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首页> 外文会议>Lasers in Urology >First experience with blind lithotripsy of ureteral calculi by ruby laser
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First experience with blind lithotripsy of ureteral calculi by ruby laser

机译：红宝石激光治疗输尿管结石盲碎石术的首次经验

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摘要

Abstract: For the last two years we have applied continuousdual-wavelength Nd:YAG 20 - 60 W power laser to variousurologic operations. Transmission of laser irradiationvia a flexible quartz fiber permitted operating at anydepth of the wound. High-intensity irradiation of 1.06mkm wavelength was effective in making thin incisionsinto a variety of tissues, including skin, subcutaneousfat, aponeurosis, muscles, urinary bladder wall,prostate gland, renal pelvis, renal capsule andparenchyma, and urethra. The incisions were especiallyeffective if the contact method was used. Operationalaccess was accomplished in 3 - 5 minutes. At the sametime, hemostasis occurred in small diameter vessels.More reliable hemostasis could be achieved by means of1.32 mkm wavelength. With the present laser device, wecarried out 57 different urologic operations in ourclinic. Examples of such operations includeprostatectomy, pyelolithotomy, ureterolithotomy,nephrectomy, resection of renal cysts, condylomataacuminata of the urogenital organs, and papilloma ofthe urethra and bladder. The results suggest that acombination of these two wavelengths may prove mosteffective. Advantages of this approach include adecreased blood loss and decreased surgical time,asepsis, good short- and long-term results, and nocomplications.!0
机译：摘要：在最近两年中，我们将连续双波长Nd：YAG 20-60 W功率激光器应用于各种泌尿外科手术。通过柔性石英纤维传输激光辐射，可在伤口的任何深度进行操作。 1.06mkm波长的高强度照射可有效地在各种组织中形成薄切口，包括皮肤，皮下脂肪，腱膜，肌肉，膀胱壁，前列腺，肾盂，肾囊和薄壁组织以及尿道。如果使用接触法，切口尤其有效。在3-5分钟内完成了操作通道。同时，在小直径血管中发生止血。通过1.32 mkm的波长可以实现更可靠的止血。使用本激光设备，我们在诊所进行了57种不同的泌尿外科手术。此类手术的例子包括前列腺切除术，肾盂切开术，输尿管结石术，肾切除术，肾囊肿切除术，泌尿生殖器官的con突，尿道和膀胱乳头状瘤。结果表明这两个波长的组合可能被证明是最有效的。这种方法的优点包括减少失血量和减少手术时间，刺痛，短期和长期效果良好以及无并发症。！0

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