图纤维激光与霍尔相对:YAG用于泌尿器官石质:系统性审查和元分析
Nidal Samira1, Moh Sanee2, Murad Asali3
1Endourology Specialist-Urology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.
Photobiomodulation, photomedicine, and laser surgery
|February 9, 2026
概括
图纤维激光器 (TFL) 在治疗尿路结石方面显示出比Holmium:YAG (Ho:YAG) 更好的结果,提供更高的无结石率和更短的程序. 这种激光石术的进步改善了患者在内分泌学方面的结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 激光技术 激光技术 激光技术
背景情况:
- 尿路结石的管理依赖于有效的激光石治疗.
- 荷:YAG (Ho:YAG) 激光器是标准的,但新的技术正在出现.
- 图纤维激光器 (TFL) 在石材碎片化方面提供了潜在的优势.
研究的目的:
- 系统地比较TFL与Ho:YAG激光治疗尿路结石的临床疗效和安全性.
- 综合来自随机对照试验和比较队列研究的数据.
- 评估程序结果,包括无石头率,手术时间和并发症.
主要方法:
- 按照PRISMA 2020指南进行系统审查和元分析.
- 搜索了主要的数据库 (PubMed,Embase,Cochrane,Scopus) 来查找2010年至2025年的研究.
- 包括RCT和队列研究,比较TFL和Ho:YAG在尿路透镜/RIRS中;分析了无结石率,手术时间和并发症.
主要成果:
- 包括28项与3672名患者的研究;TFL显示出明显更高的无结石率 (93.5%与87.2%,p<0.01).
- TFL导致手术时间缩短 (43.2比52.8分钟,p<0.001) 和再治疗率降低 (4.2%比7.6%,p<0.01).
- 在TFL和Ho:YAG之间,并发症率相似;观察到中等异质性 (I2=62%).
结论:
- 与Holmium:YAG (Ho:YAG) 相比,图纤维激光器 (TFL) 提供了优越的程序结果,用于内分泌石头管理.
- 在治疗尿路结石方面,TFL表现出更好的疗效和效率.
- 未来对集成TFL原则的先进激光系统的研究可能会带来进一步的好处.
关键词:
网络HoMagneto激光器是如何使用的霍尔:YAG,YAG,YAG,YAG,YAG,YAG,YAG,YAG,YAG,YAG,YAG,YAG,YAG.激光石化三维精神治疗thulium光纤激光器的使用方法尿路结石 尿路结石更多相关视频
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