用蒸汽道Ho:YAG脉冲模式进行除石的最佳石密度
Luis Rico1, Leandro Blas2, Lorena Banda Ramos2
1Department of Urology, Hospital Aleman, Buenos Aires, Argentina. luisrico_01@hotmail.com.
International urology and nephrology
|November 19, 2024
概括
蒸汽道TM Ho:YAG 激光石解术对于较低密度的结石 (<1000 UH) 更有效. 这项研究表明,对于较软的石头,改善了无石头率,减少了运行时间和能源消耗.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎石病的治療方法
- 激光光电三症是什么意思
背景情况:
- 蒸汽道TM (VT) 激光技术利用长脉冲通过蒸汽通道有效输送能量.
- 之前的研究表明可接受的除石效率,但缺乏关于石密度的体内数据.
研究的目的:
- 根据结石密度,比较Vapor-TunnelTM Ho:YAG激光石术的体内性能.
- 为了评估石疗效率,激光能量消耗,与石密度相关的无石率.
主要方法:
- 对152名用VT Ho:YAG激光进行RIRS的患者进行了回顾性分析.
- 患者根据石块密度分为两组:第一组 (<1000UH) 和第二组 (>1000UH).
- 通过CT扫描评估石质效率 (mm3/J),激光能耗 (J/mm3) 和4周无石头率 (SFR).
主要成果:
- 1组 (较软的石头) 与2组 (更硬的石头) 相比,总能耗,激光发射时间和操作时间显著降低.
- 在第一组 (96.7%) 与第二组 (57.6%) 相比,没有石头的比率要高得多.
- 在第1组 (0.053 mm3/J) 中,除石效率明显高于第2组 (0.035 mm3/J).
结论:
- 在VT Ho:YAG激光石术中,低密度石头 (<1000 UH) 的激光时间,操作时间和能源消耗都减少了.
- 这项技术显著提高了石术的效率,并提高了比较硬的石头更软的石头的无石头率.
- VT Ho:YAG激光是一种有效的治疗结石的方法,其性能受结石密度的影响.
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