激光在泌尿外科中的应用进展.PDFVIP

Hans Journal of Surgery 外科, 2017, 6(4), 37-44 Published Online October 2017 in Hans. /journal/hjs /10.12677/hjs.2017.64006 The Development of Lasers in Urology 1 2 2 Zhen Zhao , Jian Li , Fei Luo 1 Graduate Department, Tianjin Medical University, Tianjin 2 People’s Hospital of Tianjin, Tianjin th th th Received: Aug. 25 , 2017; accepted: Sep. 8 , 2017; published: Sep. 14 , 2017 Abstract There has been a long time since the start of lasers in urology, and now it’s becoming more usual. With the development of science, people are exploring a new way. Among these devices available, holmium, diode and thulium lasers are the most popular. Lasers can be used for coagulation, va- porization and enucleation depending on the wavelength, the absorption by water and hemoglo- bin and the depth of penetration. Lasers play a key role when pharmacological treatment was useless for benign prostatic hyperplasia (BPH) patients in many medical centers. Compared with open or endoscopic operations, lasers have better therapeutic results. Treatment of older patient with multiple comorbidities has been made safe when lasers were used in the treatment of urolithiasis, urinary strictures and bladder tumors, and it can reduce the necessity to modify the anticoagulant drug treatment. Laser procedures are less invasive, shorter hospitalization time and guarantee a shorter bladder catheterization time, even eliminate the need for bladder catheterization com- pletely. At the same time, it enables more stable outcomes and lower reoperation rate. However, with the increased competition between laser manufacturers, decreased