铥光纤激光在泌尿外科的研究及应用进展  

Research progress and clinical application of thulium fiber laser in urology

作　　者：朱砂 李思宁 王坚 Zhu Sha;Li Sining;Wang Jian(Graduate School,Guangdong Medical University,Zhanjiang 524023,China;Department of Urology,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,China)

机构地区：[1]广东医科大学,湛江524023 [2]广东医科大学附属医院泌尿外科,湛江524000

出　　处：《中国综合临床》2023年第6期475-480,共6页Clinical Medicine of China

摘　　要：铥光纤激光(thulium fiber laser,TFL)是一种新型且有潜力的激光,其优势显著,治疗范围可覆盖整个泌尿系统。在碎石领域,与钬激光相比,TFL不仅能粉碎任何成分结石,而且碎石更高效、震动移位更小、碎石颗粒更细小,且并发症少;在软组织应用方面,与其他激光相比,其高效汽化、精准切割、止血效果佳、安全性好。此外,TFL激光器体积小、电能转化效率高、激光器稳定、核心部件寿命长、无需特殊插座,工作时噪音小。目前关于TFL碎石、软组织汽化切割的研究大部分为临床前研究,临床研究尚少。现就TFL的物理性能、优势、碎石效率、汽化切割效率、安全性及临床应用作一综述,以期为未来临床应用提供更多参考依据。Thulium fiber laser(TFL)is a new and potential laser with significant advantages in that the therapeutic range covers the entire urinary system.In the field of lithotripsy,compared with the holmium laser,which not only can dust any urinary stone composition types,but also has a higher ablation rate、smaller retropulsion、thinner fragements and fewer complications.In terms of soft tissue applications,compared with other lasers,it has efficient vaporization、precise incision、remarkable hemostatic ability and safety.Additionally the laser is small in size,high in power conversion efficiency,stable in performance,low noise during operation and ordinary power socket in power supply.Most of the current research on TFL lithotripsy and tissue vaporization is preclinical and few clinical studies.This article reviews the physical properties、advantages、ablation efficiency、vaporization and incision ability、laser safety and clinical application of TFL in order to provide more reference for future clinical applications.

关 键 词：铥光纤激光 碎石 汽化切割 安全性 临床应用 

分 类 号：R699[医药卫生—泌尿科学]