Dab tsi yog Cov Ntawv Thov Kev Kho Mob ntawm Laser Tshuaj?

Kev Kho Mob Lasertau siv nyob rau hauv ntau lub chaw kho mob, uas tsis tsuas yog txhim kho cov kev kho mob, tab sis kuj txo cov kev pheej hmoo ntawm cov teeb meem thiab txhim kho lub neej zoo ntawm cov neeg mob. Ntawm lawv, lasers yog tshwj xeeb tshaj yog dav siv nyob rau hauv ophthalmology, oncology, vascular phais thiab dermatology. Cov hauv qab no yog ib qho kev qhia tob rau kev siv laser hauv 4 lub tuam tsev, thiab cov ntsiab lus luv luv ntawm kev siv laser hauv lwm lub tuam tsev.

Ophthalmology
Lub qhov muag yog ib qho tseem ceeb hauv tib neeg lub cev, thiab nws kuj yog ib qho zoo thiab pob tshab refractive system. Piv nrog rau cov tshuaj ophthalmic tshuaj thiab txoj kev kho mob ib txwm muaj, laser tuaj yeem nkag mus thiab irradiate cov ntsiab lus yuav tsum tau kho, uas txhim kho qhov tseeb thiab kev nyab xeeb ntawm kev kuaj mob. Tam sim no, daim ntawv thov kev kho laser hauv ophthalmology feem ntau tsom rau kev kho mob xws li glaucoma, retinopathy, myopia thiab cataract.

Nd: YAG solid-state laser yog siv rau cyclophotocoagulation los kho glaucoma. Lub laser tuaj yeem txo cov ntshav siab thiab kho glaucoma. Ib lub laser semiconductor nrog lub wavelength ntawm 810 nm yog siv los kho glaucoma refractory. Lub sij hawm laser irradiation yog 2 s thiab lub zog nruab nrab yog 500 mW. Rau qee tus neeg mob, ntau yam kev kho mob laser yuav tsum tau ua kom txo qis intraocular siab.

Siv cov tshuaj tiv thaiv VEGF nyob rau lub sijhawm sib txawv ua ke nrog 567 nm daj laser photocoagulation hauv kev kho mob ntshav qab zib retinopathy, kev kho mob ua ke tuaj yeem txo qis macular edema, nrog kev nyab xeeb siab.

Laser kuj tseem siv tau rau hauv kev kho mob ntawm ntau lwm yam kab mob ntsig txog ophthalmology. Nd: YAG laser lacrimal duct angioplasty yog siv los kho cov kab mob lacrimal obstructive. Nws tau pom tias laser yog qhov zoo tshaj plaws rau kev kho nasolacrimal duct obstruction. Ob leeg bursitis thiab traumatic lacrimal canalicular disconnection muaj qee yam kev kho mob.

Oncology Department

Cov kev kho mob uas twb muaj lawm rau cov qog nqaij hlav muaj xws li kev phais, kws khomob thiab kev siv hluav taws xob. Txawm li cas los xij, cov kev kho mob saum toj no muaj cov kev mob tshwm sim loj heev, thiab nws nyuaj rau tshem tawm cov qog, yog li yooj yim ua rau rov tshwm sim dua. Nrog rau kev txhim kho txuas ntxiv ntawm lasers, piv nrog cov qauv kev kho mob, kev kho mob ntawm cov qog nqaij hlav laser muaj qhov zoo ntawm cov los ntshav tsawg, tsawg tus kab mob, qhov raug phais siab, lub sij hawm luv luv intraoperative, thiab mob tsawg dua rau cov neeg mob. Nws yog siv ntau dua hauv kev kho mob. Hauv kev kho mob.

Lub laser nrog lub wavelength ntawm 671 nm thiab lub zog ceev ntawm 300 mW / cm2 irradiated lub qog rau 15 feeb, ua ke nrog ib tug photosensitizer los kho cov qog hlwb. Photodynamic therapy tuaj yeem cuam tshuam qhov kev loj hlob ntawm cov qog tsis muaj kev puas tsuaj rau cov kabmob uas nyob ib sab. Thaum photodynamic therapy tua cov qog hlwb, nws kuj ua rau qee yam kev puas tsuaj rau ib puag ncig tib neeg cov ntaub so ntswg. Txawm li cas los xij, qhov kev tuag ntawm cov qog hlwb yog qhov siab dua li ntawm cov hlwb ib txwm muaj, yog li kev kho mob photodynamic tseem tuaj yeem ua lub luag haujlwm zoo hauv kev kho qog.

Raws li cov tsos mob ntawm cov kab mob vascular, hemangioma feem ntau tshwm sim los ntawm kev loj hlob ntawm vascular endothelial hlwb, thiab cov me nyuam mos thiab cov menyuam yaus yog cov pab pawg tseem ceeb. Infrared laser nrog lub wavelength ntawm 810 nm yog siv rau kev kho mob ntawm cov neeg mob nrog ib leeg choroidal hemangioma ntawm lub fundus. Lub zos laser photocoagulation yog siv los diffuse tshav kub mus rau cov ntaub so ntswg uas nyob ib sab, ua rau muaj kev puas tsuaj rau retina thiab retinal hlab ntsha, thiab kev puas tsuaj rau cov hlab ntsha fiber ntau thiab vascular hemorrhage. , stenosis thiab occlusion. Piv nrog rau cov kev cai ib txwm siv, kev kho laser ntawm kev sib cais fundus choroidal hemangioma yog qhov yooj yim, pheej yig thiab siv tau.
Nd:YAG laser nrog lub wavelength ntawm 1064 nm, pulse dav ntawm 0.1-300 ms, thiab lub zog ceev ntawm 3-300 J/cm2 yog siv los kho cov neeg mob infantile hemangioma los ntawm kev xaiv ua rau thermal puas rau cov ntaub so ntswg vascular thiab coagulation ntawm vascular cov ntaub so ntswg. , necrosis, uas tuaj yeem tshem tawm hemangioma mus rau qhov siab tshaj plaws thaum txo qis kev puas tsuaj rau cov epidermis thiab cov ntaub so ntswg dermal.
Lub CO2 laser nrog lub wavelength ntawm 1064 nm tau siv los kho cov neeg mob uas muaj cov kab mob laryngeal benign. Piv nrog rau cov kev kho phais ib txwm siv, kev siv CO2 laser kho tuaj yeem txuag cov nqi phais rau cov neeg mob, txo lub sijhawm ua haujlwm, thiab tau txais cov txiaj ntsig zoo dua.

Mob qog nqaij hlav zais zis yog ib qho ntawm cov qog nqaij hlav ntau tshaj plaws hauv urology. Nyob rau hauv xyoo tas los no, transurethral holmium laser, ntsuab laser, thiab YAG laser rau lub zais zis qog resection tau maj mam siv nyob rau hauv kev kho mob xyaum thiab ua tau zoo. Laser enucleation tau ua rau cov neeg mob uas tsis yog-muscle-invasive zais zis qog siv lub semiconductor laser nrog lub wavelength ntawm 1470 nm. Thaum cov txheej txheem kho mob, lub laser nrog lub hwj chim ntawm 30 W tau siv los kos cov qog hauv paus los yog 0.3-0.5 cm nyob ib ncig ntawm cov qog; 120-150 W tau siv rau kev txiav Thaum lub sijhawm ua haujlwm, feem ntau tsis muaj los ntshav thaum lub sijhawm ua haujlwm. Yog hais tias lub qhov txhab tseem los ntshav, ib tug 60-80 W laser yuav siv tau rau vaporization electrocoagulation kom tsis txhob los ntshav. Piv nrog rau cov txheej txheem kev kho mob ib txwm muaj, kev kho laser ntawm lub zais zis qog muaj qhov zoo ntawm lub sijhawm ua haujlwm luv dua, zam kev ntawm obturator paj hlwb reflex, los ntshav tsawg dua, thiab ua tiav enucleation.

Vascular phais
Laser thrombolysis ua tiav lub hom phiaj ntawm thrombolysis los ntawm irradiating thrombus nrog laser los rhuav tshem cov molecular bonds ntawm cov ntaub so ntswg lom nyob rau hauv thrombus, los yog ncaj qha siv photothermal nyhuv rau ablate cov ntaub so ntswg. Laser thrombolysis tau siv dav hauv kev kho mob vim nws cov txiaj ntsig zoo, kev puas tsuaj rau cov ntaub so ntswg, thiab tsawg dua tom qab phais. Tus neeg mob tau kho nrog lub tshuab hluav taws xob semiconductor laser kho nrog lub wavelength ntawm 980 nm thiab lub zog laser ntawm 8-12 W, thiab cov txiaj ntsig tau zoo heev. Piv nrog rau kev phais ib txwm siv, laser kev kho mob tsawg kawg nkaus muaj qhov zoo ntawm lub sijhawm ua haujlwm, lub sijhawm mob, qhov mob degree thiab cov teeb meem tom qab phais.
Ib lub laser semiconductor nrog lub wavelength ntawm 1470 nm thiab lub zog laser ntawm 3-6 W tau siv los ua qhov kev kho laser vuam hauv zos rau cov neeg mob uas muaj qhov sib sib zog nqus venous valve insufficiency ntawm qis extremities. Tus nqi ntawm cov kua dej yog tsawg, thiab qhov kev mob ntawm qhov mob yog tsawg dua li cov txheej txheem ib txwm muaj.

Siv dual-frequency interference fiber laser ultrasonic sensing technology, siv ib tug miniaturized dual-frequency fiber grating laser raws li ib tug sensing unit, lub ultrasonic teeb liab yog hloov dua siab tshiab rau hauv ib tug laser zaus hloov, thiab cov teeb liab yog nyeem tawm los ntawm optical heterodyne nrhiav kom tau cov kab mob nyob rau hauv. real time Cov txheej txheem hloov ntawm cov ntshav oxygen saturation faib nyob rau hauv lub xeev. raws li pom hauv daim duab 2.

Daim tawv nqaij yas phais

Lasers yog maj mam pib siv nyob rau hauv dermatology. Kev kho mob laser tuaj yeem kov yeej qhov tsis txaus ntawm cov txheej txheem ib txwm muaj thiab xav kom kho tau cov kab mob dermatological tag nrho.

Kev siv 308 nm excimer laser hauv kev kho mob ntawm vitiligo tsis tsuas yog muaj cov txiaj ntsig zoo ntawm kev kho mob thiab tsis tshua muaj tshwm sim, tab sis kuj tuaj yeem txhim kho lub neej zoo ntawm cov neeg mob, uas muaj txiaj ntsig zoo rau kev kho mob.

Qhov ntev-pulse dav KTP laser nrog lub wavelength ntawm 532 nm muaj kev nyab xeeb siab thiab tsis muaj kev phiv tshwm sim hauv kev kho mob chloasma, uas muab txoj kev kho tshiab rau kev kho mob chloasma. Nws yog ib qho ntawm cov txiaj ntsig zoo los kho qhov chaw nres nkoj caw stains kho mob los ntawm kev siv lub tshuab hluav taws xob laser nrog lub wavelength ntawm 585 nm. Nws yog qhov zoo thiab muaj kev nyab xeeb los siv alexandrite laser nrog lub wavelength ntawm 755 nm hauv kev kho mob ntawm porokeratosis.

Pob txuv yog ib hom kab mob inflammatory ntawm daim tawv nqaij nyob rau hauv cov hluas. Candela Kev Kho Mob hauv Tebchaws Meskas tau kho pob txuv thiab pob txuv tau zoo nrog semiconductor lasers, thiab tuaj yeem txo cov nti tom qab phais [41]. Li Yang et al [42] tau tshawb fawb txog 30 tus neeg mob uas mob pob txuv

Siv Nd:YAG laser nrog lub wavelength ntawm 1064 nm ua ke nrog lub teeb ci ntsa iab tuaj yeem kho pob txuv pob txuv zoo nrog kev nyab xeeb siab. Lub Er:YAG fractional laser nrog lub wavelength ntawm 2940 nm muaj kev kho zoo ntawm cov pob txuv tom qab pob txuv, nrog rau lub sij hawm rov qab luv luv thiab tsis tshua muaj tshwm sim. Kev siv ultra-pulse CO2 fractional laser nrog lub wavelength ntawm 560-1200 nm tuaj yeem txhim kho lub ntsej muag tawv nqaij pigmentation ntawm cov neeg mob lub ntsej muag.

Cov ntaub ntawv tiv tauj:

Yog tias koj muaj lus nug, thov hu rau peb. Txawm peb cov neeg muas zaub nyob qhov twg thiab peb cov kev xav tau yog dab tsi, peb yuav ua raws li peb lub hom phiaj los muab peb cov neeg siv khoom zoo, tus nqi qis, thiab kev pabcuam zoo tshaj plaws.