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[钬激光在泌尿外科手术中的应用]

[The Ho-YAG laser in surgical urology].

作者信息

Mazo E B, Chepurov A K, Varentsov G i, Nemenova A A

出版信息

Urol Nefrol (Mosk). 1996 May-Jun(3):32-4.

PMID:8928329
Abstract

Ho-YAG laser (Medoptotech) operates in impulse regimen with transmission of radiation along the fiber 400-600 microns in diameter (mean power 12 W, impulse rate 1-15 Hz, energy of 1 impulse 0.7-1.5 J, its duration 300 microseconds. These parameters provide the effect of intensive biotissue evaporation, dissection of contact tissue, disintegration of concrements, hemostasis. Ho-YAG laser was employed for treatment of 8 patients with urethral polyp, 4 with stricture of the bladder neck and urethra, 5 with prostatic adenoma, 12 with bladder tumor, 10 with ureterolith, 5 with uroliths, 4 with penile lesions, 2 with ureteral stricture, 4 with ureterocele. Ho-YAG laser was used primarily for endoscopic interventions. Its use for open surgery is also promising. Further practical experience with Ho-YAG laser will provide additional information on its indications in urological diseases.

摘要

钬-钇铝石榴石激光(Medoptotech公司生产)以脉冲模式运行,辐射通过直径为400 - 600微米的光纤传输(平均功率12瓦,脉冲频率1 - 15赫兹,单个脉冲能量0.7 - 1.5焦耳,脉冲持续时间300微秒。这些参数可实现生物组织的强烈蒸发、接触组织的切割、结石的破碎以及止血效果。钬-钇铝石榴石激光用于治疗8例尿道息肉患者、4例膀胱颈和尿道狭窄患者、5例前列腺腺瘤患者、12例膀胱肿瘤患者、10例输尿管结石患者、5例尿路结石患者、4例阴茎病变患者、2例输尿管狭窄患者、4例输尿管囊肿患者。钬-钇铝石榴石激光主要用于内镜干预。其在开放手术中的应用也很有前景。钬-钇铝石榴石激光的进一步实践经验将为其在泌尿系统疾病中的适应证提供更多信息。

相似文献

1
[The Ho-YAG laser in surgical urology].[钬激光在泌尿外科手术中的应用]
Urol Nefrol (Mosk). 1996 May-Jun(3):32-4.
2
Optimization of the Erbium:YAG laser for precise incision of ureteral and urethral tissues: in vitro and in vivo results.铒钇铝石榴石激光用于输尿管和尿道组织精确切割的优化:体外和体内研究结果
Lasers Surg Med. 2003;33(2):108-14. doi: 10.1002/lsm.10205.
3
Holmium:YAG surgical lasers.钬:钇铝石榴石外科激光
Health Devices. 1995 Mar;24(3):92-122.
4
Holmium: YAG laser endoureterotomy for ureterointestinal strictures.钬激光腔内输尿管切开术治疗输尿管肠吻合口狭窄。
J Urol. 2002 Apr;167(4):1692-5.
5
[Ho-YAG laser endoscopic treatment of ureteral strictures].[钬激光内镜治疗输尿管狭窄]
Urologiia. 2000 Mar-Apr(2):25-8.
6
The neodymium-yttrium aluminum garnet (Nd:YAG) laser in urology.钕钇铝石榴石(Nd:YAG)激光在泌尿外科中的应用
Urol Clin North Am. 1986 Aug;13(3):381-91.
7
Holmium:YAG laser endoureterotomy for treatment of ureteral stricture.钬激光输尿管内切开术治疗输尿管狭窄
Urology. 1997 Dec;50(6):875-80. doi: 10.1016/S0090-4295(97)00511-6.
8
[The holmium laser in the treatment of bladder cancer patients].[钬激光治疗膀胱癌患者]
Urol Nefrol (Mosk). 1996 Jul-Aug(4):34-5.
9
Experimental application of pulsed Ho:YAG laser-induced liquid jet as a novel rigid neuroendoscopic dissection device.脉冲Ho:YAG激光诱导液体射流作为一种新型刚性神经内镜解剖装置的实验应用。
Lasers Surg Med. 2004;34(3):227-34. doi: 10.1002/lsm.20021.
10
Endoscopic therapy of superficial bladder cancer in high-risk patients: Holmium laser versus transurethral resection.高危患者浅表性膀胱癌的内镜治疗:钬激光与经尿道切除术的比较
Surg Technol Int. 2005;14:222-6.

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The Outcome of Transurethral Electro-Endoscopic Resection of Orthotopic Single System Ureterocoeles in Adults Nigerians.尼日利亚成年患者原位单系统输尿管囊肿经尿道电内镜切除术的结果
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Endoscopic meatotomy in the treatment of ureterocele: results in adult patients.
内镜下肌切开术治疗输尿管口囊肿:成人患者的疗效。
Pan Afr Med J. 2020 Aug 4;36:243. doi: 10.11604/pamj.2020.36.243.24941. eCollection 2020.
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Laser endoscopic incision: a viable alternative to treat adult ureterocele.激光内镜下切开术:治疗成人输尿管囊肿的一种可行替代方法。
Int Urol Nephrol. 2001;33(2):325-8. doi: 10.1023/a:1015266123275.