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在局部麻醉下进行Holmium:YAG激光辅助的导管内静脉内透镜光三术

Giorgos Sideris¹, Iordanis Konstantinidis², Melina Kourklidou¹

¹School of Medicine, 2nd Otolaryngolgy Department, National & Kapodistrian University of Athens, "Attikon" University Hospital, Rimini 1, Chaidari, Athens 124 62, Greece.

Journal of stomatology, oral and maxillofacial surgery

|September 24, 2023

概括

在局部麻醉下,用于唾液结石的Holmium:YAG激光石术是安全有效的. 虽然大多数患者能很好地忍受手术,但不适会限制治疗时间和激光功率.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
最少侵入性的手术
激光技术激光技术激光技术

背景情况:

唾液结石 (sialolithiasis) 引起显著的不适,并可能阻碍唾液腺的功能.
传统的石头去除方法可能是侵入性的,并带有并发症的风险.
腺镜术提供了一种微创的方法来诊断和治疗唾液腺管道结石.

研究的目的:

为了评估Holmium:YAG激光辅助sialendoscopic导管内石术对唾液结石的安全性和有效性.
评估患者在局部麻醉下的耐受性和结果.
确定与手术相关的潜在限制和并发症.

主要方法:

对用Holmium:YAG激光治疗的患者进行了回顾性的多机构病历审查.
术前成像 (超声波/CT) 用于石头的定位和测量.
在局部麻醉下使用1.3毫米和1.6毫米的sialendoscopes,根据患者的舒适度调整激光功率.

主要成果:

在42名患者 (30名男性/12名女性) 中治疗了48名石头 (>5毫米),这些石头影响了下和腺.
在66.7%的病例中实现了完整的石块碎片化;50%的不完全碎片化的病例仍然没有症状.
没有报告重大并发症 (出血,神经,皮肤);六名患者经历了疼痛限制的程序参数.

结论:

荷尔:YAG激光石术是一种在局部麻醉下治疗唾液结石的安全且耐受性良好的手术.
该技术适用于小,固定和中等大小的石头的初级处理.
患者的不适会限制激光功率和手术持续时间,这是主要的缺点.

关键词:

霍尔:YAG激光器是一种激光.导管内石化三症导管内石化三症激光利托psy是一种激光疗法.唾液腺唾液腺是什么唾液中的石头.石灰质石质症 (Sialolithiasis) 是一种危险的疾病.

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