CO2 laser를 이용한 바토린선종양의 치료효과 = Management of the Bartholin Duct Cysts with the Carbon Dioxide Laser

다국어 초록 (Multilingual Abstract)

Cystic enlargement of the duct of the bartholin gland is a common gynecologic disease caused by the obstruction of the duct dut to infection and scarring Many methods such as incision and drainage, excision of cyst, marsupialization of the cyst have been used to remedy this problem Each method has it`s benefits and limitations, but the CO2 laser may offer several advantages over more conventional methods in treating this common condition becasue it minimizes blood loss and abolishes the cyst capsule rather than leaving it exposed And laser surgery has been shown to be associated with rapid healing and a minimal amount of fibrosis Athors treated 21 cases of bartholin duct cyst such as 14 cases of simple cyst and 7 cases of bartholin`s duct abscess The follow up period were 6 to 18 months The results were abtained as follows: 1 Age distribution was between 14 and 53 years with 31 9 year of mean age, and the group of 20 to 29 year revealed highest incidence Mean parity was 2 0 1 An operation time was 10 minutes or less in all treated cases and no specific anesthetics and analgesics were necessary in the majority of cases 3 Postoperative complications were moderate pain and edema on the site of operation, but these symptom completely disappeared 7 days after operation 4 Complete healing took an average of 2 2 weeks and by the forth postoperative week, the site of operation was usually less than 2-3mm in it`s greatest dimention 5 In the follow up period of 6 to 18 months, these has been one recurrence According to our experience, the CO2 laser can be employed easily and successfully in the management of bartholin duct cyst The patient heals rapidly with no scar formation, no specific postoperative complications, no impairment of sexual function and low indicence of recurrence