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激光和微波在治疗内分泌疾病中的作用:一项系统评价

The Role of Laser and Microwave in Treatment of Endocrine Disorders: A Systematic Review.

作者信息

Noghabaei Giti, Ahmadzadeh Alireza, Pouran Fatemeh, Mahdavian Amirmohsen, Rezaei Mitra, Razzaghi Mohammadreza, Mansouri Vahid, Maleki Farajolah

机构信息

Department of Internal Medicine, Imam Hossein Hospital, Iran University of Medical Sciences, Tehran, Iran.

Department of Laboratory Sciences, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Lasers Med Sci. 2024 Jul 23;15:e23. doi: 10.34172/jlms.2024.23. eCollection 2024.

Abstract

The treatment of endocrine problems like thyroid disease, diabetes mellitus (DM), and polycystic ovary syndrome (PCOS) faces significant challenges so that medical professionals worldwide try to find a new therapeutic approach. However, along with common treatments which include medications, hormone replacement therapy, and surgery; there is a growing interest in alternative therapies like laser therapy, which offers a non-invasive and unique technique for treating endocrine disorders alone or in combination with traditional methods. The main goal of this review was to do a systematic review on the role of the laser and Microwave in the treatment endocrine disorders. In the present systematic review, the most important databases, including PubMed, Scopus and Google Scholar, were searched for the studies examining the effect of lasers on the treatment of endocrine problems by using appropriate keywords and specific strategies from 1995 to 2023. All the studies that were not about lasers and endocrine were excluded. Based on 51 reviewed studies, lasers and radiofrequency ablation such as RFA are effective in the treatment of thyroid diseases, hyperparathyroidism, pancreatic disorders, and sexual dysfunctions. Laser-induced interstitial thermal therapy (LITT) and microwave ablation (MWA) are genuine minimally invasive methods for the treatment of benign nodules, adenomas, and tumor ablation including pancreatic carcinomas and adrenal tumors. Intravenous laser blood irradiation (ILBI) which uses red, UV, and blue light could be effective in treating various metabolic disorders, such as DM. Laser as a cutting-edge and minimally invasive approach could treat various endocrine disorders. It has a great potential to treat and regulate hormonal imbalances, decrease inflammation, and relieve symptoms of various ailments, such as endocrine disorders.

摘要

甲状腺疾病、糖尿病(DM)和多囊卵巢综合征(PCOS)等内分泌问题的治疗面临重大挑战,因此全球医学专业人员都在努力寻找新的治疗方法。然而,除了包括药物治疗、激素替代疗法和手术在内的常规治疗方法外,人们对激光治疗等替代疗法的兴趣也在不断增加,激光治疗为单独或与传统方法结合治疗内分泌紊乱提供了一种非侵入性且独特的技术。本综述的主要目的是对激光和微波在治疗内分泌紊乱中的作用进行系统评价。在本系统评价中,通过使用适当的关键词和特定策略,检索了最重要的数据库,包括PubMed、Scopus和谷歌学术,以查找1995年至2023年期间研究激光对内分泌问题治疗效果的研究。所有与激光和内分泌无关的研究均被排除。基于51项综述研究,激光和射频消融(如RFA)在治疗甲状腺疾病、甲状旁腺功能亢进、胰腺疾病和性功能障碍方面是有效的。激光诱导间质热疗(LITT)和微波消融(MWA)是治疗良性结节、腺瘤以及包括胰腺癌和肾上腺肿瘤在内的肿瘤消融的真正微创方法。使用红光、紫外线和蓝光的静脉激光血液照射(ILBI)可能对治疗各种代谢紊乱有效,如糖尿病。激光作为一种前沿的微创方法,可以治疗各种内分泌紊乱。它在治疗和调节激素失衡、减轻炎症以及缓解各种疾病(如内分泌紊乱)症状方面具有巨大潜力。

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