Update on lasers in urology 2014: current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers
Update on lasers in urology 2014: current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers
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DOI：
10.1007/s00345-014-1395-1
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发表时间：
2015-04-01
影响因子：
3.4
通讯作者：
Traxer, Olivier
中科院分区：
文献类型：
--
作者：
Kronenberg, Peter;Traxer, Olivier
本研究的目的是回顾现有的有关Ho：Y-铝-石榴石激光碎石术的文献，包括碎石机的设置和激光纤维。在线搜索当前和过去的同行评议的文献，在几个数据库，包括PubMed，SciELO和Google Scholar。综述了有关碎石机设置和激光光纤的相关研究和原创文章，并对最重要的信息进行了总结和介绍。我们考察了碎石机设置和激光光纤的选择如何影响Ho激光碎石的性能。分析了传统激光碎石机的设置，包括脉冲能量、脉冲频率和功率电平，以及新开发的长脉冲模式。这些设置对消融体积、碎片大小和后退的影响也被检测。讨论了小直径和大直径激光光纤的优点，并强调了争议。此外，还考察了激光光纤对碎石效果的影响，特别是光纤尖端的制备和碎石机的设置对碎石尖端降解率的影响。了解和了解这些可控制的参数使泌尿科医生能够安全、有效且几乎没有并发症地进行激光碎石术。
The purpose of the study was to review the existing literature on holmium:yttrium-aluminum-garnet laser lithotripsy regarding lithotripter settings and laser fibers.An online search of current and past peer-reviewed literature on holmium laser lithotripsy was performed on several databases, including PubMed, SciElo, and Google Scholar. Relevant studies and original articles about lithotripter settings and laser fibers were examined, and the most important information is summarized and presented here.We examine how the choice of lithotripter settings and laser fibers influences the performance of holmium laser lithotripsy. Traditional laser lithotripter settings are analyzed, including pulse energy, pulse frequency, and power levels, as well as newly developed long-pulse modes. The impact of these settings on ablation volume, fragment size, and retropulsion is also examined. Advantages of small- and large-diameter laser fibers are discussed, and controversies are highlighted. Additionally, the influence of the laser fiber is examined, specifically the fiber tip preparation and the lithotripter settings' influence on tip degradation.Many technical factors influence the performance of holmium laser lithotripsy. Knowing and understanding these controllable parameters allows the urologist to perform a laser lithotripsy procedure safely, efficiently, and with few complications.