用碎片化模式使用优化脉冲序列的图纤维激光治疗尿病
Alexey Martov1,2, Magomed Adilkhanov2, Andrey Andronov1,2
1Department of Urology and Andrology of A.I. Burnazyan SRC FMBC, FMBA of Russia, Moscow, Russia.
Journal of endourology
|July 20, 2024
概括
第二代超脉冲纤维激光器 (SP TFL) 具有先进的碎片脉冲 (AFP),有效地碎片化尿管和结石. 这种激光技术在尿路透镜和迷你PCNL手术中显示出最小的并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 激光技术 激光技术 激光技术
- 腎石病的治療方法 腎石病的治療方法
背景情况:
- 超脉冲硫纤维激光器 (SP TFL) 是一种新兴的治疗体内石症的替代方案.
- 虽然SP TFL在除尘方面表现有前途,但其碎片化效率需要进一步研究.
- 第二代SP TFL集成了先进的碎片脉冲 (AFP) 序列,以增强碎片的能力.
研究的目的:
- 评估第二代SP TFL在碎片化模式中的安全性和有效性.
- 评估SP TFL在尿道镜检查 (URS) 和迷你皮肤穿神经切除术 (迷你PCNL) 中的性能.
主要方法:
- 实体安全性评估,使用组织学分析对猪脏组织上的AFP与标准SP TFL碎片进行比较.
- 临床评估涉及40名接受尿路或迷你PCNL尿道和结石治疗的患者.
- 记录石材的特性 (大小,体积,密度) 和激光参数 (激光时间,总能量,AFP能量,平均功率).
主要成果:
- 活体分析显示,AFP和正常的SP TFL脉冲之间具有相似的粘膜损伤概况.
- 临床阶段证明了多种尿管和结石的有效碎片化,以便提取.
- 平均石块体积为0.4厘米3 (尿道) 和1.3厘米3 (脏);平均密度分别为1029厘米和1113厘米.
- 在URS和迷你PCNL组中观察到低的整体并发症率.
结论:
- 具有AFP能力的第二代SP TFL提供了有效的分离尿管和结石,无论其组成如何.
- 这种激光技术在URS和迷你PCNL程序中安全有效.
- 最小的并发症率与SP TFL碎片化有关.
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