Hofstetter A, Alvarez Alarcón-Hofstetter A
Urologische Klinik und Poliklinik, Ludwig Maximilians-Universität München.
Arch Esp Urol. 1992 Apr;45(3):227-9.
Laser lithotripsy constitutes a safe method with a success rate of 95% in the treatment of ureteral calculi. The photoacoustic properties of the laser permit stone fragmentation without injury to tissue. The major disadvantage of this technique is its cost. The availability of increasingly smaller electrohydraulic systems that are less costly questions the routine use of the laser system. Another aspect that must be considered is the rapid development of endourologic techniques and instruments in recent years. The use of laser-induced shock waves is not exclusive to the field of Urology. In other surgical specialties where electrohydraulic energy is difficult to use, it constitutes a necessary technique. Such is the case of endoscopy of the bile ducts, fragmentation of pancreatic calculi and lithiasis of the salivary glands. Another possible field of application of laser-induced shock waves is coronary angioplasty.
激光碎石术是一种安全的方法，治疗输尿管结石的成功率为95%。激光的光声特性可使结石破碎而不损伤组织。该技术的主要缺点是成本高。越来越小且成本较低的电液压系统的出现，对激光系统的常规使用提出了质疑。另一个必须考虑的方面是近年来腔内泌尿外科技术和器械的迅速发展。激光诱导冲击波的应用并不局限于泌尿外科领域。在其他难以使用电液压能量的外科专科中，它构成了一项必要技术。胆管内镜检查、胰腺结石破碎和唾液腺结石病就是这种情况。激光诱导冲击波的另一个可能应用领域是冠状动脉成形术。
