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

국문 초록 (Abstract)

CO2 laser를 이용하여 21예의 바토린선 종양을 치료하여 다음과 같은 결과를 얻었다 1 바토린선종양의 종류는 21예중 14예가 단순종양이었고, 7예가 화농성종양이었으며, 종양의 크기는 3cm부터 8cm까지 다양하였으으나 평균크기는 4 8cm이었다 2 치료를 받은 군의 연령분포는 14세부터 53세사이였으며, 평균연령은 31 9세였고, 20∼29세군이 8예(38 1%)로 가장 많았다 출산력은 2회경산부가 5예(23 8%)로 가장 많았으며 평균출산횟수는 2 0회이었다 3 CO2 laser에 의한 수술시간은 21예 모두 10분 이내였으며, 마취는 18예에서 국소마취로 충분하였으나, 3예는 시술 중 동통을 호소하여 pethidine 50mg을 정주한 후 실시하였다 4 수술 후의 합병증으로는 7예에서 중등도 이하의 동통을 호소하였으며, 수술부위의 부종도 6예에서 호소하였으나, 7일이내에 모두 소실하였다 재발률은 21예중 1예로 4 8%였으며, 불충분한 기화때문이라고 생각된다 5 평균치유기간은 2 6주였고, 수술부위의 반흔은 4주 후에는 2∼3mm로 거의 발견할 수 없었다

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