课件：经尿道激光治疗BH对比.pptVIP

直输出光纤(剜除术) 例如钬激光 激光手术简介 直输出光纤(切割术+汽化术) 例如2微米激光 激光手术简介 龙卷风光纤（切割术+汽化术+剜除术） 例如红激光 汽化式 类TURP式 剃须式 刷照式 汽化切割式 剜除式 激光手术简介 真 正 意 义 的 微 创 手术简单 无手术风险 安全无出血 竞争力强 泌外医生 BPH患者 医院 BPH 治 疗 的 最 佳 选 择 选择激光治疗BPH的标准 谢 谢 THANK YOU SUCCESS * * 可编辑 * * * * * * Dependent on the laser material that is used, different wavelengths can be generated. You see here a spectrum ranging from the UV on the left, through its visible part, to the infrared on the right. The lines illustrate different lasers like the Excimer laser in the UV, the KTP laser in the green, the Nd:YAG in the infrared and further out in the infrared, the CO2 laser. Also shown are absorption curves for different tissue components. Dependent on what component of the tissue we want to heat, we can choose different lasers. The KTP laser is highly absorbed by oxyhaemoglogin while infrared lasers are highly absorbed by water. * First of all, the kind of tissue effect that we will be able to achieve depends on the tissue structure, by that I mean, if it is soft or hard tissue. The effect also depends on the laser wavelength. As I mentioned, different wavelengths get absorbed by different tissue structures. The laser tissue interaction depends on the power or energy settings. A higher power generally results in a more dramatic effect. Lasers can be operated in a pulsed mode or a continuous mode, we call the later one continuous-wave or cw mode. Pulsed lasers typically cause more of a mechanical fragmentation effect while continuous-wave lasers are able to heat-vaporize a large bulk of tissue. Last but not least, the interaction between the laser light and tissue depends on the way the light applicator, for example the fiber, is handled by the surgeon. It’s important to understand that every laser and surgical procedure requires a different fiber handling technique because of the different tissue and laser parameters li