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首页> 外文会议>Conference on 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：Ruby激光用盲人盲曲调的盲目性能

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For the last two years we have applied continuous dual-wavelength Nd:YAG 20 - 60 W power laser to various urologic operations. Transmission of laser irradiation via a flexible quartz fiber permitted operating at any depth of the wound. High-intensity irradiation of 1.06 mkm wavelength was effective in making thin incisions into a variety of tissues, including skin, subcutaneous fat, aponeurosis, muscles, urinary bladder wall, prostate gland, renal pelvis, renal capsule and parenchyma, and urethra. The incisions were especially effective if the contact method was used. Operational access was accomplished in 3 - 5 minutes. At the same time, hemostasis occurred in small diameter vessels. More reliable hemostasis could be achieved by means of 1.32 mkm wavelength. With the present laser device, we carried out 57 different urologic operations in our clinic. Examples of such operations include prostatectomy, pyelolithotomy, ureterolithotomy, nephrectomy, resection of renal cysts, condylomata acuminata of the urogenital organs, and papilloma of the urethra and bladder. The results suggest that a combination of these two wavelengths may prove most effective. Advantages of this approach include a decreased blood loss and decreased surgical time, asepsis, good short- and long-term results, and no complications.
机译：在过去的两年中，我们已申请连续双波长的Nd：YAG 20 - 60瓦功率的激光，以各种泌尿系统操作。经由柔性石英纤维激光照射的传输允许在伤口的任何深度运行。 1.06微米（mKm）波长的高强度照射是有效地制造薄的切口成各种组织，包括皮肤，皮下脂肪，筋膜，肌肉，膀胱壁，前列腺，肾盂，肾小囊和实质，和尿道。切口是如果使用了接触方法特别有效。 5分钟 - 操作的访问是在3完成。与此同时，止血发生在小直径的血管。更可靠的止血可通过1.32微米（mKm）的波长来实现。本激光设备，我们在我们的诊所进行了57个不同的泌尿系统操作。这种操作的例子包括前列腺切除术，肾盂切开取石，输尿管，肾切除术，肾囊肿切除术，泌尿生殖器官尖锐湿疣，以及尿道和膀胱乳头状瘤。结果表明，这两种波长的组合可以证明是最有效的。这种方法的优点包括减少失血和减少手术时间，无菌操作，良好的短期和长期效果，且无并发症。

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