二氧化碳激光技术在眼整形外科的应用  

Application of CO_(2)laser technology in oculoplastic surgery

作　　者：王丁巧(综述) 高无忧 李作红[1] 梁轩伟[1] 毛真[1] 林羡钗(审校)[1] WANG Dingqiao;GAO Wuyou;LI Zuohong;LIANG Xuanwei;MAO Zhen;LIN Xianchai(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州510060

出　　处：《眼科学报》2025年第1期45-52,共8页Eye Science

摘　　要：二氧化碳(carbon dioxide,CO_(2))激光通过气体混合物激发产生红外光,组织水分高度吸收后引发汽化和局部热效应,能够精确封闭小血管和淋巴管。这些特性使得CO_(2)激光在组织切割过程中能够最大限度地减少出血,提高术中视野的清晰度,缩短手术时间,并减轻术后肿胀、瘀斑及疼痛。在眼整形外科,特别是处理眼周复杂病例方面,CO_(2)激光展现了显著的优势。文章对CO_(2)激光在眼整形外科中的应用进行综述,包括眼睑肿物切除、泪小管炎治疗、瘢痕治疗、皮肤松弛治疗以及眼袋去除等,旨在为临床医生和研究人员提供关于CO_(2)激光在眼整形外科中的全面参考,帮助其了解该项技术的优势、效果及术后并发症,以更有效地应用于实践并探索未来发展。The carbon dioxide(CO_(2))laser generates infrared light through the excitation of a gaseous mixture.When this infrared light is highly absorbed by tissue water,it triggers vaporization and localized thermal effects,enabling precise sealing of small blood vessels and lymphatic vessels.These properties allow the CO_(2)laser to minimize bleeding during tissue dissection,enhance intraoperative visual field clarity,reduce operative time,and alleviate postoperative swelling,ecchymosis,and pain.The CO_(2)laser has demonstrated significant advantages in oculoplastic surgery,particularly in the management of complex periorbital cases.This article reviews the applications of the CO_(2)laser in oculoplastic surgery,including eyelid tumor excision,treatment of canaliculitis,scar management,skin laxity treatment,and removal of eye bags.It aims to provide clinicians and researchers with a comprehensive reference on the use of the CO_(2)laser in oculoplastic surgery,helping them understand the advantages,effects,and postoperative complications of this technology,in order to more effectively apply it in practice and explore future developments.

关 键 词：二氧化碳激光 眼整形外科 微创治疗 点阵激光 眼睑疾病 

分 类 号：R779.63[医药卫生—眼科] R318.51[医药卫生—临床医学]