He一Ne激光和半导体激光对腹部手术未愈伤口疗效的比较.pdfVIP

第27卷第 1期 应 用 激 光 Vol。27，No.1 2007年 2月 APPLIEDLASER February20O7 He一Ne激光和半导体激光对腹部手术 未愈伤口疗效的比较 林琼珠，，朱桂芳 ，‘李海刚2， 曾 颖 ‘ (中山大学附属第二医院 ‘激光科;2病理科，广东广州510120) 提要 目的:比较He一Ne激光和半导体激光对腹部手术未愈伤口的疗效。方法:对65例和54例因外科或妇产科腹部手术 伤口愈合不良而分别进行氦氖激光和半导体激光治疗患者的疗效作回顾性分析。结果:1、65例患者进行3一24次He一Ne 激光治疗，平均(8.9士3.9)次;54例患者进行4一18次半导体激光治疗，平均(8.4士2，9)次。2、在疗效上，He一Ne激光治疗 组中48%(31/65)患者达到痊愈，52%(34/65)患者达到显效;而半导体激光治疗组中只有19%(1。/54)患者达到痊愈，78% (42/54)患者达到显效，还有3%(2/54)只达到好转。He一Ne激光治疗的效果明显优于半导体激光(P=0.0。。)。结论:He一 Ne激光与半导体激光对腹部手术伤口愈合不良进行照射的次数之间无显著性差异，但He一Ne激光的疗效明显较半导体激 光好。对于腹部手术伤 口愈合不良的治疗，优先选择He一Ne激光。 关键词 激光/治疗应用; 腹部手术 ;伤口愈合不良 ComParisonofEffectofHe一NeLaserandSemiconductorLaserintreatmentof UnhealingWoundafterAbdominal0Peration LinQiongzhu， ZhuGuifang， 1一iHaigang，Zengying (丁六ese:。ndAffiliatedHo、Pital，f‘sunyat一、coU八1二er，it夕， GuangzhouGuaogdo，9，510120，Ch;na) Abstract ()biective:TocomparetheeffectofHe一NelaserandsemiconductorinunhealingwoundafterabdomjnaIoperation. Methods:65casesofunhealingwoundafterabdomina1operationweretreatedwithHe一Nelaserbyenlargingfacula，and54 casesofunhealingwoundafterabdominaloperationweretreatedwithsemiconductorlaser.Results:1.65Casesweretreated for3一24times(8.9士3.9)timeswithHe一Nelaser.54Casesweretreatedfor4一18times(8.4士2.9)timeswithsen、icon- ducto:laser.2.48%ofpatientstreatedwithHe一Nelaserwerecurative，52%wereeffective.()nly19%ofpatientstreated withSemiconductorlaserwereCurative，78%wereeffective，3%weregettingbetter，Effectof、emiconductorlaserintreat- rnentofunhealingwoundafterabdominaloPerationwasbetterthantbatofHe一Nelaser(P=0.000).Conclusions:Nodiffer- enceinthetreatingtimesbetweenHe一Nelaserandsemiconductorlaserintreatmentofunhea1ingwoundafterabdominaloPer- at1onwasbetterthanthatofsemiconductorlaser.He一Nelaser