在常规设置的荷激光 (Ho:YAG) 与对于非复杂结石的蒸汽道脉冲模式之间的除尘效果
Luis Rico1,2, Pablo Contreras3, Leandro Blas3
1Department of Urology, Hospital Aleman, Buenos Aires, Argentina. luisrico_01@hotmail.com.
Lasers in medical science
|July 27, 2023
概括
与长脉冲相比,新的蒸汽道TM (VT) 脉冲模式用于Ho:YAG激光石术减少了手术时间,并提高了疗效. 在结石的两种方法中,无结石率仍然相当.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗工程 医学工程
- 激光技术 激光技术 激光技术
背景情况:
- 霍:YAG激光光是对结石的标准治疗方法.
- 新的脉冲模式旨在提高治疗效率和治疗结果.
- 蒸汽道TM (VT) 是一种使用蒸汽通道的新型长脉冲模式.
研究的目的:
- 为了比较Ho:YAG激光与VT对非复杂结石的粉尘处理效率和石化疗效率与标准长脉冲相比.
- 评估操作参数,包括激光和总操作时间.
- 在程序后评估无石头率.
主要方法:
- 对236名接受逆行性内外科手术的患者进行了回顾性比较研究.
- 患者被分为两组:长脉冲的Ho:YAG激光和VT的Ho:YAG激光.
- 通过CT扫描收集的数据包括石头特性,激光设置,手术时间和无石头率.
主要成果:
- VT组显示使用的总能量,激光发射时间和总运行时间显著降低.
- 静脉血疗法的疗效 (J/mm3) 在静脉血组显著更高 (12.5 J/mm3 vs. 23.1 J/mm3).
- 在VT (74.5%) 和长脉冲 (66.1%) 组之间,无石头率是可比的.
结论:
- 与标准的长脉冲Ho:YAG激光相比,Vapor-TunnelTM (VT) 脉冲模式显示出更好的石疗效和更短的操作时间.
- VT提供了一种潜在的更有效的结石治疗选择,具有可比的无结石率.
- 进一步的研究可能会在更复杂的石头情况下探索VT.
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