绿激光水下汽化生物组织的实验及临床应用.pdfVIP

第l6卷第6期 激 光 生 物 学 报 V0】．16 No．6 2007年l2月 ACTA LASER B10L0GY SINICA Dec．2oo7 · 应用研究· 绿激光水下汽化生物组织的实验及临床应用 何艳艳，李正佳 ，黄楚云，姚育成 (华中科技大学光电子科学与工程学院，湖北武汉430074) 摘 要：应用自制的KTP．Nd“：YAG绿激光治疗机进行了水下汽化离体动物组织实验并对l5名前列腺增生 患者和3名尿道狭窄患者进行临床治疗。结果发现水下汽化离体动物组织汽化速度快，热损伤区小。临床结果 表明此方法手术时间短，不出血，导尿管时问短，只需3 d左右，未发现副作用和不良反映。经水下汽化离体生 物组织和经尿道镜治疗的临床实验，可以得出以下结论：本单位研制的KTP．Nd“：YAG绿激光治疗机经尿道 镜汽化术治疗前列腺增 、尿道狭窄等泌尿科疾病疗效确切，是一种特别适用于高危患者的微创介入的治疗手 段，可以作为泌尿科的一线治疗方法。 关键词：绿激光；汽化；生物组织；前列腺增生组织 中图分类号：R758．23 文献标识码：A 文章编号：1007—7146(2007)06-0786-04 Experiment and Clinical Application of Green Laser Vaporization of Biologic Tissue under Water HE Yah—yan，LIZheng-fia ，HUANG Chu—yun，YAO Yu-cheng (College of Optoelectronics Science and Engineering，Huazhong University of Science and Technology，Wuhan 430074，Hubei，China) Abstract：The experiment of domestically manufactured green laser vaporization of biologic tissue under water was in— vestigated．1 5 patients with benign prostatic hyperplasia(BPH)and 3 patients with urethra straitness were treated by green laser．The fast vaporization of biologictissue under the water and the small residual layer of thermally denatured tissue were observed in this experiment．Tile clinical result showed that these surgical procedures have achieved a quic— ker operation times，a shorter post—operation catherization of the urethra times(only 2 d～3 d)，good hemostasia and the lower levers of adverse side effects．So the conclusion can be drawn that green laser vaporization of tissue is a treatment method that can be adopted to treat patients with BPH，strait urethra ete urology diseases，and be safe and effective，es—