过去的二十年中，激光已用于腹腔镜手术中。激光的主要优点是，它们允许外科医生通过腹腔镜的微创方法进行外科手术，该手术基本上是无血的，对周围组织的损伤是高度可控的，并且已证明术后粘连的形成不超过常规方法。 CO2激光是最精确的激光，可用于分离粘膜以及准确，安全地汽化子宫内膜异位症的沉积物。使用CC> 2激光腹腔镜已经进行了几种类型的治疗子宫内膜异位的手术方法。本文概述了激光物理学，对组织的影响，激光的临床使用，子宫内膜异位病变的出现以及通过腹腔镜技术对腹膜，卵巢，直肠阴道，输尿管和膀胱的子宫内膜异位的处理。 ？2004 Elsevier B.V.保留所有权利。

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