diode LASER

二极管激光器
  • 文章类型: Systematic Review
    口腔念珠菌病是免疫功能正常的患者中的常见问题。念珠菌菌株对流行的抗真菌药的频繁抗性使得有必要寻找替代的治疗方法。作者遵循PRISMA2020指南进行了系统评价。本综述的目的是确定姜黄素介导的蓝光是否可以被视为口腔念珠菌病的替代疗法。PubMed,谷歌学者,和CochraneLibrary数据库使用以下关键词的组合进行搜索:(念珠菌或念珠菌病口腔或义齿口炎)和(姜黄素或光动力疗法或适当或光动力抗菌化疗或PACT或光动力灭活或PDI)。该综述包括念珠菌属的体外实验室研究。,体内动物研究,以及涉及口腔念珠菌病或假体性口腔炎患者的随机对照试验(RCTs),只以英文出版。研究中消除念珠菌属的方法是姜黄素介导的aPDT。共确定了757项研究。在对研究的标题和摘要进行分析之后,只有42项研究被选中进行深入筛查,之后有26人被纳入本研究.所有研究都评估了姜黄素介导的aPDT对白色念珠菌和非白色念珠菌的抗真菌功效。在用浮游细胞溶液进行的研究中,七项研究表明完全消除了念珠菌。细胞。其余的研究表明仅部分消除。在所有情况下,单物种酵母生物膜的实验证明了部分,具有统计学意义的细胞生长抑制和生物膜质量的减少。在体内,姜黄素介导的aPDT在动物模型中也显示出对口腔念珠菌病的良好抗真菌活性。然而,其作为口腔念珠菌病有效治疗策略的临床疗效几乎不需要进一步的随机对照试验.
    Oral candidiasis is a common problem among immunocompetent patients. The frequent resistance of Candida strains to popular antimycotics makes it necessary to look for alternative methods of treatment. The authors conducted a systematic review following the PRISMA 2020 guidelines. The objective of this review was to determine if curcumin-mediated blue light could be considered as an alternative treatment for oral candidiasis. PubMed, Google Scholar, and Cochrane Library databases were searched using a combination of the following keywords: (Candida OR candidiasis oral OR candidiasis oral OR denture stomatitis) AND (curcumin OR photodynamic therapy OR apt OR photodynamic antimicrobial chemotherapy OR PACT OR photodynamic inactivation OR PDI). The review included in vitro laboratory studies with Candida spp., in vivo animal studies, and randomized control trials (RCTs) involving patients with oral candidiasis or prosthetic stomatitis, published only in English. The method of elimination of Candida species in the studies was curcumin-mediated aPDT. A total of 757 studies were identified. Following the analysis of the titles and abstracts of the studies, only 42 studies were selected for in-depth screening, after which 26 were included in this study. All studies evaluated the antifungal efficacy of curcumin-mediated aPDT against C. albicans and non-albicans Candida. In studies conducted with planktonic cells solutions, seven studies demonstrated complete elimination of Candida spp. cells. The remaining studies demonstrated only partial elimination. In all cases, experiments on single-species yeast biofilms demonstrated partial, statistically significant inhibition of cell growth and reduction in biofilm mass. In vivo, curcumin-mediated aPDT has shown good antifungal activity against oral candidiasis also in an animal model. However, its clinical efficacy as a potent therapeutic strategy for oral candidiasis requires few further RCTs.
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  • 文章类型: Journal Article
    评估二极管激光辅助牙周皮瓣手术治疗慢性牙周炎的临床效果和术后疼痛管理,并为该程序的临床使用提供循证医学理由。
    在这项研究中,使用计算机结合人工检索检索从数据库建立到2023年9月发表的有关二极管激光辅助牙周瓣手术治疗慢性牙周炎的文章.检索的数据库包括中国学术期刊全文数据库(CNKI),中国生物医学文献数据库(CBM),中国科技期刊数据库(VIP),万方数据库,PubMed,WebofScience,科克伦图书馆,Embase,还有Scopus.两名研究人员独立进行筛选和研究选择,按照纳入和排除标准提取基本信息和所需数据。采用RevmanV5.4软件对纳入文献进行Meta分析。
    分析了13篇文章。荟萃分析表明,使用二极管激光可有效减少术后3和6个月的患者探查袋深度(PPD)(3个月:MD=-0.46,95%CI=[-0.89,-0.03],P=0.04;6个月:MD=-0.35,95%CI=[-0.63,-0.06],P=0.02),能够有效提高3个月临床依恋水平(CAL)(MD=-0.36,95%CI=[-0.66,-0.06],P=0.02),并且能够促进伤口愈合并减轻患者术后早期疼痛(MD=0.67,95%CI=[0.01,1.32],P=0.05;MD=-1.67,95%CI=[-2.23,-1.00],P<0。001),而对于牙龈指数(GI),使用二极管激光器没有明显的效果。
    现有证据表明,使用二极管激光器辅助器件可有效降低PPD,改进CAL,促进伤口愈合,与单纯应用皮瓣相比,减少了患者术后早期疼痛;然而,对于GI,二极管激光器没有显示任何改进。
    牙周膜瓣手术未能消除软组织壁的微生物,可能导致重新殖民,再感染,以及伴随的副作用,如疼痛和肿胀。二极管激光器的使用降低了PPD,改进了CAL,减轻术后早期疼痛。
    UNASSIGNED: To assess the diode laser-assisted periodontal flap surgery\'s clinical effectiveness and postoperative pain management in treating chronic periodontitis, and to offer evidence-based medical justification for the procedure\'s clinical use.
    UNASSIGNED: In this study, a computer combined with manual search was used to search for articles on diode laser-assisted periodontal flap surgery for the treatment of chronic periodontitis published from the establishment of the database to September 2023. The databases searched included China Academic Journal Full Text Database (CNKI), China Biomedical Literature Database (CBM), Chinese Science and Technology Journal Database (VIP), Wanfang Database, PubMed, Web of science, Cochrane Library, Embase, and Scopus. Two researchers independently performed the screening and study selection, following the inclusion and exclusion standards to extract basic information and required data. Meta-analysis of the included literature was performed using Revman V5.4 software.
    UNASSIGNED: Thirteen articles were analyzed. Meta-analysis showed that the use of the diode laser was effective in reducing patients\' probing pocket depth (PPD) at 3 and 6 months postoperatively (3 months: MD = -0.46, 95 % CI = [-0.89, -0.03], P = 0.04; 6 months: MD = -0.35, 95 % CI = [-0.63, -0.06], P = 0.02), was able to effectively improve 3 month clinical attachment level (CAL) (MD = -0.36, 95 % CI = [-0.66, -0.06], P = 0.02), and was able to promote wound healing and reduce patients\' early postoperative pain (MD = 0.67, 95 % CI = [0.01, 1.32], P = 0.05; MD = -1.67, 95 % CI = [-2.23, -1.00], and P < 0. 001), while for gingival index (GI), the use of diode laser did not have a significant effect.
    UNASSIGNED: The available evidence suggests that the use of a diode laser adjunct is effective in reducing PPD, improving CAL, promoting wound healing, and reducing early postoperative pain in patients compared with flap application alone; however, for GI, diode lasers did not show any improvements.
    UNASSIGNED: Periodontal flap surgery fails to eliminate microorganisms from the soft tissue wall, potentially leading to recolonization, reinfection, and accompanying side effects such as pain and swelling. The use of a diode laser reduces PPD, improves CAL, and relieves early postoperative pain.
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  • 文章类型: Journal Article
    激光,受激辐射光放大的首字母缩写,是现代牙科中具有多种应用的强大工具。它发出单色,光子诱导的连锁反应产生的相干光。可用的牙科激光器包括二极管,氩气,呃,Cr:YSGG,呃:YAG,Nd:YAG,和CO2。这些激光器的独特特性,允许它们根据操作参数有效地用于软组织和硬组织,将它们定位为特别适合广泛的牙科手术。与传统方法相比,激光具有改善止血和更快的伤口愈合等优点。这些益处强调了在牙科治疗中向激光技术的转变。在牙科修复领域,专注于美学,功能,以及假牙的生理方面,激光提供有希望的结果。在假肢选择中,固定局部义齿因其模仿自然牙齿的能力而脱颖而出,提供美学和功能特征,如果管理得当,会导致令人满意的长期结果。这篇综述论文探讨了激光技术在涉及固定局部义齿的假肢康复中的具体应用。通过调查口腔内激光手术,它有助于了解激光在提高患者满意度和临床效率方面的作用。
    Laser, an acronym for Light Amplification by Stimulated Emission of Radiation, is a powerful tool with diverse applications in modern dentistry. It emits monochromatic, coherent light resulting from photon-induced chain reactions. Available dental lasers include diode, argon, Er,Cr:YSGG, Er:YAG, Nd:YAG, and CO2. The unique property of these lasers, allowing them to be effectively used on both soft and hard tissues based on the operational parameters, positions them as particularly suited for a wide range of dental procedures. Compared to traditional methods, lasers offer advantages such as improved hemostasis and quicker wound healing. Such benefits stress the shift towards laser technology in dental treatment. In the realm of dental prosthodontics, which focuses on esthetics, functionality, and the physiological aspects of dental prostheses, lasers provide promising outcomes. Among the prosthetic options, fixed partial dentures stand out for their ability to mimic natural teeth, offering both esthetic and functional features, leading to satisfactory long-term outcomes if managed properly. This review paper delves into the specific application of laser technology in the context of prosthetic rehabilitation involving fixed partial dentures. By investigating intraoral laser procedures, it contributes to understanding laser\'s role in improving patients\' satisfaction and clinical efficiency in this field.
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  • 文章类型: Journal Article
    目的:回答这个研究问题:什么是有效波长,电源,背景数据:光生物调节(PBM)已在临床上研究了其在正畸学中加速牙齿运动的能力。然而,它的有效性是剂量依赖性的。方法:在PubMed中进行搜索,Scopus,和ISIWebofScience。纳入的系统评价的质量使用AMSTAR2工具进行。使用ROBIS工具评估偏倚风险。结果:总的来说,PubMed中的29篇文章,75在Scopus,和61在ISIWebofScience中。最后,仅包括五项系统审查。结论:结果表明,从730到830nm的范围是加速正畸牙齿移动的最有效波长范围。功率范围为0.25-200mW,强调功率之间的直接相关性,波长,和能量密度。在大多数随机对照临床试验中,能量密度尚未得到充分报道。
    Objective: To answer this research question: What are the effective wavelength, power, and energy density parameters for achieving dental movement acceleration? Background Data: Photobiomodulation (PBM) has been clinically studied for its ability to accelerate dental movements in orthodontics. However, its effectiveness is dose dependent. Methods: The search was carried out in PubMed, SCOPUS, and ISI Web of Science. The quality of the included systematic reviews was performed using the AMSTAR 2 tool. The risk of bias was assessed using the ROBIS tool. Results: In total, 29 articles in PubMed, 75 in Scopus, and 61 in ISI Web of Science. Finally, only five systematic reviews were included. Conclusions: The results showed the range from 730 to 830 nm as the most effective range of wavelength to accelerate the orthodontic dental movement. A power range of 0.25-200 mW, with emphasis on the direct correlation between power, wavelength, and energy density. Energy density has not been adequately reported in the most randomized controlled clinical trials.
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  • 文章类型: Journal Article
    目的:在术后第一周内,与常规针冲洗(CNI)相比,在接受一次根管治疗的成人牙齿中,联合使用激光激活冲洗(LAI)辅助使用牙髓后疼痛(PEP)的综合证据。
    方法:进行了电子搜索;没有应用语言限制或对出版年份的限制。
    方法:Medline,Scopus,Cochrane和PubMed于2023年6月4日研究选择:包括评估牙髓刺激物LAI后PEP的随机临床试验(RaCT)。使用系统评价和荟萃分析指南的首选报告项目。在不同的时间间隔分析PEP,直到治疗后1周,与使用的LAI类型和镇痛需求有关。
    结果:在通过电子数据库搜索确定的793篇文章中,包括6个RaCT。由于研究之间的方法异质性,定性审查优于荟萃分析。通过Cochrane偏差风险2工具确定的五项研究存在较高的偏差风险。二极管LAI在减轻治疗后6-48小时的疼痛方面表现出优于针头冲洗的功效。光子诱导的光声流(PIPS)对LAI的影响尚不清楚,并且在PIPS和针头冲洗之间没有观察到差异。然而,PIPS比手动动态激活更好地缓解了PEP,声波和超声波激活。LAI和针头冲洗组之间的镇痛摄入量没有差异。
    结论:LAI可能有助于在最初48小时内降低PEP。未来关于LAI的RaCT的方法学标准化将有利于进行更准确的评价,并有可能进行定量合成。
    结论:这种独特的合成使用了严格的标准来减少混杂因素,并提供了有关PEP与不同类型LAI的有价值的证据。与CNI相比,它可以帮助临床医生选择合适的LAI技术,并预测减少PEP的时间范围。
    Synthesise evidence on post-endodontic pain (PEP) in adult teeth undergoing primary root canal treatment with the adjunctive use of laser-activated irrigation (LAI) as compared with conventional needle irrigation (CNI) during the first post-operative week.
    An electronic search was performed; no language constraints or restriction on the year of publication were applied.
    Medline, Scopus, Cochrane and PubMed on 04 June 2023 STUDY SELECTION: Randomised clinical trials (RaCTs) that evaluated PEP after LAI of endodontic irrgants were included. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used. PEP was analysed at various time intervals until 1 week after treatment, related to the type of LAI used and the need for analgesia.
    Of the 793 articles identified through the electronic database search, 6 RaCTs were included. Qualitative review was favoured over meta-analysis due to substantial methodological heterogeneity between studies. Five studies were at high risk for bias determined by the Cochrane Risk-of-Bias 2 tool. Diode LAI demonstrated superior efficacy to needle irrigation in reducing pain 6-48 h post-treatment. The impact of LAI by photon-induced photoacoustic streaming (PIPS) was unclear and no difference was observed between PIPS and needle irrigation. However, PIPS mitigated PEP better than manual dynamic activation, sonic and ultrasonic activation. There was no difference in analgesia intake between LAI and needle irrigation groups.
    LAI may help reduce PEP in the first 48 h. Methodological standardisation of future RaCTs on LAI would be beneficial in allowing a more accurate review with the possibility of quantitative synthesis.
    This unique synthesis used stringent criteria to reduce confounding factors and provided valuable evidence regarding PEP with different types of LAI. It helps clinicians choose an appropriate LAI technique as compared with CNI and predicts a time frame for reducing PEP.
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  • 文章类型: Journal Article
    背景:宫腔镜目前是诊断和治疗宫内病变的金标准。最近的技术进步使诊断和手术时间一体化,导致“看和治疗”的方法。在这种情况下,二极管激光技术正在成为最具创新性和耐人寻味的技术之一。方法:对主要数据库进行文献综合检索。只有报告使用二极管激光治疗宫内病变的原始研究被认为符合纳入本系统评价的条件(PROSPEROID:CRD42023485452)。结果:共纳入8项研究,共474例激光宫腔镜手术患者。83例女性生殖道异常,63例粘膜下平滑肌瘤,327子宫内膜息肉,还有一个病人有疤痕妊娠.除了平滑肌瘤,他们的技术在开始时已经包括了两次手术,只有7名患者需要进行第二次手术。术中和术后并发症的累积率为2.7%和0.6%,分别,被报道。结论:通过“观察和治疗”宫腔镜检查的二极管激光似乎是一种安全有效的方法。然而,需要更多的样本量和改进设计的研究来巩固文献中现有的证据.
    Background: Hysteroscopy currently represents the gold standard for the diagnosis and treatment of intrauterine pathologies. Recent technological progress has enabled the integration of diagnostic and operative time, leading to the \"see and treat\" approach. Diode laser technology is emerging as one of the most innovative and intriguing techniques in this context. Methods: A comprehensive search of the literature was carried out on the main databases. Only original studies reporting the treatment of intrauterine pathologies using diode laser were deemed eligible for inclusion in this systematic review (PROSPERO ID: CRD42023485452). Results: Eight studies were included in the qualitative analysis for a total of 474 patients undergoing laser hysteroscopic surgery. Eighty-three patients had female genital tract abnormalities, 63 had submucosal leiomyomas, 327 had endometrial polyps, and one patient had a scar pregnancy. Except for leiomyomas, whose technique already included two surgical times at the beginning, only seven patients required a second surgical step. Cumulative rates of intraoperative and postoperative complications of 2.7% and 0.6%, respectively, were reported. Conclusions: Diode laser through \"see and treat\" hysteroscopy appears to be a safe and effective method. However, additional studies with larger sample sizes and improved designs are needed to consolidate the evidence currently available in the literature.
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  • 文章类型: Systematic Review
    面部充盈在社会上很普遍,尽管与固有风险有关。这篇综述分析了使用激光治疗填充剂并发症的临床研究,以评估其作为替代治疗的安全性和有效性。文献检索一直进行到2023年4月,包括五个不同的数据库:PubMed,Scopus,Embase,WebofScience,还有Medline,寻找针对接受激光治疗的患者对可注射面部填充的不良反应的临床试验。结果变量是病变的临床评估和干预后并发症/后遗症的发生。使用ROBINS-I工具评估偏倚风险。总的来说,包括六项研究,所有这些都被归类为具有“中等风险”的偏见。共有533例患者因注射面部填充剂的不良反应而接受激光治疗。二极管激光器是最常用的设备,在五项研究中报告了阳性结果。在所有接受治疗的患者中,达到96.24%的部分或完全分辨率,0.22%经历了一些后遗症或并发症,只有0.01%没有改善。激光治疗可以消除对可注射面部填充剂的不良反应进行手术干预的必要性,导致病情的部分或完全改善。
    Facial filling is widespread in society, albeit associated with inherent risks. This review analyzes clinical studies using laser therapy for filler complications to assess its safety and efficacy as an alternative treatment. A literature search was conducted up until April 2023, encompassing five different databases: PubMed, Scopus, Embase, Web of Science, and Medline, to find clinical trials addressing patients who underwent laser treatment for adverse reactions to injectable facial filling. The outcome variables were the clinical assessment of the lesion and the occurrence of post-intervention complications/sequelae. The risk of bias was assessed using the ROBINS-I tool. In total, six studies were included, all classified as having a \"moderate risk\" of bias. A total of 533 patients underwent laser treatment for adverse reactions to injectable facial fillers. The diode laser was the most frequently utilized equipment, with positive results reported in five studies. Among all treated patients, 96.24% achieved partial or complete resolution, 0.22% experienced some sequelae or complications, and only 0.01% showed no improvement. Laser treatment can eliminate the necessity for surgical intervention for adverse reactions to injectable facial fillers, resulting in partial or complete improvement of the condition.
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  • 文章类型: Journal Article
    硬化性苔藓(LS)是一种主要影响肛门生殖器区域的慢性炎症性疾病,绝经后妇女的发病率较高。从长远来看,它可以导致外阴结构丧失或进展为鳞状细胞癌。以证据为基础的治疗涉及长期方案中的高效局部皮质类固醇。然而,二线治疗方法不完善,包括激光治疗.本研究旨在评估支持这种疗法的证据水平。我们通过MEDLINE/PubMed搜索了2023年4月之前发表的初级研究,Embase,WebofScience,Scopus,中央,对出版语言或日期没有限制。使用更新的CochraneCollaboration的偏倚风险评估工具(RoB-2)评估纳入研究的方法学质量和偏倚风险。六项研究(177名患者)符合我们的资格标准。在六项研究中,有五项将激光治疗与局部皮质类固醇治疗进行了比较。没有发现显著的组织学差异,除了激光组胶原蛋白产量增加。瘙痒的减少更大,疼痛,激光组治疗1个月和3个月时的性交困难,以及在6个月的Skindex-29中,已报告。在接受激光治疗的患者中,患者满意度明显更高。耐受性非常好。与安慰剂相比,在研究中的任何先前方面均未观察到显著差异。总之,没有足够的证据推荐激光治疗作为独立治疗.
    Lichen sclerosus (LS) is a chronic inflammatory disease that mainly affects the anogenital area, with a higher incidence in post-menopausal women. In the long term, it can lead to loss of vulvar architecture or progress to squamous cell carcinoma. The evidence-based treatment involves high-potency topical corticosteroids in long regimens. However, second-line treatments are not well-established, including laser therapy. This current study aims to assess the level of evidence supporting this therapy. We conducted a search for primary-level studies published before April 2023 through MEDLINE/PubMed, Embase, Web of Science, Scopus, and CENTRAL, with no restrictions on the publication language or date. The methodological quality and risk of bias of the included studies were evaluated using the updated Cochrane Collaboration\'s tool for assessing risk of bias (RoB-2). Six studies (177 patients) met our eligibility criteria. Laser therapy was compared to topical corticosteroid treatment in five out of six studies. No significant histological differences were found, except for an increase in collagen production in the laser group. A greater reduction in itching, pain, and dyspareunia at 1 and 3 months of treatment in the laser group, as well as in the Skindex-29 at 6 months, was reported. Patient satisfaction was significantly higher among those who received laser therapy. Tolerability was excellent. No significant differences were observed in any of the previous aspects in the study compared to the placebo. In conclusion, there is not enough evidence to recommend laser therapy as a standalone treatment.
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  • 文章类型: Systematic Review
    背景和目的:一些研究支持二极管激光牙龈切除术优于手术刀手术和非手术治疗。然而,缺乏对这一主题的系统审查。这项研究旨在比较二极管激光的牙龈切除术与常规手术刀手术和非手术牙周治疗(NSPT)在正畸治疗引起的牙龈肿大(GE)中的应用。材料和方法:在这篇系统综述中,在WebofScience上对相关文献进行了电子搜索,Medline/PubMed,Scopus,Cochrane中央控制试验登记册,和ProQuest没有语言限制。包括1985年至2020年之间发表的关于通过二极管激光牙龈切除术和手术刀手术或NSPT对术中和术后出血和/或疼痛的正畸治疗引起的GE的比较治疗的随机临床试验。通过Cochrane1工具评估偏倚风险。结果:在最初检索的288篇文章中,40篇文章是重复的,被排除在外;236篇文章在标题和摘要筛选后被排除在外,另外5人在全文评估后被排除.最后,7项研究进行了系统评价。在偏见风险评估中,5项研究得分为2,2项研究得分为3,共6项。激光组的术中和术后出血和疼痛明显减少。结论:在本系统评价的局限性范围内,就证据质量而言,目前的结果表明,与传统的手术刀手术和NSPT治疗正畸治疗引起的GE相比,二极管激光牙龈切除术的疼痛和出血程度较低。
    Background and objective: Some studies support the superiority of diode laser gingivectomy to scalpel surgery and nonsurgical treatments. However, a systematic review on this topic is lacking. This study aimed to compare gingivectomy with diode laser versus the conventional scalpel surgery and nonsurgical periodontal therapy (NSPT) in the treatment of orthodontic treatment-induced gingival enlargement (GE). Materials and methods: In this systematic review, an electronic search of the relevant literature was conducted in Web of Science, Medline/PubMed, Scopus, Cochrane Central Register of Controlled Trials, and ProQuest with no language restriction. Randomized clinical trials published between 1985 and 2020 on comparative treatment of orthodontic treatment-induced GE by diode laser gingivectomy and scalpel surgery or NSPT regarding intraoperative and postoperative bleeding and/or pain were included. Risk of bias was assessed by the Cochrane 1 tool. Results: Of the initially retrieved 288 articles, 40 were duplicates and excluded; 236 articles were excluded following title and abstract screening, and 5 others were excluded following full-text assessment. Finally, 7 studies underwent systematic review. In the risk-of-bias assessment, 5 studies scored 2, and 2 studies scored 3 out of 6. Intraoperative and postoperative bleeding and pain were found to be significantly lower in the laser group. Conclusions: Within the limitations of this systematic review and with respect to the quality of evidence, the present results revealed lower level of pain and bleeding in diode laser gingivectomy compared with the conventional scalpel surgery and NSPT for treatment of orthodontic treatment-induced GE.
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  • 文章类型: Review
    这项研究的目的是比较经鼻泪囊鼻腔吻合术(EDCR)与经小管激光DCR(TL-DCR)的疗效。
    这项回顾性研究和系统评价包括2013年1月至2017年12月在我们的三级学术护理医院接受鼻泪管阻塞DCR的患者。对42例(第1组)和45例(第2组)患者进行了TL-DCR和EDCR,分别。所有患者在DCR后至少随访4年。成功被定义为在泪道系统冲洗过程中完全消失并观察到液体流动而没有任何解剖阻塞。
    本研究包括87例接受DCR的患者。14例(18.7%)为男性,61名(81.3%)为女性。第1组和第2组包括42和45例接受TL-DCR和EDCR的患者,分别。第1组和第2组的成功率分别为78.5%和84.4%。两组患者均随访至少4年。两组之间的平均手术时间有显着差异:33.8±10.5分钟与第1组和第2组分别为69.9±15.9分钟(P<0.001)。
    没有硅胶支架的EDCR和TL-DCR从长远来看具有很高的成功率。此外,经鼻手术的手术时间短,不留下疤痕。我们观察到EDCR和TL-DCR是鼻泪管阻塞病例的有利方法。
    UNASSIGNED: The aim of this study was to compare the efficacy of endonasal dacryocystorhinostomy (EDCR) compared with transcanalicular laser DCR (TL-DCR).
    UNASSIGNED: This retrospective study and systematic review included patients that underwent DCR for nasolacrimal duct obstruction at our tertiary academic care hospital between January 2013 and December 2017. TL-DCR and EDCR were performed on 42 (group 1) and 45 (group 2) patients, respectively. All patients were followed up for a minimum of 4 years after DCR. Success was defined as the complete disappearance of epiphora and the observation of fluid flow without any anatomic obstruction during lacrimal system irrigation.
    UNASSIGNED: This study included 87 patients who underwent DCR. Fourteen patients (18.7%) were male, and 61 (81.3%) were female. Groups 1 and 2 consisted of 42 and 45 patients who underwent TL-DCR and EDCR, respectively. Success was achieved by 78.5% and 84.4% in groups 1 and 2, respectively. Patients in both groups were followed up for at least 4 years. There was a significant difference in mean surgery time between groups: 33.8 ± 10.5 min vs. 69.9 ± 15.9 min for groups 1 and 2, respectively (P < 0.001).
    UNASSIGNED: EDCR and TL-DCR without silicone stent have offered a high success rate in the long term. Furthermore, endonasal procedures have less surgery time and leave no scar. We observed that EDCR and TL-DCR are favorable methods in cases of nasolacrimal duct obstruction.
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