铥激光与钬激光设备在前列腺增生手术中能耗与用电对比分析  

Comparative Analysis of Energy Consumption and Electricity Use between Thulium Fiber Laser Devices and Holmium Laser Devices For Treatment of Benign Prostate Hyperplasia

作　　者：刘骁 左超 陈翔[1] 赵韵文 李思童 田军 张凯[1] Liu Xiao;Zuo Chao;Chen Xiang(Peking University First Hospital,Beijing,10034,China;不详)

机构地区：[1]北京大学第一医院,北京100034 [2]北京大学第一医院密云院区,北京101500 [3]北京四季海源空气净化设备有限公司,北京102100

出　　处：《中国医院管理》2024年第11期85-87,90,共4页Chinese Hospital Management

基　　金：中央高水平医院临床科研业务费资助项目(2023CX01)。

摘　　要：目的比较两种常用的激光治疗机在前列腺剜除手术中的耗电情况和电工参数,从能耗管理和用电安全、使用便捷性的角度为选择手术设备提供参考。方法由同一泌尿外科医生采用两种不同激光治疗机分别进行经尿道铥激光前列腺剜除术和经尿道钬激光前列腺剜除术各10例。计算剜除效率,记录激光治疗机显示的术中发射激光的总千焦数,手术中使用暂态电能质量监测装置测量、记录激光治疗机用电参数。结果两组手术数据均进行正态分布检验,t检验发现两种手术的剜除效率差异无统计学意义(P=0.818),两种设备的能耗指标有可比性。两种激光治疗机在手术期间激光发射总千焦数差异无统计学意义(P=0.148),但铥激光治疗机的耗电量约为钬激光治疗机的1/10(P<0.001),说明前者利用电能的效率显著高于后者。钬激光治疗机的最大电流显著高于铥激光治疗机(P<0.001),需要特殊的大功率电源插座。结论在经尿道前列腺剜除术中,铥激光治疗机比钬激光治疗机的耗电量更低,能量转化率更高,电气使用更便捷。Objective It compared the power consumption and electrical parameters between Thulium fiber laser devices(TFL)and Holmium laser devices(HoL)in transurethral enucleation of prostate(TUEP).Methods A sin⁃gle surgeon conducted TUEP by THL or HoL in 10 patients respectively.The enucleation efficiency,the laser energy output and the electric parameters were recorded and analyzed.Results The data from both groups of surgeries were tested for normal distribution,and the t-test found that the difference in the enucleation efficiency between the two surgeries was not statistically significant(P=0.818),and the energy consumption indexes of the two devices were comparable.The difference in the total kilojoules of laser emission between the two lasers during surgery was not statistically significant(P=0.148),but the power consumption of the thulium laser was about one-tenth of that of the holmium laser(P<0.001),suggesting that the former utilised electrical energy significantly more efficiently than the latter.The maximum current of the HoL was significantly higher than that of the TFL(P<0.001),requiring a spe⁃cial high-power power outlet.Conclusion TFL was superior to HoL in terms of lower power consumption,higher en⁃ergy-efficient and electrical convenient in transurethral enucleation of the prostate.

关 键 词：激光手术 能源管理 手术室用电 

分 类 号：R197.38[医药卫生—卫生事业管理]