Lasers in neurosurgery: a review
Lasers in neurosurgery: a review
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激光在神经外科中的应用：综述
DOI：
10.1002/lsm.1900020305
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发表时间：
1983
影响因子：
2.4
通讯作者：
K. Jain
中科院分区：
文献类型：
--
作者：
K. Jain
近年来，神经外科医生对激光越来越感兴趣。了解激光的基本机制和组织效应是很重要的。二氧化碳激光是一种极好的非接触式切除和蒸发脑肿瘤的工具。它在神经外科中还有其他一些用途，包括徒手技术、显微镜附件和显微操纵器。操作激光束比任何传统仪器都更容易、更精确。NdrYAG和氩激光对血管凝固和血管肿瘤治疗更有效。在实验动物中使用Nd:YAG激光已经实现了微血管吻合，并且在颅外搭桥手术中具有实际应用的潜力。在神经外科中使用激光有许多优点，也有一些缺点。
In recent years neurosurgeons have shown an increasing interest in lasers. An understanding of the basic laser mechanism and tissue effects is important. CO2laser is an excellent no‐touch tool for excising and evaporating brain tumors. It has several other uses in neurosurgery both with free‐hand technique and with microscope attachment and a micromanipulator. It is easier and more precise to manipulate a laser beam than any of the conventional instruments. NdrYAG and argon lasers are more effective for coagulation of blood vessels and for dealing with vascular neoplasms. Microvascular anastamosis has been achieved with the use of Nd:YAG laser in experimental animals and has potential for practical application in extra‐intracranial bypass operations. There are many advantages and some disadvantages to the use of lasers in neurosurgery.