Roux F X, Devaux B, Merienne L, Cioloca C, Chodkiewicz J P
Neurosurgical Department C.H. Sainte-Anne, Paris, France.
Acta Neurochir (Wien). 1990;107(3-4):161-6. doi: 10.1007/BF01405796.
The authors present their clinical experience with 1.32 microns Nd-YAG Laser. After a series of experimental studies which demonstrated the adaptability of such a wavelength to central nervous surgery, they used such a Laser during current neurosurgical procedures. The MC 2100 unit combines two wavelengths 1.32 microns and 1.06 microns, and two emission modes: continuous wave (c.w.) and pulsed. This Laser has been used during 70 procedures: 54 supra-tentorial, 8 infra-tentorial, 5 intra-spinal, 3 intra-orbital, 600 microns and 400 microns fibers were preferred in most cases, either with a telescopic light handpiece or- less often--with a focussing handpiece. The quality of vaporization--close to that of CO2 Laser- and of haemostasis-close to that of 1.06 microns Nd-YAG Laser-makes this 1.32 microns wavelength very suitable for neurosurgery. The manoeuverability due to the optic fibers is most interesting. Furthermore, such a Laser should have in the near future large applications in stereotactic and/or endoscopic neurosurgery.
作者介绍了他们使用1.32微米钕钇铝石榴石激光的临床经验。在一系列实验研究证明了这种波长对中枢神经外科手术的适应性之后，他们在当前的神经外科手术中使用了这种激光。MC 2100设备结合了1.32微米和1.06微米两种波长以及连续波（c.w.）和脉冲两种发射模式。这种激光已在70例手术中使用：幕上手术54例，幕下手术8例，脊髓内手术5例，眶内手术3例。在大多数情况下，优先使用600微米和400微米的光纤，可搭配伸缩式光导机头，较少情况下搭配聚焦机头。其汽化质量接近二氧化碳激光，止血效果接近1.06微米钕钇铝石榴石激光，这使得1.32微米波长非常适合神经外科手术。光纤带来的可操作性非常吸引人。此外，这种激光在不久的将来应会在立体定向和/或内窥镜神经外科手术中有广泛应用。
