Razvi H A, Chun S S, Denstedt J D, Sales J L
Division of Urology, University of Western Ontario, London, Canada.
J Endourol. 1995 Oct;9(5):387-90. doi: 10.1089/end.1995.9.387.
The holmium:YAG laser possesses both ablative and hemostatic properties and in preliminary clinical use has demonstrated many potential urologic applications. We review our initial experience in treating a variety of soft-tissue lesions of the urinary tract with this laser. A total of 51 patients underwent 53 procedures including superficial bladder tumor ablation (25), incision of ureteral stricture (15), incision of urethral stricture (6), relief of ureteropelvic junction obstruction (3), incision of bladder neck contracture (2), and ureteral tumor ablation (2). Procedures were considered successful, with no further intervention or alternative energy source required, in 81% of the cases. The laser demonstrated precise hemostatic cutting and warrants further investigation as a multipurpose urologic laser.
钇铝石榴石激光具有消融和止血特性，在初步临床应用中已显示出许多潜在的泌尿外科应用。我们回顾了使用这种激光治疗各种尿路软组织病变的初步经验。共有51例患者接受了53次手术，包括浅表膀胱肿瘤消融(25例)、输尿管狭窄切开术(15例)、尿道狭窄切开术(6例)、肾盂输尿管连接处梗阻解除术(3例)、膀胱颈挛缩切开术(2例)和输尿管肿瘤消融术(2例)。81%的病例手术被认为是成功的，无需进一步干预或使用其他能源。该激光显示出精确的止血切割效果，作为一种多功能泌尿外科激光值得进一步研究。
