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目的:评价二氧化碳激光治疗仪应用于口腔黏膜扁平苔藓的优越性和安全性。方法:选取2012年6月-2014年1月清远市妇幼保健院40例口腔黏膜扁平苔藓患者随机分为实验组、对照组,每组各20例,实验组应用二氧化碳激光治疗;对照组采用常规手术刀配合电刀切除治疗,评定两组患者临床疗效。结果:两组患者术后疗效比较,差异无统计学意义(P>0.05),两组在手术时间、术中平均出血量及创面愈合时间对比,差异有统计学意义(P<0.05)。实验组所有20例患者术后无感染、创口亦一期愈合。随访1~2年,随访期内无复发。结论:应用二氧化碳激光治疗口腔黏膜扁平苔藓具有手术时间短、操作简单、出血少、手术视野清晰、创面愈合快、复发率低和术后并发症少等优点。
Objective: To evaluate the superiority and safety of CO2 laser photocoagulation on oral lichen planus. Methods: Forty patients with oral lichen planus in Qingyuan MCH hospital from June 2012 to January 2014 were randomly divided into experimental group and control group, with 20 cases in each group. The experimental group was treated with carbon dioxide laser. In the control group, Scalpel with electric knife removal treatment, the clinical efficacy of two groups were evaluated. Results: There was no significant difference between the two groups in the postoperative curative effect (P> 0.05). There was significant difference between the two groups in operation time, average intraoperative blood loss and wound healing time (P <0.05). All 20 patients in the experimental group had no postoperative infection and the wound was healed one more time. Follow-up 1 to 2 years, no recurrence during the follow-up period. Conclusion: The application of carbon dioxide laser in the treatment of oral mucosal lichen planus has the advantages of short operation time, simple operation, less bleeding, clear operation vision, quick wound healing, low recurrence rate and few postoperative complications.