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| 다음 판 | 이전 판 | ||
| med:co2_laser [2020/06/03 05:17] – 만듦 V_L | med:co2_laser [2020/06/04 00:38] (현재) – [피부] V_L | ||
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| /* 요기에 본문을 적으시와용 */ | /* 요기에 본문을 적으시와용 */ | ||
| - | + | =====피부===== | |
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| |Dermatological conditions|Laser settings|Comments| | |Dermatological conditions|Laser settings|Comments| | ||
| |Actinic and seborrhoeic keratoses|4 to 7 watts super pulse mode|Topical local anesthesia applied under occlusion at lesions for 45 to 60 min prior to procedure.| | |Actinic and seborrhoeic keratoses|4 to 7 watts super pulse mode|Topical local anesthesia applied under occlusion at lesions for 45 to 60 min prior to procedure.| | ||
| 줄 22: | 줄 26: | ||
| |Nail bed reconstruction|8 to 12 watts continuous mode|Mark the part of the nail to be avulsed with marker pen. Vaporize the nail in vertical fashion running from the proximal to distal end over the marked line. Separate the nail fold from the nail bed with nail elevator, separate proximal and lateral nail folds from nail plate with curved nail elevator. Avulse the part of the nail from the laser marked line to the lateral nail fold. Vaporize the overhanging mass of lateral nail fold tissue that contributes to onychocryptosis| | |Nail bed reconstruction|8 to 12 watts continuous mode|Mark the part of the nail to be avulsed with marker pen. Vaporize the nail in vertical fashion running from the proximal to distal end over the marked line. Separate the nail fold from the nail bed with nail elevator, separate proximal and lateral nail folds from nail plate with curved nail elevator. Avulse the part of the nail from the laser marked line to the lateral nail fold. Vaporize the overhanging mass of lateral nail fold tissue that contributes to onychocryptosis| | ||
| |Nail bed biopsy|6.5 to 8.5 watts super pulse mode|Mark a round of 4 to 5 mm on the nail plate just above the site of biopsy. Perform the punch biopsy from the nail bed, the size being 1 mm lesser than the avulsed nail plate. Put back the circular piece of nail bed on the top of the biopsy area to seal the wound| | |Nail bed biopsy|6.5 to 8.5 watts super pulse mode|Mark a round of 4 to 5 mm on the nail plate just above the site of biopsy. Perform the punch biopsy from the nail bed, the size being 1 mm lesser than the avulsed nail plate. Put back the circular piece of nail bed on the top of the biopsy area to seal the wound| | ||
| + | |Vulva Excision|10 W| to minimize scarring and lateral thermal damage | | ||
| + | |Cervix |20-30 W continuous d1.5-2mm| | ||
| + | =====수술===== | ||
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| + | The desired power-density range for adequate ablation or excision of cervical lesions with minimal thermal damage to adjacent areas is 750-2000 W/cm2 (generally, 20-30 W at a continuous setting), with an effective beam diameter of 1.5-2 mm to maximize ablation and hemostasis while minimizing lateral thermal damage. Super-pulse settings may also be used, and they are preferred by some to also reduce thermal damage. | ||
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| + | The same laser settings may be used to coagulate an area being ablated or excised, but the overall power density delivered for coagulation may be reduced by enlarging the dot size or by reducing the watt setting on the laser, thus decreasing the watts used per cm2. | ||
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| + | For treatment of the vagina or vulva/ | ||
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| + | https:// | ||
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