高功率荷尔:Yag 石在膀尿病中的作用:它安全有效吗? 一个联合的临床和实验研究
Konstantinos Pagonis1, Paraskevi Katsakiori1, Angelis Peteinaris1
1Department of Urology, University of Patras, Patras, Greece.
Arab journal of urology
|May 31, 2024
概括
高功率的霍尔:伊--花 (Ho:YAG) 激光溶解术超过100瓦有效地分解膀结石. 这种快速和安全的治疗在患者中实现了100%的无石头率,并并发症最小.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 激光手术 激光手术是一种激光手术.
- 医疗器械 医疗器械
背景情况:
- 膀结石 (结石) 可以引起显著的不适和并发症.
- 传统的石膏术方法在有效性和安全性方面可能存在局限性.
- 激光技术的进步为改善石材处理提供了潜力.
研究的目的:
- 为了评估Holmium的有效性和安全性:在高功率设置 (>100W) 时使用伊--花 (Ho:YAG) 激光石化术.
- 为了比较不同功率级别的废弃率和温度变化.
- 评估临床结果,包括无石头率和手术时间.
主要方法:
- 这是一项联合的实验 (体外和猪膀) 和临床研究.
- 使用Quanta Cyber:Ho 150激光器与一个550微米光纤.
- 测试功率设置从20W至152W,临床设置在100W至150W之间.
主要成果:
- 与低功率设置相比,高功率的Ho:YAG激光设置显著增加了石质减少和废弃率.
- 实验试验显示,即使在152W,温度上升也很小 (<32°C).
- 临床研究报告了100%的无石头率,平均手术时间为43分钟,并且在一名患者中只出现了轻微的出血.
结论:
- 使用功率设置大于100W的Ho:YAG激光石术是一种高度有效的治疗膀结石.
- 该程序是快速的,并显示出一个有利的安全概况.
- 这种高功率激光模式代表了治疗膀结石的有效选择.
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