新型脉冲铥固体激光器与铥光纤激光器和标准 Ho:YAG 激光器的体外破碎性能比较。
In vitro fragmentation performance of a novel, pulsed Thulium solid-state laser compared to a Thulium fibre laser and standard Ho:YAG laser.
机构信息
Department of Urology, Faculty of Medicine, University of Freiburg-Medical Centre, Hugstetter Str. 55, 79106, Freiburg, Germany.
出版信息
Lasers Med Sci. 2022 Apr;37(3):2071-2078. doi: 10.1007/s10103-021-03495-8. Epub 2021 Dec 14.
The aim of this work was to compare the fragmentation efficiency of a novel, pulsed Thulium solid-state laser (p-Tm:YAG) to that of a chopped Thulium fibre laser (TFL) and a pulsed Holmium solid-state laser (Ho:YAG). During the fragmentation process, we used a silicone mould to fixate the hemispherical stone models under water in a jar filled with room-temperature water. Each laser device registered the total energy applied to the stone model to determine fragmentation efficiency. Our study examined laser settings with single pulse energies ranging from 0.6 to 6 J and pulse frequencies ranging from 5 to 15 Hz. Similar laser settings were applied to explicitly compare the fragmentation efficiency of all three devices. We experimented with additional laser settings to see which of the three devices would perform best. The fragmentation performance of the three laser devices differed statistically significantly (p < 0.05). The average total energy required to fragment the stone model was 345.96 J for Ho:YAG, 372.43 J for p-Tm:YAG and 483.90 J for TFL. To fragment the stone models, both Ho:YAG and p-Tm:YAG needed similar total energy (p = 0.97). TFL's fragmentation efficiency is significantly lower than that of Ho:YAG and p-Tm:YAG. Furthermore, we found the novel p-Tm:YAG's fragmentation efficiency to closely resemble that of Ho:YAG. The fragmentation efficiency is thought to be influenced by the pulse duration. TFL's shortest possible pulse duration was considerably longer than that of Ho:YAG and p-Tm:YAG, resulting in Ho:YAG and p-Tm:YAG exhibiting better fragmenting efficiency.
这项工作的目的是比较新型脉冲掺钬钇铝石榴石固态激光器(p-Tm:YAG)、脉冲掺铥光纤激光器(TFL)和脉冲掺铥钇铝石榴石固态激光器(Ho:YAG)的碎石效率。在碎石过程中,我们使用硅橡胶模具将半球形结石模型固定在装满室温水的罐中的水下。每个激光设备记录施加到结石模型上的总能量,以确定碎石效率。我们研究了单脉冲能量为 0.6 至 6 J、脉冲频率为 5 至 15 Hz 的激光设置。应用类似的激光设置来明确比较所有三种设备的碎石效率。我们尝试了额外的激光设置,以观察三种设备中哪种效果最好。三种激光设备的碎石性能差异具有统计学意义(p < 0.05)。Ho:YAG 破碎结石模型所需的平均总能量为 345.96 J,p-Tm:YAG 为 372.43 J,TFL 为 483.90 J。要破碎结石模型,Ho:YAG 和 p-Tm:YAG 需要的总能量相似(p = 0.97)。TFL 的碎石效率明显低于 Ho:YAG 和 p-Tm:YAG。此外,我们发现新型 p-Tm:YAG 的碎石效率与 Ho:YAG 非常相似。认为碎石效率受脉冲持续时间的影响。TFL 的最短脉冲持续时间明显长于 Ho:YAG 和 p-Tm:YAG,导致 Ho:YAG 和 p-Tm:YAG 表现出更好的碎石效率。
相似文献
引用本文的文献
Lasers Med Sci. 2024-12-16
本文引用的文献
Turk J Urol. 2020-11
Clin Cases Miner Bone Metab. 2008-5