BACKGROUND The goal of periodontal disease treatment is to completely remove bacteria and promote wound healing.The erbium-doped yttrium aluminum garnet(Er:YAG)laser is commonly used to treat periodontal disease.Advan...BACKGROUND The goal of periodontal disease treatment is to completely remove bacteria and promote wound healing.The erbium-doped yttrium aluminum garnet(Er:YAG)laser is commonly used to treat periodontal disease.Advanced platelet-rich fibrin+(A-PRF+)secrets growth factors that accelerates soft-and hard-tissue regeneration and wound healing.Herein I present 2 cases of patients with oral diseases treated with a combination of Er:YAG laser and A-PRF+.CASE SUMMARY Case 1 was a female with pocket depth bone loss over 8 mm and infection of tooth 31 and 41,and severe advanced periodontitis with grade III mobility.Case 2 was a male with tooth 22 root end apical swelling and infection and alveolar bony defects.Clinical outcomes were recorded at 6 and 36 mo.In case 1,the Er:YAG laser was used to perform open flap debridement(100 mJ/pulse,15 Hz)and remove calculus and granulation tissue(50 mJ/pulse,30 Hz).In case 2 the laser was used to create a semilunar full thickness flap incision(80 mJ/pulse,20 Hz)and eliminate the pathogen(100 mJ/pulse,15 Hz).In both patients,A-PRF+mixed with bone was used to fill bone defects,and A-PRF+autologous membranes were used to cover tension-free primary flaps.There was no recurrent infection at 36 mo,and tissue regeneration and would healing occurred.CONCLUSION Debridement with an Er:YAG laser followed by treatment with A-PRF+is effective for the treatment periodontal diseases with bone defects.展开更多
Transparent polycrystaUine neodymiumdoped yttrium aluminum garnet ceramics （Nd：YAG） with better chemical stability, excellent optical and high temperature mechanical property is becoming a new laser host material. ...Transparent polycrystaUine neodymiumdoped yttrium aluminum garnet ceramics （Nd：YAG） with better chemical stability, excellent optical and high temperature mechanical property is becoming a new laser host material. The Nd：YAG precursor powders with loosely dispersed, slightly agglomerated and YAG cubic crystal phase were synthesized at 1100 ℃ by the co-precipitation method combined with the reverse strike,展开更多
BACKGROUND Generally,hemangiomas do not require surgical intervention;however,cases of large hemangiomas,potentially involving the throat and trachea,necessitate surgical therapy.Here,we present a case of hypopharynge...BACKGROUND Generally,hemangiomas do not require surgical intervention;however,cases of large hemangiomas,potentially involving the throat and trachea,necessitate surgical therapy.Here,we present a case of hypopharyngeal hemangioma in an adult that was successfully treated with neodymium-doped yttrium aluminum garnet(Nd-YAG)laser.CASE SUMMARY Laryngoscopic examination of a 61-year-old man demonstrated the presence of a large,submucosal vascular lesion that extended into the epiglottis,left arytenoid cartilage,lateral to the aryepiglottic fold,and pyriform sinus.The lesion was resected and photocoagulated with limited hemorrhage using Nd:YAG laser.The hypopharyngeal hemangioma was completely excised.The patient showed no recurrence of hypopharyngeal hemangioma during the 1.5-year follow-up period.CONCLUSION Laser therapy is one of the effective tools for treating hemangiomas with rapid,uncontrolled growth or in functional areas,with few side effects and complications.The present case of a male patient with a large hypopharyngeal hemangioma,treated with YAG laser,demonstrates the efficacy of laser photocoagulation in treating cases of hemangiomas,without the risk of bleeding or airway obstruction.The favorable postoperative outcomes demonstrated by our patient with Nd:YAG laser therapy indicate its consideration in the therapy of similar cases.展开更多
The homogeneously dispersed, less agglomerated (Nd0.01Y0.99)3Al5O12 nano-sized powders were synthesized by the low temperature combustion (LCS), using Nd2O3, Y2O3, Al(NO3)3·9H2O, ammonia water and citric acid as ...The homogeneously dispersed, less agglomerated (Nd0.01Y0.99)3Al5O12 nano-sized powders were synthesized by the low temperature combustion (LCS), using Nd2O3, Y2O3, Al(NO3)3·9H2O, ammonia water and citric acid as starting materials. This method effectively solves the problems caused by solid-state reaction at high temperature and hard agglomerates brought by the chemical precipitation method. The powders were characterized by TG-DTA, XRD, FT-IR, TEM respectively and the photoluminescence (PL) spectra of (Nd0.01Y0.99)3Al5O12 green and sintered ceramic disks were measured. The results show that the forming temperature of YAG crystal phase is 850 ℃ and YAP crystal phase appearing during the calcinations transforms to pure YAG at 1050 ℃. The particle size of the powders synthesized by the LCS is in a range of 20～50 nm depending on the thermal treatment temperatures. The effectively induced cross section (σin) with the value 4.03×10-19 cm2 of (Nd0.01Y0.99)3Al5O12 ceramics is about 44% higher than that of single crystal.展开更多
substitutes tion, high loosely dis Neodymium doped-yttrium aluminum garnet （Nd ： YAG） transparent polycrystalline ceramics already become of single crystals because they are provided with easy fabrication, low cost...substitutes tion, high loosely dis Neodymium doped-yttrium aluminum garnet （Nd ： YAG） transparent polycrystalline ceramics already become of single crystals because they are provided with easy fabrication, low cost, large size, highly doped concentraheat conductivity, mass fabrication, multi-layers and multi-filnctions. The Nd：YAG precursor powders with persed , slightly agglomerated, super fine and YAG cubic crystal phase were synthesized at 1100 ℃ by the homogeneous precipitation method, using Nd2O3, Y2O3, Al（NO3）3·9H2O and urea as raw materials, （NH4）2SO4 as electrical stabilizer, TEOS as sintering additive. The Nd：YAG transparent ceramics were prepared after being vacuum sintered at 1700 ℃ for 5 h. The Nd：YAG ceramic materials were characterized by the TG-DTA, XRD, FT-IR, TEM, FEG-ESEM and FT-PL. The results show that the crystallization temperature of YAG is 850 ℃ and the intermediate crystal phase YAP forming during the heat treatment transforms to YAG cubic crystal phase at 1050 ℃. The lasing wavelength of （Nd0.01 Y0.99）3Al5O12 transparent ceramics is 1.065 μm and there exists a slight red-shift compared to the single crystal with the same chemical composition. The optical transmittance is 45 % in the visible light and 58 % in the near infrared light and the optical transmittance descends with the decreasing the wavelength.展开更多
Nd ： YAG precursor powders were synthesized by homogeneous precipitation, and Nd ： YAG transparent ceramics were prepared by vacuum sintering at 1700 ℃ for 5 h. The ceramic materials were characterized by light tra...Nd ： YAG precursor powders were synthesized by homogeneous precipitation, and Nd ： YAG transparent ceramics were prepared by vacuum sintering at 1700 ℃ for 5 h. The ceramic materials were characterized by light transmittance and field emission gun-environment scanning microscope. Using statistics and stereology theory, study was carried out on the quantitative relationships between light transmittance and stereological parameters in three-dimensional Euclidean space. It is found that the transmittance of Nd：YAG with 1 mm in thickness is about 45% and 58% in visible and near-infrared wavelength, respectively. The transmittance linearly increases with increasing equivalent sphere diameter and reaches the theoretical value of single crystal when the equivalent sphere diameter is 20μm. The transmittance decreases with the increasing of mean specific area per unit volume of grain and discrete grains, and the transmittance decreases with increasing mean free distance of grains in Nd：YAG ceramics.展开更多
Nd∶YAG precursor powders were synthesized by homogeneous precipitation and Nd∶YAG transparent ceramics were prepared by vacuum sintering at 1700 ℃ for 5 h. The ceramic materials were characterized by light transmit...Nd∶YAG precursor powders were synthesized by homogeneous precipitation and Nd∶YAG transparent ceramics were prepared by vacuum sintering at 1700 ℃ for 5 h. The ceramic materials were characterized by light transmittance, field emission gun-environment scanning microscope. Fractal geometry was used to study the quantitative relationships between light transmittance and fractal dimensions of Nd∶YAG transparent ceramics. It was found that the transmittance of Nd∶YAG with 1 mm in thickness was about 45% and 58% in visible and near-infrared region respectively. The microstructures of Nd∶YAG transparent ceramics were obvious fractal characteristic and fractal dimensions depart a little from two-dimension. The light transmittance decreased with increasing of fractal dimension and nonlinear fit curve was y=1350-1185x+269x2 between fractal dimension and light transmittance of Nd∶YAG transparent ceramics.展开更多
目的:比较使用不同模式Er:YAG激光以及传统车针去龋后牙本质与复合树脂的粘接强度。方法:选用人类离体磨牙模拟龋坏,分别采用Er:YAG激光中短脉冲(medium short pulse,MSP)模式、Er:YAG激光超短脉冲(super short pulse,SSP)模式和传统车...目的:比较使用不同模式Er:YAG激光以及传统车针去龋后牙本质与复合树脂的粘接强度。方法:选用人类离体磨牙模拟龋坏,分别采用Er:YAG激光中短脉冲(medium short pulse,MSP)模式、Er:YAG激光超短脉冲(super short pulse,SSP)模式和传统车针去除模拟的龋坏后,采用自酸蚀粘接剂将牙体标本与复合树脂粘接制成试件。使用万能试验机对试件进行拉伸试验,测得断裂负荷和粘接强度,并采用单因素方差分析和Tukey多重比较进行统计学分析。采用扫描电子显微镜观察3种不同去龋方式处理后的牙本质表面形态,以及涂布自酸蚀粘接剂并固化后试件的横截面形态。结果:使用Er:YAG激光MSP模式处理后牙本质与复合树脂的粘接强度最高,SSP模式处理后次之,传统车针处理后最低,但差异无统计学意义(P>0.05)。扫描电子显微镜图像显示,Er:YAG激光MSP模式处理后的牙本质表面较平坦,牙本质小管内几乎没有残屑;Er:YAG激光SSP模式处理后的牙本质表面呈现鳞片状,牙本质小管内可见少量碎屑;而传统车针处理后牙本质小管大部分处于被表面牙本质部分甚至完全遮盖的状态,牙本质小管内充满残屑。结论:使用Er:YAG激光去龋相比传统车针去龋可以获得较好的牙本质粘接强度,且对牙本质小管的处理深度和洁净度明显优于传统车针去龋,其中MSP模式更佳。展开更多
Nd/Yb-co-doped YAG transparent ceramic nano-powder was prepared by a sol-gel combustion method.The structure,morphology and properties were characterized by thermogravimetric-differential thermal analysis,X-ray diffra...Nd/Yb-co-doped YAG transparent ceramic nano-powder was prepared by a sol-gel combustion method.The structure,morphology and properties were characterized by thermogravimetric-differential thermal analysis,X-ray diffraction,transmission electron microscopy,infrared spectroscopy,absorption analysis and fluorescence spectroscopy,respectively.The results show that the mass loss of the powder calcinated at 900 ℃ for 3 h is 49.56%.A well-crystallized Nd/Yb:YAG nano-powder with the superior sintering performance and high purity is obtained,and the morphology of the particles with the average diameter in the range of 60-100 runs appears regular.The nano-powder exhibits an intense absorption at 808 nm,corresponding to the 4I/9/2-4F7/2 transition of Nd^(^(3+) ions,which is suitable to absorb the wavelength of 808 nm from a laser diode source.The emission peak at 1046 nm of the Nd/Yb:YAG powder is more intense than that of Nd^(^(3+):YAG powder.It is indicated that the energy absorbed by Yb^(^(3+) ions from the laser diode source can be transmitted to Nd^(^(3+) ions based on the cross relaxation process of[(4F3/2)Nd,(2F7/2)Yb]-[(479/2)Nd,(2F5/2)Yb].展开更多
BACKGROUND Bouveret syndrome,also known as gallstone ileus,is a rare form of gastric outlet obstruction accounting for 1%-3%of cases.This condition is most often reported in females.The diagnosis can be challenging an...BACKGROUND Bouveret syndrome,also known as gallstone ileus,is a rare form of gastric outlet obstruction accounting for 1%-3%of cases.This condition is most often reported in females.The diagnosis can be challenging and is often missed due to atypical presentations,which occasionally mimic gastric outlet obstruction symptoms such as nausea,vomiting,loss of appetite and hematemesis.The symptoms vary with stone size.Larger stones are managed with a surgical approach,but this carries increased morbidity and mortality.Over the past decade,the endoscopic approach has emerged as an alternative mode of treatment,but it is generally unsuccessful in the management of larger-sized stones.A literature review revealed cases of successful endoscopic treatment requiring multiple sessions for stone sizes measuring up to about 4.5 cm.Here we present a unique case of an elderly patient with Bouveret syndrome with a 5 cm stone mimicking a gastric mass and causing gastric outlet obstruction,who was successfully managed in a single session using a complete endoscopic approach with laser lithotripsy.CASE SUMMARY An 85-year-old female patient presented with 1-month history of intermittent abdominal pain,vomiting,decreased appetite and weight loss.An abdominal computed tomography showed a 4.5 cm×4.7 cm partially calcified mass at the gastric pylorus causing gastric outlet obstruction.Endoscopy showed an ulcerated fistulous opening and a large 5 cm impacted gallstone in the duodenal bulb.Endoscopic nets and baskets were used in an attempt to remove the stone,but this approach was unsuccessful.Given her advanced age,poor physical condition and underlying comorbidities,she was deemed to be high-risk for surgery.Thus,a minimally invasive approach using endoscopic laser lithotripsy was attempted and successfully treated the stone.Post-procedure,the patient experienced complete resolution of her symptoms with no complications and was able to tolerate her diet.She was subsequently discharged home at 48 h,with an uneventful recovery.CONCLUSION In our paper we describe Bouveret syndrome and highlight its management with a novel endoscopic approach of laser lithotripsy in addition to various other endoscopic approaches available to date and its success rates.展开更多
The canal walls of extracted human teeth, following Nd∶YAG Laser irradiation, were examined with a scanning electron microscope and compared with those prepared with conventional methods or pretreated with citric aci...The canal walls of extracted human teeth, following Nd∶YAG Laser irradiation, were examined with a scanning electron microscope and compared with those prepared with conventional methods or pretreated with citric acid as control. The results showed that all the dentinal tubules were closed and smeared layer disrupted following laser irradiation, It was suggested that Nd∶YAG Laser irradiation would be expectablly applied to endodontics, especially in root canal therapy (RCT).展开更多
A 50-year-old man had noticed the gradual appearance of asymptomatic skin lesions on the dorsal aspects of the hands during the last 3 years. Physical examination revealed clusters of multiple purplish dome-shaped inf...A 50-year-old man had noticed the gradual appearance of asymptomatic skin lesions on the dorsal aspects of the hands during the last 3 years. Physical examination revealed clusters of multiple purplish dome-shaped infiltrated papules. Histopathological examination was compatible mutinucleate cell angiohistiocytoma. We treated him with 10,464 nm Nd:YAG laser, after the second session, some of the lesions had disappeared completely while the rest has gained substantial improvement. There were no adverse reactions and no recurrence after two years of follow-up. MCAH is a rare vascular fibrohistiocytic proliferation. No standard of care exists. We believe that Nd:YAG laser should be considered the treatment of choice.展开更多
文摘BACKGROUND The goal of periodontal disease treatment is to completely remove bacteria and promote wound healing.The erbium-doped yttrium aluminum garnet(Er:YAG)laser is commonly used to treat periodontal disease.Advanced platelet-rich fibrin+(A-PRF+)secrets growth factors that accelerates soft-and hard-tissue regeneration and wound healing.Herein I present 2 cases of patients with oral diseases treated with a combination of Er:YAG laser and A-PRF+.CASE SUMMARY Case 1 was a female with pocket depth bone loss over 8 mm and infection of tooth 31 and 41,and severe advanced periodontitis with grade III mobility.Case 2 was a male with tooth 22 root end apical swelling and infection and alveolar bony defects.Clinical outcomes were recorded at 6 and 36 mo.In case 1,the Er:YAG laser was used to perform open flap debridement(100 mJ/pulse,15 Hz)and remove calculus and granulation tissue(50 mJ/pulse,30 Hz).In case 2 the laser was used to create a semilunar full thickness flap incision(80 mJ/pulse,20 Hz)and eliminate the pathogen(100 mJ/pulse,15 Hz).In both patients,A-PRF+mixed with bone was used to fill bone defects,and A-PRF+autologous membranes were used to cover tension-free primary flaps.There was no recurrent infection at 36 mo,and tissue regeneration and would healing occurred.CONCLUSION Debridement with an Er:YAG laser followed by treatment with A-PRF+is effective for the treatment periodontal diseases with bone defects.
文摘Transparent polycrystaUine neodymiumdoped yttrium aluminum garnet ceramics （Nd：YAG） with better chemical stability, excellent optical and high temperature mechanical property is becoming a new laser host material. The Nd：YAG precursor powders with loosely dispersed, slightly agglomerated and YAG cubic crystal phase were synthesized at 1100 ℃ by the co-precipitation method combined with the reverse strike,
基金Supported by the Jinshan Hospital Qihang Plan,No.2018-JSYYQH-02
文摘BACKGROUND Generally,hemangiomas do not require surgical intervention;however,cases of large hemangiomas,potentially involving the throat and trachea,necessitate surgical therapy.Here,we present a case of hypopharyngeal hemangioma in an adult that was successfully treated with neodymium-doped yttrium aluminum garnet(Nd-YAG)laser.CASE SUMMARY Laryngoscopic examination of a 61-year-old man demonstrated the presence of a large,submucosal vascular lesion that extended into the epiglottis,left arytenoid cartilage,lateral to the aryepiglottic fold,and pyriform sinus.The lesion was resected and photocoagulated with limited hemorrhage using Nd:YAG laser.The hypopharyngeal hemangioma was completely excised.The patient showed no recurrence of hypopharyngeal hemangioma during the 1.5-year follow-up period.CONCLUSION Laser therapy is one of the effective tools for treating hemangiomas with rapid,uncontrolled growth or in functional areas,with few side effects and complications.The present case of a male patient with a large hypopharyngeal hemangioma,treated with YAG laser,demonstrates the efficacy of laser photocoagulation in treating cases of hemangiomas,without the risk of bleeding or airway obstruction.The favorable postoperative outcomes demonstrated by our patient with Nd:YAG laser therapy indicate its consideration in the therapy of similar cases.
文摘The homogeneously dispersed, less agglomerated (Nd0.01Y0.99)3Al5O12 nano-sized powders were synthesized by the low temperature combustion (LCS), using Nd2O3, Y2O3, Al(NO3)3·9H2O, ammonia water and citric acid as starting materials. This method effectively solves the problems caused by solid-state reaction at high temperature and hard agglomerates brought by the chemical precipitation method. The powders were characterized by TG-DTA, XRD, FT-IR, TEM respectively and the photoluminescence (PL) spectra of (Nd0.01Y0.99)3Al5O12 green and sintered ceramic disks were measured. The results show that the forming temperature of YAG crystal phase is 850 ℃ and YAP crystal phase appearing during the calcinations transforms to pure YAG at 1050 ℃. The particle size of the powders synthesized by the LCS is in a range of 20～50 nm depending on the thermal treatment temperatures. The effectively induced cross section (σin) with the value 4.03×10-19 cm2 of (Nd0.01Y0.99)3Al5O12 ceramics is about 44% higher than that of single crystal.
文摘substitutes tion, high loosely dis Neodymium doped-yttrium aluminum garnet （Nd ： YAG） transparent polycrystalline ceramics already become of single crystals because they are provided with easy fabrication, low cost, large size, highly doped concentraheat conductivity, mass fabrication, multi-layers and multi-filnctions. The Nd：YAG precursor powders with persed , slightly agglomerated, super fine and YAG cubic crystal phase were synthesized at 1100 ℃ by the homogeneous precipitation method, using Nd2O3, Y2O3, Al（NO3）3·9H2O and urea as raw materials, （NH4）2SO4 as electrical stabilizer, TEOS as sintering additive. The Nd：YAG transparent ceramics were prepared after being vacuum sintered at 1700 ℃ for 5 h. The Nd：YAG ceramic materials were characterized by the TG-DTA, XRD, FT-IR, TEM, FEG-ESEM and FT-PL. The results show that the crystallization temperature of YAG is 850 ℃ and the intermediate crystal phase YAP forming during the heat treatment transforms to YAG cubic crystal phase at 1050 ℃. The lasing wavelength of （Nd0.01 Y0.99）3Al5O12 transparent ceramics is 1.065 μm and there exists a slight red-shift compared to the single crystal with the same chemical composition. The optical transmittance is 45 % in the visible light and 58 % in the near infrared light and the optical transmittance descends with the decreasing the wavelength.
基金Project supported by Key Science and Technology of Chinese Ministry of Education (205037)
文摘Nd ： YAG precursor powders were synthesized by homogeneous precipitation, and Nd ： YAG transparent ceramics were prepared by vacuum sintering at 1700 ℃ for 5 h. The ceramic materials were characterized by light transmittance and field emission gun-environment scanning microscope. Using statistics and stereology theory, study was carried out on the quantitative relationships between light transmittance and stereological parameters in three-dimensional Euclidean space. It is found that the transmittance of Nd：YAG with 1 mm in thickness is about 45% and 58% in visible and near-infrared wavelength, respectively. The transmittance linearly increases with increasing equivalent sphere diameter and reaches the theoretical value of single crystal when the equivalent sphere diameter is 20μm. The transmittance decreases with the increasing of mean specific area per unit volume of grain and discrete grains, and the transmittance decreases with increasing mean free distance of grains in Nd：YAG ceramics.
基金Study on Optical Properties and Structure of Transparent Ceramics,Chinese Education Ministry Excellent Teachers Project (KB200226)
文摘Nd∶YAG precursor powders were synthesized by homogeneous precipitation and Nd∶YAG transparent ceramics were prepared by vacuum sintering at 1700 ℃ for 5 h. The ceramic materials were characterized by light transmittance, field emission gun-environment scanning microscope. Fractal geometry was used to study the quantitative relationships between light transmittance and fractal dimensions of Nd∶YAG transparent ceramics. It was found that the transmittance of Nd∶YAG with 1 mm in thickness was about 45% and 58% in visible and near-infrared region respectively. The microstructures of Nd∶YAG transparent ceramics were obvious fractal characteristic and fractal dimensions depart a little from two-dimension. The light transmittance decreased with increasing of fractal dimension and nonlinear fit curve was y=1350-1185x+269x2 between fractal dimension and light transmittance of Nd∶YAG transparent ceramics.
文摘目的:比较使用不同模式Er:YAG激光以及传统车针去龋后牙本质与复合树脂的粘接强度。方法:选用人类离体磨牙模拟龋坏,分别采用Er:YAG激光中短脉冲(medium short pulse,MSP)模式、Er:YAG激光超短脉冲(super short pulse,SSP)模式和传统车针去除模拟的龋坏后,采用自酸蚀粘接剂将牙体标本与复合树脂粘接制成试件。使用万能试验机对试件进行拉伸试验,测得断裂负荷和粘接强度,并采用单因素方差分析和Tukey多重比较进行统计学分析。采用扫描电子显微镜观察3种不同去龋方式处理后的牙本质表面形态,以及涂布自酸蚀粘接剂并固化后试件的横截面形态。结果:使用Er:YAG激光MSP模式处理后牙本质与复合树脂的粘接强度最高,SSP模式处理后次之,传统车针处理后最低,但差异无统计学意义(P>0.05)。扫描电子显微镜图像显示,Er:YAG激光MSP模式处理后的牙本质表面较平坦,牙本质小管内几乎没有残屑;Er:YAG激光SSP模式处理后的牙本质表面呈现鳞片状,牙本质小管内可见少量碎屑;而传统车针处理后牙本质小管大部分处于被表面牙本质部分甚至完全遮盖的状态,牙本质小管内充满残屑。结论:使用Er:YAG激光去龋相比传统车针去龋可以获得较好的牙本质粘接强度,且对牙本质小管的处理深度和洁净度明显优于传统车针去龋,其中MSP模式更佳。
基金supported by special project of Changchun Science & Technology Office(2014228)the Development and Reform Commission of Jilin Province(2015Y69)
文摘Nd/Yb-co-doped YAG transparent ceramic nano-powder was prepared by a sol-gel combustion method.The structure,morphology and properties were characterized by thermogravimetric-differential thermal analysis,X-ray diffraction,transmission electron microscopy,infrared spectroscopy,absorption analysis and fluorescence spectroscopy,respectively.The results show that the mass loss of the powder calcinated at 900 ℃ for 3 h is 49.56%.A well-crystallized Nd/Yb:YAG nano-powder with the superior sintering performance and high purity is obtained,and the morphology of the particles with the average diameter in the range of 60-100 runs appears regular.The nano-powder exhibits an intense absorption at 808 nm,corresponding to the 4I/9/2-4F7/2 transition of Nd^(^(3+) ions,which is suitable to absorb the wavelength of 808 nm from a laser diode source.The emission peak at 1046 nm of the Nd/Yb:YAG powder is more intense than that of Nd^(^(3+):YAG powder.It is indicated that the energy absorbed by Yb^(^(3+) ions from the laser diode source can be transmitted to Nd^(^(3+) ions based on the cross relaxation process of[(4F3/2)Nd,(2F7/2)Yb]-[(479/2)Nd,(2F5/2)Yb].
文摘BACKGROUND Bouveret syndrome,also known as gallstone ileus,is a rare form of gastric outlet obstruction accounting for 1%-3%of cases.This condition is most often reported in females.The diagnosis can be challenging and is often missed due to atypical presentations,which occasionally mimic gastric outlet obstruction symptoms such as nausea,vomiting,loss of appetite and hematemesis.The symptoms vary with stone size.Larger stones are managed with a surgical approach,but this carries increased morbidity and mortality.Over the past decade,the endoscopic approach has emerged as an alternative mode of treatment,but it is generally unsuccessful in the management of larger-sized stones.A literature review revealed cases of successful endoscopic treatment requiring multiple sessions for stone sizes measuring up to about 4.5 cm.Here we present a unique case of an elderly patient with Bouveret syndrome with a 5 cm stone mimicking a gastric mass and causing gastric outlet obstruction,who was successfully managed in a single session using a complete endoscopic approach with laser lithotripsy.CASE SUMMARY An 85-year-old female patient presented with 1-month history of intermittent abdominal pain,vomiting,decreased appetite and weight loss.An abdominal computed tomography showed a 4.5 cm×4.7 cm partially calcified mass at the gastric pylorus causing gastric outlet obstruction.Endoscopy showed an ulcerated fistulous opening and a large 5 cm impacted gallstone in the duodenal bulb.Endoscopic nets and baskets were used in an attempt to remove the stone,but this approach was unsuccessful.Given her advanced age,poor physical condition and underlying comorbidities,she was deemed to be high-risk for surgery.Thus,a minimally invasive approach using endoscopic laser lithotripsy was attempted and successfully treated the stone.Post-procedure,the patient experienced complete resolution of her symptoms with no complications and was able to tolerate her diet.She was subsequently discharged home at 48 h,with an uneventful recovery.CONCLUSION In our paper we describe Bouveret syndrome and highlight its management with a novel endoscopic approach of laser lithotripsy in addition to various other endoscopic approaches available to date and its success rates.
文摘The canal walls of extracted human teeth, following Nd∶YAG Laser irradiation, were examined with a scanning electron microscope and compared with those prepared with conventional methods or pretreated with citric acid as control. The results showed that all the dentinal tubules were closed and smeared layer disrupted following laser irradiation, It was suggested that Nd∶YAG Laser irradiation would be expectablly applied to endodontics, especially in root canal therapy (RCT).
文摘A 50-year-old man had noticed the gradual appearance of asymptomatic skin lesions on the dorsal aspects of the hands during the last 3 years. Physical examination revealed clusters of multiple purplish dome-shaped infiltrated papules. Histopathological examination was compatible mutinucleate cell angiohistiocytoma. We treated him with 10,464 nm Nd:YAG laser, after the second session, some of the lesions had disappeared completely while the rest has gained substantial improvement. There were no adverse reactions and no recurrence after two years of follow-up. MCAH is a rare vascular fibrohistiocytic proliferation. No standard of care exists. We believe that Nd:YAG laser should be considered the treatment of choice.
