声带息肉合并喉梗阻症状的治疗方法探讨

目的研究喉显微镜支撑喉镜下CO2激光手术治疗声带息肉合并不同程度喉梗阻患者的疗效。方法选取18例声带息肉伴有不同程度喉梗阻患者为研究对象,均采用纤维支气管镜引导下经鼻气管插管,实施喉显微镜支撑喉镜下CO2激光切除声带息肉手术,术后1个月复查电子喉镜,统计患者治疗总有效率及嗓音功能恢复、并发症以及术后复发等情况。结果 18例患者均一次性插管成功,无气管切开病例,除2例口咽侧壁擦伤外无其他并发症,术后呼吸困难症状改善明显,术后1个月嗓音功能恢复良好,治愈14例(77.78%),好转4例(22.22%),随访半年,无复发病例。结论纤维支气管镜引导下经鼻气管插管,CO2激光显微外科手术是治疗声带息肉合并喉梗阻患者安全、有效、微创的手术方法,值得临床推广应用。

Mitigation of laser damage growth in fused silica by using a non-evaporative technique

A non-evaporative technique is used to mitigate damage sites with lateral sizes in a range from 50 μm to 400 μm and depths smaller than 100 μm.The influence of the pulse frequency of a CO 2 laser on the mitigation effect is studied.It is found that a more symmetrical and smooth mitigation crater can be obtained by increasing the laser pulse frequency form 0.1 to 20 kHz.Furthermore,the sizes of laser-affected and distorted zones decrease with the increase of the laser pulse frequency,leading to less degradation of the wave-front quality of the conditioned sample.The energy density of the CO 2 laser beam is introduced for selecting the mitigation parameters.The damage sites can be successfully mitigated by increasing the energy density in a ramped way.Finally,the laser-induced damage threshold（LIDT） of the mitigated site is tested using 355 nm laser beam with a small spot（0.23 mm 2） and a large spot（3.14 mm 2）,separately.It is shown that the non-evaporative mitigation technique is a successful method to stop damage re-initiation since the average LIDTs of mitigated sites tested with small or large laser spots are higher than that of pristine material.

A study on the porosity of CO_2 laser welding of titanium alloy

The CO2 laser welding of BT20 titanium alloy and Ti-23Al-17Nb titanium aluminide was conducted to investigate into the porosity in titanium alloy weld. The results show that there are two sorts of porosities observed in welds of titanium alloy laser welding based on the microscopic characteristics of the porosities. One is the metallurgical porosity with round and smooth inner wall, which results from the surface contamination. The other is the processing porosity with irregular and rough inner wall that displays the trace of the pool flowing, which results from the ruffle on the keyhole wall gathering together locally and closing down the gas in the keyhole into bubbles because of the keyhole fluctuating. The CO2 laser welding could break down easily the surface oxide film and produce little metallurgical porosity, but produces easily processing porosity when partial penetration or unstable-full penetration laser welding is conducted, which always occurs in the center of weld.

Behavior of vapor/plasma within the keyhole and above the workpiece during CO_2 laser penetration welding

In this paper, a high-speed camera and an optical emission monitor were used to study the behavior of vapor/ plasma during CO2 laser welding of SUS304 stainless steel. Results of optical emission from vapor/plasma show that two characteristic frequency bands exist, 100 -500 Hz and 1 500 -3 500 Hz. At the same time, the changing images of vapor/ plasma and bottom pool also confirm that there are two different fluctuation frequency bands. One of the frequency bands represents the characteristic of vapor/plasma within the keyhole, and it is within 167 -500 Hz. Another frequency band is within 1 500 - 3 500 Hz, and it obviously derives from the shielding gas. Some factors may cause these frequency differences between the keyhole plasma and the shielding gas plasma. One of them is that the vapor/plasma pressure within the keyhole will increase slowly.

Macrostructural and microstructural features of 1000 MPa grade TRIP steel joint by CO_2 laser welding

Bead-on-plate CO2 laser welding of 1 000 MPa grade transformation induced plasticity （TRIP） steel was conducted under different welding powers, welding speeds and shield gases. The macrostructural and microstructural features of the welded joint were investigated. The increase of welding speed reduced the width of the weld bead and the porosities in the weld bead resulting from the different flow mode of melted metal in weld pool. The decrease of welding power or use of shield gas of helium also contributed to the reduction of porosity in the weld bead due to the alleviation of induced plasma formation, thus stabilizing the keyhole. The porosity formation intimately correlated with the evaporation of alloy element Mn in the base metal. The laser welded metal had same martensite microstructure as that of water-quenched base metal. The welding parameters which increased cooling rate all led to fine microstructures of the weld bead.

异维A酸口服联合CO_2激光或光动力疗法治疗尖锐湿疣临床观察

目的观察口服异维A酸胶囊联合CO2激光或光动力疗法治疗尖锐湿疣的临床疗效和复发率。方法将120例门诊确诊的尖锐湿疣患者随机分为4组,每组各30例。A组行单纯光动力治疗;B组行光动力治疗联合异维A酸10 mg,每日3次口服,直到疣体完全消失,改为异维A酸10 mg,每日1次口服,维持1个月后停药;C组行单纯CO2激光治疗;D组行CO2激光治疗联合异维A酸口服,服法同B组。所有患者均每2周随访1次,记录皮损改善情况及不良反应。CO2激光或光动力疗法治疗均维持到疣体完全消失,随访6个月。结果 A组痊愈19例,显效9例,无效2例;B组痊愈26例,显效3例,无效1例;C组痊愈10例,显效13例,无效7例;D组痊愈15例,显效11例,无效4例。AB组与CD组的组内疗效比较差异有统计学意义(AB:χ2=6.788,P<0.05;CD:χ2=6.652,P<0.05)。4组患者的复发率分别为21.1%、11.5%、60.0%、40.0%。AB组与CD组的组内复发率比较差异有统计学意义(AB:χ2=0.756,P<0.05;CD:χ2=0.962,P<0.05)。结论异维A酸联合CO2激光或光动力疗法对尖锐湿疣具有较好的治疗作用,且复发率较低。

Analysis of the far spatial coherent suppressed single peak field distribution of a rectangular wave-guide laser

A theory of the far spatial coherent-suppressed single-peak field distribution of a rectangular wave-guide CO2 laser is presented. The theoretical analysis shows that a rectangular wave-guide laser can have an output intensity distribution in far field similar to that produced from a wave-guide array laser, which is in agreement with the experimental result. A single-peak mode output is obtained within 5 metres. The experimental far-field spread angle in the bigger-Fresnel number direction is 0.63 mrad, compared to the calculated one, 0.6 mrad, and when the length of the laser resonator is changed, a double-peak or multi-peak in far-field distribution of the laser is obtained.

Laser Welding of TC-1 Titanium Alloy

The technology of CO2 laser welding and joint properties of titanium alloy were investigated. The problem of molten pool protection was resolved by designing a shielding trailer and a special clamp. Joints with silvery appearance were obtained, which have no pore and crack. In addition, the welding speed could reach 3 m/min for the plate of 1.5 mm thickness being penetrated. The reason of the porosity formation in partial penetration joints is that the keyholes can be easily cut apart in the radial direction, which makes the gas enclosed in the molten pool. The surface oxide of specimens can not affect the porosity formation in welds directly.

Irradiation effects of CO_2 laser parameters on surface morphology of fused silica

To understand the surface morphology evolution of fused silica induced by 10.6μm CO2 laser irradiation at different parameters, this paper reports that optical microscopy, profilometry, and hydrophilicity tests are utilized to characterize the surface structure and roughness of the laser irradiated area. The results show that three typical surface morphologies and two typical hydrophilicity test images are observed at different laser powers and pulse durations. The correlations between surface temperature and surface morphology as well as hydrophilicity behaviours are presented. The different hydrophilicity behaviours are related to surface structures of the laser-induced crater and thermal diffusion area. The thermal diffusion length monotonously increases with increasing laser power and pulse duration. The crater width is almost determined by the laser beam size. The crater depth is more sensitive to the laser power and pulse duration than the crater width.

Multipass welding of thick section steels using autogenous CO2 laser welding and CO2 laser-MIG hybrid welding

Laser multipass welding techniques for thick section steels have been developed using a new type of UV combined narrow groove. The shape and sizes at the bottom of groove are determined by analyzing the plasma behavior using high speed photographic equipment. A stable autogenous CO2 laser welding process and greater penetration are generated at the root pass because of strong reduction of the plasma volume. According to the waveforms of welding current and arc voltage, and the interaction between the arc and the laser induced plasma, a suitable groove angle is obtained. Laser-double MIG hybrid welding process is studied and the optimum distances between the laser and two arcs are determined. By using autogenous CO2 laser welding, CO2 laser-MIG hybrid welding and laser-double MIG hybrid welding, 28 mm thick steel plates are welded with four passes. The welds produced are assessed by X-ray. No crack is found and there is only a small amount of pores. The experimental results show that the multipuss welding procedures proposed can realize the joining of thick section steels with high efficiency and good quality.

Spectral Efficiency of Extreme Ultraviolet Emission from CO_2 Laser-Produced Tin Plasma Using a Grazing Incidence Flat-Field Spectrograph

A grazing incidence flat-field spectrograph using a concave grating was constructed to measure extreme ultraviolet （EUV） emission from a CO 2 laser-produced tin plasma throughout the wavelength region of 5 nm to 20 nm for lithography. Spectral efficiency of the EUV emission around 13.5 nm from plate, cavity, and thin foil tin targets was studied. By translating the focusing lens along the laser axis, the dependence of EUV spectra on the amount of defocus was investigated. The results showed that the spectral efficiency was higher for the cavity target in comparison to the plate or foil target, while it decreased with an increase in the defocus distance. The source＇s spectra and the EUV emission intensity normalized to the incident pulse energy at 45 from the target normal were characterized for the in-band （2% of bandwidth） region as a function of laser energy spanning from 46 mJ to 600 mJ for the pure tin plate target. The energy normalized EUV emission was found to increase with the increasing incident pulse energy. It reached the optimum value for the laser energy of around 343 mJ, after which it dropped rapidly.

Effect of CO_2 laser sclerectomy with iridectomy on ocular hypertension in rabbits

AIM:To evaluate the efficiency and safety of an optimized CO2 Laser glaucoma surgery system for laser sclerectomy with iridectomy.METHODS:Rabbit trials were performed to evaluate the efficiency and safety.RESULTS:IOP was significantly decreased in laser group compared with trabeculectomy group(P<0.05) from 7th postoperative day to 60th day.Compared with trabeculectomy group,histopathology studies confirmed fewer complications and better effects were found in laser group.CONCLUSION:CO2 laser sclerectomy with iridectomy is effective and safe in terms of IOP lowering.

Output mode characteristics of an in-phase locked gain waveguide array CO_2 laser

In this paper, experimental and theoretical studies of the output mode characteristics of an in-phase locked gain waveguide array CO2 laser are reported. The experimental results of the optical oscillation mode frequency, the far-field intensity distribution and the burnt pattern of the sliced waveguide array laser are obtained. A revised mode expression of the rectangle waveguide, which is suited for this waveguide array CO2 laser, is proposed. The theoretical simulation results based on the revised mode expression are shown to be in good agreement with the experimental results.

Fabrication Silver Film inside Silica Capillary

To study hollow waveguides for CO 2 laser transmission,a liquid-phase depositi on technique is applied to form a silver film inside silica capillary based on t he method of silver mirror reaction.Using this fabrication method,the optimum co mbination of different parameters is gained and hollow waveguides have been made successfully with a bore size of 1mm and a guide with length of as long as 2m o n self-producing apparatus.To meet quality silver film,a relative high temperat ure,low flowing speed and long time are adopted on the basis of low reactant con centration.The maximum transmission efficiency of hollow-core fiber without die lectric coating can be up to 85 percent and loss can be low to 0.5dB/m,maximum o utput power is 53W for stable 20mintues.

CALCULATION OF INFRARED OPTICAL CONSTANTS FOR CO_2 LASER HOLLOW WAVEGUIDE MATERIALS

A simple method was deduced for calculat-ing optical constant, optical loss and transmittance per meter of hollow-core optical fiber using data analysis method, ge-ometerical optical and electromagnetic theory. The method was used to study the Na2O-ZnO-GeO2-SiO2-PbO and Sb2O3 sysem. The glasses have nr<1 region. When the core diameter ao is 0. 5mm, the hollow waveguides of the Sb2O3-containing . glass is predicted with minimum loss of 0. 8 dB/m at 940cm-1

CO_2 Laser Collective Thomson Scattering Diagnostics on the HT-7 Tokamak

A CW CO2 laser collective Thomson scattering diagnostics was developed to measure plasma density fluctuations on the HT-7 tokamak. The design and construction of CO2 laser scattering apparatus is described. The laser source is a continuous-wave CO2 laser with a cavity length of 1.9 m and a power output of about 10 W at 10.6 μm. The k-resolution of the system is △k ≈ 3.2 cm-1. The preliminary data from the diagnostic is presented.

Nanocrystallization of Amorphous Fe_(73.5)Cu_1Nb_3Si_(13.5)B_9 Irradiated by Laser

The surface nanocrystallization of amorphous Fe73.5 Cu1Nb3Si13.5B9 radiated by CO2 laser was studied by means of M（oe）ssbauer spectroscopy, transmission electro iroscope and X-ray diffraction. The result shows that under certain technical conditions, nanocrystalline is fiound on the surface of amorphous Fe73.5 Cu1Nb3Si13.5B9 radiated by laser; the crystallization phase is α-Fe（Si） crystalline, and its size is about 10-20 nm; the nanocrystalline is uniformly distributed on amorphous base to keep the amorphous and crystallized phase in balance; the a mount of crystallization reaches 23% when the laser power is 300 W, the diameter of light spot is 20 mm, and the radiation speed is 20 mm/s. The phase balance can be controlled by adjusting the laser technology parameter. Laser radiation on the amorphous Fe73.5 Cu1Nb3Si13.5B9 alloy is an important technique for surface nanocrystallization of the amorphous alloys.

IR Spectra Analysis of SiO_2-TiO_2-GeO_2 Gel Glass of CO_2 Laser Transmitting Hollow Waveguide

Both titanium and germanium were introduced into silicon dioxide system by sol-gel method to move its region of anomalous dispersion caused by IR resonance absorption towards the wavelength of CO 2 laser.It is indicated by IR absorption spectra that as the content of SiO 2 decreases in this glass system TiO 2 and GeO 2 tends to exist in their own phases.As for the gel glass with a composition of 40SiO 2·30TiO 2·30GeO 2,when the temperature is below 600℃,germanium atoms exist mainly in Ge-O-Ge bonds.With the temperature increasing from 800℃ to 1000℃, titanium atoms in Si-O-Ti bonds almost transform into Ti-O-Ti bonds.Furthermore,a large number of Si-O-Ti and Si-O-Ge bonds formed when the temperature approaches 800℃,which makes a notable IR absorption band round the wavelength of CO 2 laser.Therefore, sol-gel based SiO 2-TiO 2-GeO 2 gel glass is a candidate material for CO 2 laser hollow waveguide.

THE SUPPORTED GOLD CATALYSTS FOR CLOSED CYCLE CO_2 LASER

Sealed-off carbon dioxide lasers encounter problem of dissociation of CO2, Which causes the output power to fall. Reformation of CO2 is therefore essential for long life CO2 lasers. Au/Fe2O3 and Au/NiFe2O4 are promising candidates for this application.

Effects of RFTVR and CO2 laser on symptoms improvement, QOL and vas of patients with early laryngeal cancer

Objective: To study the effect of RFTVR and CO2 laser on the improvement of symptoms, QOL and vas of patients with early laryngeal cancer. Methods: In this study, 120 patients with laryngeal cancer diagnosed and treated from January 2015 to December 2016 were taken as research objects. All patients were randomly divided into observation group and control group, 60 patients in each group. Patients in observation group were treated with RFTVR, and patients in control group were treated with new-type fiber-optic CO2 laser. The patients in the two groups were treated with cisplatin injection. The differences of perioperative indexes, swallowing function, pronunciation function, survival period, QOL score and VAS score between the two groups were compared. Results: There was no significant difference in the amount of intraoperative bleeding, operation time and hospitalization time between the two groups (P > 0.05);the correct swallowing of the observation group was significantly higher than that of the control group. After treatment, jitter, shimmer and HNR of the two groups were significantly improved, and jitter and shimmer of the observation group were significantly lower than that of the control group, and HNR was significantly higher than that of the control group (P < 0.05) The QOL score and VAS score of the two groups were significantly improved, and the QOL score of the observation group was significantly higher than that of the control group and the VAS score was significantly lower than that of the control group (P < 0.05);the total survival period and tumor free survival period of the observation group were significantly higher than that of the control group. Conclusion: Compared with CO2 laser treatment, the swallowing function and voice function of patients treated by low temperature plasma radiofrequency ablation were significantly improved, and the life quality of patients was significantly improved by prolonging the survival period of patients..