激光在内分泌学中的应用:通过皮肤进行质切除术
Christophe Almeras1, Frédéric Panthier2, Steeve Doizi3
1URoSud, Clinique la Croix du Sud, Quint-Fonsegrives, France.
The French journal of urology
|November 23, 2025
概括
迷你透皮瘤切除术 (PCNL) 为结石提供了一个不那么侵入性的选择. 霍尔:YAG激光器是标准的,但图纤维激光器在复杂情况下有望提高效率和成本效益.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 激光光电三症是什么意思
背景情况:
- 穿皮骨切除术 (PCNL) 是大型结石 (>2厘米) 的标准.
- 迷你PCNL降低了患病率与相似的成功率,特别是在激光石术.
- 内镜联合内外科手术 (ECIRS) 结合了PCNL和灵活的尿路透镜 (FURS) 复杂的石头.
研究的目的:
- 对微型PCNL和ECIRS的激光技术进行审查.
- 为了比较Holmium:YAG (Ho:YAG) 激光器与新兴的图纤维激光器 (TFL) 和脉冲图:YAG激光器.
主要方法:
- 在迷你PCNL和ECIRS中对激光石术的当前文献的综述.
- 讨论激光参数,光纤和技术进步.
- 对 Ho:YAG,TFL 和脉冲的 Thulium:YAG 激光系统进行比较.
主要成果:
- 具有500μm纤维和高功率 (>30W) 的Ho:YAG激光器在迷你PCNL中是有效的,利用反推力和Venturi效应.
- 使用较小200μm纤维的TFL为ECIRS提供了稳定性和成本优势.
- 在迷你PCNL中对TFL的数据有限;脉冲的Thulium:YAG显示出潜力,但需要进一步研究.
结论:
- 霍:YAG激光仍然是迷你PCNL的参考.
- 对于ECIRS来说,TFL是一个有前途的替代品,提供了成本和效率的优势.
- 需要进一步的研究来确定TFL和脉冲的Thulium:YAG在迷你PCNL中的作用.
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