调Q激光与手术切除治疗口腔黏膜黑斑后的复发率比较:一项回顾性队列研究

目的比较755 nm调Q激光与手术切除治疗口腔黏膜黑斑后的复发率。方法本研究已通过单位伦理委员会审查批准,并获得患者知情同意。采用回顾性队列研究设计,纳入2019年1月—2021年8月在上海交通大学医学院附属第九人民医院口腔黏膜病科门诊接受调Q激光或手术切除治疗的口腔黏膜黑斑患者,收集患者的一般资料、临床特征和随访病史。将治疗后1年复发率作为主要结局指标,长期不良反应发生率作为安全性评价指标,采用Kaplan⁃Meier法分析两组间的1年无复发率。结果本研究共纳入了57例患者,其中16例患者接受了手术切除治疗,41例患者接受了调Q激光治疗,两组人口统计学和临床特征基线无显著差异。手术切除组所有患者均未观察到口腔黏膜黑斑的复发(0%),而调Q激光组有12例(29.27%)患者出现复发,平均复发时间为治疗后6.08个月,复发与吸烟(P=1.000)、胃肠道息肉(P=1.000)、纵型黑甲(P=0.187)、家族史(P=0.552)、治疗次数(P=0.567)或是否多发(P=0.497)均无相关性。与手术切除相比,调Q激光治疗口腔黏膜黑斑1年复发的比值比为4.41,95%置信区间为1.27⁃15.24(P=0.020)。手术切除组中有3例患者(18.75%)报告损害切除处出现凹陷和疤痕,而调Q激光组没有患者报告长期不良反应(0%)(P=0.019)。结论与手术切除相比,调Q激光治疗口腔黏膜黑斑的优势在于长期不良反应率较低,但复发率相对较高,在治疗前需与患者沟通两种方法的优劣,以助临床决策。

调Q激光与强脉冲光治疗面部雀斑的疗效比较

目的:探究调Q激光与强脉冲光治疗面部雀斑的疗效及对皮损情况和不良反应的影响。方法:选取2021年1月-2022年9月就诊于笔者医院的130例面部雀斑患者,按就诊顺序随机分为对照组和观察组,每组65例。对照组采用强脉冲光治疗,观察组采用调Q激光治疗。比较两组治疗前后皮肤生理特征、美学效果及疗程、皮损情况、不良反应、患者美观满意度。结果:两组患者治疗期间不良反应总发生率比较差异无统计学意义(P>0.05),停止治疗3~6个月后均自行恢复。治疗前,两组患者斑点,纹理,皱纹,毛孔评分,皮损面积、颜色评分比较差异无统计学意义(P>0.05)。治疗1次后,两组皮肤生理状况及皮损状况均得到明显改善,且观察组上述评分均低于对照组(P<0.05);观察组美容治疗总有效率高于对照组(P<0.05)。观察组治疗时间及次数少于对照组(P<0.05)。两组患者美观满意度比较差异无统计学意义(P>0.05)。随访6个月后,所有患者无复发。随访1年后,两组复发率比较差异无统计学意义(P>0.05)。结论:与强脉冲光相比,调Q激光改善皮肤生理特征效果更好,治疗面部雀斑疗效更确切。调Q激光与强脉冲光治疗雀斑的近期疗效良好,但远期复发率较高。强脉冲光治疗雀斑的皮损情况少于调Q激光治疗。两者不良反应均较少,美观满意度相当。

芪参补气活血养颜汤联合Q开关Nd∶YAG激光治疗女性黄褐斑的美学效果观察

目的:探讨芪参补气活血养颜汤联合Q开关Nd∶YAG激光治疗女性黄褐斑的美学效果。方法:选取笔者医院2019年1月-2022年1月收治的80例黄褐斑女性作为研究对象,按照随机数字表法分为观察组42例(采用芪参补气活血养颜汤联合Q开关Nd∶YAG 1064 nm激光治疗)和对照组38例(采用Q开关Nd∶YAG 1064 nm激光治疗)。观察两组的临床疗效,中医症状积分,皮肤状况,黄褐斑面积及颜色,不良反应发生率。结果:治疗后,观察组患者的总有效率为97.62%,高于对照组患者的84.21%(P<0.05)。治疗后,观察组患者情绪低落、胸胁胀痛、经行乳胀、口苦咽干等上述中医症状积分均低于对照组患者(P<0.05)。治疗后,观察组黑素指数、红斑指数及皱纹指数均低于对照组(P<0.05)。治疗后,观察组黄褐斑面积及颜色评分均低于对照组(P<0.05)。治疗后,观察组患者的总不良反应发生率与对照组患者比较差异无统计学意义(P>0.05)。结论:芪参补气活血养颜汤联合Q开关Nd∶YAG1064 nm激光能够提高黄褐斑治疗的临床疗效,改善患者临床症状,改善皮肤状况,减少黄褐斑面积及颜色,安全性较高,值得临床推广。

重组牛碱性成纤维细胞生长因子凝胶联合调Q激光治疗面部脂溢性角化病

目的:探讨重组牛碱性成纤维细胞生长因子(Recombinant bovine basic fibroblast grow,rb-bFGF)凝胶联合调Q激光治疗面部脂溢性角化病(Seborrheic keratosis,SK)的效果。方法:选笔者医院2020年6月-2023年6月收治的82例面部SK患者为研究对象。按随机数字表法分为对照组(n=41)与观察组(n=41),两组均进行调Q激光治疗(波长532 nm),观察组在对照组基础上给予rb-bFGF凝胶治疗。观察对比两组疗效、疼痛程度、痂皮完全脱落时间、遗留红斑持续时间、皮肤病生活质量量表(Dermatology life quality index,DLQI)及不良反应发生情况。结果:观察组有效率较对照组高,差异有统计学意义(P<0.05);观察组疼痛视觉模拟评分法(Visual analogue scale,VAS)评分较对照组低,创面痂皮完全脱落时间、遗留红斑持续时间均较对照组短,差异均有统计学意义(P<0.05)。治疗后,两组DLQI除治疗维度外其他维度评分均较治疗前降低(P<0.05),且观察组均低于对照组(P<0.05);观察组不良反应发生率为0.93%,对照组为6.03%,差异无统计学意义(P>0.05)。结论:rb-bFGF凝胶联合调Q激光治疗面部SK疗效显著,可促进创面恢复,减轻恢复期疼痛,提高患者生活质量。

2.94μm LiNbO_(3)声光调Q Er:YAG激光输出脉冲特性

2.94μm纳秒铒激光是宽调谐中红外激光和临床医疗研究中重要的固体激光源.本文研制了新型LiNbO_(3)声光调Q Er:YAG激光器,研究了20 Hz重复频率下不同调Q延迟时间和耦合腔镜反射率对激光输出脉冲特性的影响规律.根据测量激光器的热透镜焦距设计了凹凸谐振腔补偿热透镜效应,获得了激光单脉冲能量为34.68 mJ、脉冲宽度为119.9 ns的调Q输出,相应的峰值功率为289.24 kW,与平平腔相比输出能量提高了2.09倍.据我们所知,这是目前声光调Q Er:YAG激光器中获得的最高能量,可为进一步研究宽调谐中红外激光技术提供新的手段.

基于台阶声光调Q外腔泵浦MgO:PPLN光参量振荡器的3.4μm中红外脉冲串激光器

本文报道了一种台阶声光调Q外腔泵浦MgO:PPLN光参量振荡器的3.4μm中红外脉冲串激光器.建立了基频台阶声光调Q理论模型,模拟了不同台阶调Q间隔时光子数密度随时间变化趋势,获得了台阶信号最优触发时间,确定了台阶声光调Q获得脉冲串激光输出的可能性.根据理论模拟设计台阶信号触发时间,并应用于台阶声光调Q外腔泵浦MgO:PPLN光参量振荡器的中红外脉冲串激光器实验中,在每个重复周期内声光Q开关分三次开启,获得了单脉冲包络含三个子脉冲的3.4μm中红外脉冲串激光输出.脉冲包络内子脉冲间隔为5μs,最窄脉宽为12.8 ns,脉冲包络重频为20 kHz,理论和是实验中均发现脉冲包络内子脉冲宽度逐渐增大.在最大平均输出功率为1.08 W时,1064 nm基频光与3.4μm参量光的光-光转换效率为10.05%,光束质量因子M 2为2.01.

MoS_2 saturable absorber prepared by chemical vapor deposition method for nonlinear control in Q-switching fiber laser

Due to the remarkable carrier mobility and nonlinear characteristic, MoS2 is considered to be a powerful competitor as an effective optical modulated material in fiber lasers. In this paper, the MoS2 films are prepared by the chemical vapor deposition method to guarantee the high quality of the crystal lattice and uniform thickness. The transfer of the films to microfiber and the operation of gold plated films ensure there is no heat-resistant damage and anti-oxidation. The modulation depth of the prepared integrated microfiber-MoS2 saturable absorber is 11.07%. When the microfiber-MoS2 saturable absorber is used as a light modulator in the Q-switching fiber laser, the stable pulse train with a pulse duration of 888 ns at 1530.9 nm is obtained. The ultimate output power and pulse energy of output pulses are 18.8 mW and 88 nJ, respectively. The signal-to-noise ratio up to 60 dB indicates the good stability of the laser. This work demonstrates that the MoS2 saturable absorber prepared by the chemical vapor deposition method can serve as an effective nonlinear control device for the Q-switching fiber laser.

1.5-MHz repetition rate passively Q-switched Nd:YVO4 laser based on WS2 saturable absorber

A transmission-type tungsten disulfide（WS_2）-based saturable absorber（SA） is fabricated and applied to passively Q-switched Nd：YVO_4 laser.The WS_2 nanosheets are deposited on a quartz substrate by the vertical evaporation method.By inserting the WS2 SA into the plano-concave laser cavity,we achieve 153-ns pulses with an average output power of1.19 W at 1064 nm.To the best of our knowledge,both of them are the best results among those obtained by the Q-switched solid-state lasers with WS_2-based absorbers.The repetition rate ranges from 1.176 MHz to 1.578 MHz.As far as we know,it is the first time that MHz level Q-switched pulses have been generated in all solid state lasers based on low-dimensional materials so far.

A compact graphene Q-switched erbium-doped fiber laser using optical circulator and tunable fiber Bragg grating

We demonstrate a passively Q-switched tunable erbium-doped fiber laser （EDFL） based on graphene as a saturable absorber （SA）. A three-port optical circulator （OC） and a strain-induced tunable fiber Bragg grating （TFBG） are used as the two end mirrors in an all-fiber linear cavity. The Q-switched EDFL has a low pump threshold of 23.8 mW. The pulse repetition rate of the fiber laser can be widely changed from 9.3 kHz to 69.7 kHz by increasing the pump power from 23.8 mW to 219.9 mW. The minimum pulse duration is 1.7 p.s and the highest pulse energy is 25.4 nJ. The emission wavelength of the laser can be tuned from 1560.43 nm to 1566.27 nm by changing the central wavelength of the straininduced TFBG.

Passively Q-switched diode-pumped Tm,Ho:LuVO4 laser with a black phosphorus saturable absorber

We presented a passively Q-switched(PQS) diode-pumped c-cut Tm, Ho:LuVO_4 laser with a black phosphorus saturable absorber for the first time.Under PQS mode, an average output power of 0.86 W and a peak power of 2.32 W were acquired from the Tm, Ho:LuVO4 laser with the pump power of 14.55 W, corresponding to a pulse width of 2.89 μs,a pulse repetition rate of 71.84 kHz, and a pulse energy of about 6.70 μJ.

Watt-level acousto-optically Q-switched Pr:YLF laser at 639 nm

We present a study on a watt-level acousto-optically Q-switched Pr:YLF laser at three different repetition rates(10 kHz,20 kHz,and 50 kHz)for the first time,to the best of our knowledge.The corresponding average output powers and pulse widths were measured to be 1.14 W,1.2 W,and 1.32 W,and 40 ns,52 ns,and 80 ns,respectively.A maximum pulse energy of0.11 mJ was obtained,corresponding to a peak power of up to 2.8 kW at a repetition rate of 10 kHz.The simulated dynamics of a fast Q-switched Pr:YLF laser is in agreement with the experiment.The laser's ability to generate stable pulses with high peak power and short pulse width makes it highly desirable for various practical applications,such as laser machining and material processing.

Passively Q-switched dual-wavelength Yb：LSO laser based on tungsten disulphide saturable absorber

We demonstrate a passively Q-switched Yb：LSO laser based on tungsten disulphide （WS2） saturable absorber op- erating at 1034 nm and 1056 nm simultaneously. The saturable absorbers were fabricated by spin coating method. With low speed, the WS2 nanoplatelets embedded in polyvinyl alcohol could be coated on a BK7 glass substrate coated with high-refractive-index thin polymer. The shortest pulse width of 1.6 gs with a repetition rate of 76.9 kHz is obtained. As the pump power increases to 9 W, the maximum output power is measured to be 250 mW, corresponding to a single pulse energy of 3.25 μJ. To the best of our knowledge, this is the first time to obtain dual-wavelength Q-switched solid-state laser using few-layer WS2 nanoplatelets.

Analysis and design of CW-LD pumped stable Q-switched laser

A high power continuous wave (CW) laser diode (LD) pumped acousto-optic Q-switched Nd:YVO4 laser is presented. A short pulse at the 1064 nm is obtained. With a repetition rate of 50 kHz,the maximum average output power of 5.72 W is achieved. The optical conversion efficiency and the slope efficiency are up to 28% and 32.4% respectively. At the repetition rate of 10 kHz and the pulse width of 16.3ns, the maximum single pulse energy of 286 μJ and the peak power of 13kW are acquired. The laser can be used as a signal source in the free-space optical communication. The output signal agrees with the modulate signal well.

Diode end-pumped self-Q-switched and mode-locked Nd,Cr：YAG /KTP green laser

We first experimentally demonstrate a laser-diode end-pumped self-Q-switched and mode-locked Nd,Cr：YAG green laser with a KTP crystal as the intra-cavity frequency doubler. The device produces an average output power of 680 mW at 532 nm. The corresponding pulse width of the Q-switched envelope of the green laser is 170 ＋ 20 ns. The mode-locked pulses have a repetition rate of approximately 183 MHz and the average pulse duration is estimated to be around sub-nanosecond. It is found that the intra-cavity frequency doubling greatly improves the modulation depth and stability of the mode-locked pulses within the Q-switched envelope.

双波长LD泵浦Nd^(3+)∶YAG免温控被动调Q激光器的研究

传统的固体激光器体积、重量大,功耗高,限制了其在空间受限设备中的应用。被动调Q的LD泵浦免温控固体激光器省去了复杂的温度控制装置,调Q机构简单,能够满足复杂温度环境的特殊应用场景的小型化、低功耗要求。提出了基于双波长LD泵浦实现宽温度范围免温控阈值自适应的1.06μm激光脉冲输出方法。基于Nd∶YAG晶体设计了角锥棱镜谐振腔,仿真分析了LD泵浦源到激光棒的面心距对热负载的影响,并确定4 mm的最佳面心距。数值分析了相同泵浦功率下-40~60℃温度范围内激光静态能量输出变化,以及不同初始透过率的可饱和吸收体对激光阈值脉宽的影响。计算结果表明在-37℃~60℃范围内,阈值脉宽都在200μs以下,阈值脉宽最低点达到了29.4μs。构建主波实时探测的阈值自适应调节装置并搭建实验系统,实验结果表明,在温度范围为-35~60℃时,阈值脉宽变化范围为40~180μs。采用激光腔体一体加工成型,应用轻量化的铝合金材料,实现工程化应用,体积83.5 mm×44 mm×29.5 mm,重量约为230 g。在23.8%初始透过率的饱和吸收体条件下实现单脉冲输出能量42 mJ,脉冲宽度5.2 ns。

High-energy pulse generation using Yb-doped Q-switched fiber laser based on single-walled carbon nanotubes

An all-fiber laser using a single-walled carbon nanotube（SWCNT） as the saturable absorber（SA） for Q-switched operation in the 1031 nm region is demonstrated in this work. A lasing threshold as low as 17 mW was realized for continuous wave operation. By further increasing the pump power, stable Q-switched pulse trains are obtained when the pump power ranges from 38 mW to 125 mW, corresponding to repetition rate varying from 40.84 kHz to 66.24 kHz, the pulse width from 2.0 μs to 1.0 μs,and the highest single pulse energy of 40.6 nJ respectively.

The Effect of Injected Energy on Low Energy Single Longitudinal Mode Pre-Lase Q-Switched Pr:YLF Laser

In this paper, the effect of injected energy on low energy single longitudinal mode (SLM) pre-lase Q-switched is analyzed and the optimization procedure is shown in detail. Here, taking the Pr:YLF laser as an example of low energy laser, and the parameters of Pr:YLF laser by using pre-lase have been shown. Compared with normal Q-switched laser, the single pulse energy reaches 60.16% and the pulse width exceeds 39.73% when the same maximum energy is injected and SLM is achieved in pre-lase. The analysis results show that pre-lase is suitable for low energy laser to obtain SLM and there be an optimal performance to achieve the optimal energy output.

小型化微片阵列式被动调Q全固态激光器

本文针对无人机空中目标探测系统的空间限制,提出了一种多光束可分路扫描式被动调Q微片阵列全固态激光器的方案,采用六管芯半导体激光器阵列端面紧凑泵浦长条状的Nd:YAG/Cr^(4+):YAG键合晶体,在每一路1.6 W的泵浦功率下,产生了6路波长为1064.4 nm、脉冲宽度为2.4 ns、光束质量为1.39、峰值功率为3.75 kW、重复频率可达22 kHz的输出激光,整个系统的体积仅为2 cm×2 cm×1.5 cm,实现了6路激光同时输出。研究了调Q晶体的初始透过率和输出镜反射率对激光脉冲重复频率和峰值功率的影响机制,重点对泵浦源激光器管芯的出光一致性问题做了深入探讨,通过实验验证了使用一个激光键合晶体产生多路纳秒级窄脉冲激光束的可行性。研究结果以小型化结构实现了被动调Q全固态激光器的多光束出射,对实现激光探测系统光源的小型化和集成化有借鉴意义。

Efficient Nd:YVO4 laser in-band pumped by wavelength-locked 913.9-nm laser diode and Q-switch operation

An efficient 1064-nm Nd：YVO_4laser in-band pumped by a wavelength-locked laser diode（LD） at 913.9 nm was demonstrated. The maximum continuous wave（CW） output power of 23.4 W at 1064 nm was realized with the incident pump power of 40 W, corresponding to a total optical-to-optical efficiency of 58.5%. This is to the best of our knowledge the highest total optical-to-optical efficiency and output power of Nd：YVO_4laser in-band pumped by a 913.9-nm laser diode.The Q-switched operation of this laser was also investigated. Through a contrast experiment of pumping at 808 nm, the experimental results showed that an Nd：YVO_4laser in-band pumped by a wavelength-locked LD at 913.9 nm had excellent pulse stability and beam quality for high repetition rate Q-switching operation.

LD端面泵浦Tm:SrF_(2)电光调Q激光器

高掺杂浓度的Tm^(3+)增益介质能通过交叉弛豫过程提高激光器的量子效率,但同时也会增加能量上转换带来的损耗,从而限制激光器效率的进一步提升。对Tm:SrF_(2)晶体的荧光特性以及激光性能展开研究。在激光二极管(LD)端面泵浦下,实现最大功率2.99 W的自由运转输出,激光器的泵浦阈值为0.89 W,中心波长1851 nm,斜效率高达82.1%。采用KTP电光调Q开关演示了Tm:SrF_(2)激光器的电光调Q输出特性。在500 Hz重复频率下,获得了1.02 mJ的最大单脉冲能量,泵浦阈值为2.01 W,最短脉冲宽度为45 ns,对应峰值功率为22.67 kW。实验结果表明,基于LD泵浦的Tm:SrF_(2)激光器具有非常高的效率,有望成为中红外光学参量振荡器(OPO)和光学参量放大器(OPA)的理想泵浦源。