鈥雷射在主唾液腺結石之臨床應用

10.6666/ClinMed.201912_84(6).0138

張嘉帆

鈥雷射（holmium laser） ； 唾液腺結石（sialolithiasis） ； 唾液腺內視鏡（sialendoscopy）

臨床醫學月刊

84卷6期（2019 / 12 / 27）

837 - 841

繁體中文

鈥雷射（holmium laser）是目前應用在結石最廣泛使用之碎石工具，除了可以被水吸收，避免熱效應傷害到周邊組織外，作用較窄且適中的穿透深度，適合用於結石剝蝕（ablation），也可以避免直接傷害到管壁；主唾液腺結石是最常見之唾液腺疾病之一，以下頷腺占多數，治療以唾液腺內視鏡手術為主，改變過去以往需將唾液腺移除之治療方式，可以只將阻塞之結石移除，保留唾液腺體，恢復原有功能，合併鈥雷射使用，搭配較細之雷射纖維，應用在大小3公厘以上之結石，在內視鏡下若可以清楚地看到結石，即可將結石擊碎並逐一取出，成功率約八成以上，是一個非常安全及有效之治療方式。

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