本文讨论了近年来激光手术在妇科和外科中用于不育患者的情况，如输卵管手术、粘连松解、子宫肌瘤切除等。激光手术在微观细节处理上有优势，尤其适用于显微输卵管手术，但不适合粗糙手术，且设备昂贵。同时，内窥镜手术配合激光也在不育症和子宫内膜异位症手术中变得流行，尽管技术要求高。
抄録
Rescently laser surgery has been done for sterile patients in Gynecology as well as the cholecystectomy in Surgery. Surgical treatments for sterile patients are classified as follows; the tubal surgery, including the anastomosis and the salpingostomy, adhesiolysis, enuclation of fibroid, repairment of uterine anomaly, ovarian cystectomy, puncture and absorption of ovarian cyst, operations for polycystic ovary syndrom. Except for sterile patients ectopic pregnancy and microfertilization techniques are also use laser to make them more easy and conbinient.
Advantages of laser surgery are treatable to the minutest details, to be used under endoscopies and under microfertilization. In operations for sterile patients laser is especially useful for microsurgical tubosurgery like as uterine cornual-ithmic anastomosis, ithmic-ithmic anastomosis and fimbrioplasty because these operations are done to the minutest details under microscope. But disadvantages are unsuitable for rough surgery, to be needed quite expensive and big instrument. Also operator should use some special glasswares as well. In another hand, endoscopic surgery is going to be very popular in operations for sterile patients and endpmetriosis patients with laser. In endoscopic surgery minute cechniques are required because these operations are not so easy to perform for general gynecologist. In those endoscopic operations laser is quite useful.
In this paper rescent progressive laser surgery for sterile patients are discussed with our experiences and some reports.
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