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[钕钇铝石榴石激光在支气管学中的应用。其在非癌性病理学中的作用]

[The YAG-Nd laser in bronchology. Its role in noncancer pathology].

作者信息

Personne C, Colchen A, Toty L

出版信息

Ann Otolaryngol Chir Cervicofac. 1985;102(1):65-8.

PMID:4004017
Abstract

Whereas the CO2 laser has rapidly become an essential tool in laryngology, only a few teams use the YAG-Nd laser in bronchology. This is due to several factors, these explaining the reason for the slow diffusion of a method that has been available for 5 years. Firstly, indications are and will be very limited, and are mainly palliative in scope, particularly for tracheobronchial cancer, which represents half of the cases treated. Secondly, many endoscopic resections are dangerous and conducted at the price of a risk of asphyxia. They require an operative protocol and follow up surveillance of perfect security. Finally, it is evident that flexible endoscopic material is poorly adapted to this technique and indications have to be restricted by those who refuse to return to the archaic rigid tube.

摘要

尽管二氧化碳激光已迅速成为喉科学中的一项重要工具,但只有少数团队在支气管学中使用钕钇铝石榴石激光。这是由几个因素导致的,这些因素解释了一种已问世5年的方法扩散缓慢的原因。首先,其适应症过去是、将来也会非常有限,而且主要是姑息性的,特别是对于气管支气管癌,此类癌症占治疗病例的一半。其次,许多内镜切除术很危险,且是以窒息风险为代价进行的。它们需要完善的手术方案和后续安全监测。最后,很明显,软性内镜材料不太适合这项技术,而且适应症不得不受到那些拒绝使用老式硬质镜的人的限制。

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