Prospects for Using a Pulsed Tm-Doped Fiber Laser for Lithotripsy of Salivary Stones

IF 0.6 4区 物理与天体物理 Q4 PHYSICS, MULTIDISCIPLINARY Bulletin of the Lebedev Physics Institute Pub Date : 2024-06-17 DOI:10.3103/s1068335624600554
Yu. K. Sedova, S. E. Minaev, E. O. Epifanov, D. V. Zhuchkova, S. P. Sysolyatin, V. P. Minaev, V. I. Yusupov, N. V. Minaev
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Abstract

Laser lithotripsy using optical fiber to fragment salivary gland stones (sialoliths) is currently one of the most successful methods for treating salivary stone disease. It is important to reduce the fragmentation time of extremely hard salivary stones, which in practice is more than three hours in the case of large stones. We present new approaches to lithotripsy related to the use of radiation from a nanosecond thulium-doped fiber laser at a wavelength of 1.94 μm. The study is performed using gypsum phantoms and sialoliths. Parameters of laser exposure are determined that provide a high rate of lithotripsy without significant heating of surrounding tissues. It is shown that the mechanism of action of nanosecond laser radiation, which is well absorbed in water upon fragmentation of stones, is associated with the burnout of the binding organic material of sialolite and the explosive boiling of water. The results obtained can serve as the basis for the development of new promising medical technology.

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使用脉冲掺铥光纤激光器对唾液腺结石进行碎石治疗的前景
摘要 使用光纤进行激光碎石以破碎唾液腺结石(涎石)是目前治疗唾液腺结石病最成功的方法之一。缩短极硬涎腺结石的碎石时间非常重要,实际上,大结石的碎石时间超过三小时。我们介绍了与使用波长为 1.94 μm 的纳秒掺铥光纤激光器辐射有关的碎石新方法。这项研究使用石膏模型和霰石进行。研究确定了激光照射的参数,这些参数既能提供较高的碎石率,又不会明显加热周围组织。结果表明,纳秒激光辐射的作用机理与结合硅藻土的有机物质的燃烧和水的爆炸性沸腾有关。所获得的结果可以作为开发新的有前途的医疗技术的基础。
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来源期刊
Bulletin of the Lebedev Physics Institute
Bulletin of the Lebedev Physics Institute PHYSICS, MULTIDISCIPLINARY-
CiteScore
0.70
自引率
25.00%
发文量
41
审稿时长
6-12 weeks
期刊介绍: Bulletin of the Lebedev Physics Institute is an international peer reviewed journal that publishes results of new original experimental and theoretical studies on all topics of physics: theoretical physics; atomic and molecular physics; nuclear physics; optics; lasers; condensed matter; physics of solids; biophysics, and others.
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