钬激光消融凝胶结石组织的模型实验研究
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Model experiments on calculi tissue ablation induced by holmium laser
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    摘要:

    为探究钬激光消融人体内结石的动力学过程及对周遭组织的附带伤害,使用凝胶与石膏块模拟真实人体的软组织和结石,基于自主研制的钬激光器开展一系列钬激光消融凝胶-人造结石组织的模型实验,实验变量包括激光能量、光纤芯径和光纤距离人造结石的高度。首先通过动态高速阴影成像观察到消融过程中加载区域及附近的凝胶组织中出现葫芦状空化气泡,并根据阴影成像的差异讨论了不同加载工况下空泡形态演化的不同机制。然后通过光学成像与扫描电子显微成像开展了回收凝胶与人造结石样品的表征,发现凝胶组织遭受的附带伤害主要来自烧蚀、空化、破碎和人造结石碎片溅射;另外发现人造结石消融坑内壁侧面与底部形貌显著不同,这与坑内不同区域经历的材料失效机制不同有关。最后通过白光干涉扫描获取了高精度的消融坑几何参数,用以定量分析不同实验变量对消融坑几何参数的影响,数据统计结果表明,消融坑体积与激光能量呈线性正相关。

    Abstract:

    In order to investigate the dynamic process of calculi ablation by holmium(Ho) laser and its collateral damage to the surrounding tissues, various model experiments were conducted on artificial gelatin-gypsum samples, along with a homemade holmium laser device. The experimental parameters included the laser energy, the fiber diameter, and the distance between the fiber and the artificial calculi. High-speed shadow graphs showed that an hourglass-shaped bubble would occur in gelatin during the ablation, and a discussion was provided on the morphology evolution mechanism of hourglass-shaped bubbles under different loading conditions. Characterizations on the recovered samples were carried out via optical imaging and scanning electron microscope. The results revealed that gelatin tissue undergoes damage from erosion, cavitation, and fragments jetting of artificial calculi. The ablation crater shows two kinds of morphology on its side face and subface with different roughness due to different material failure mechanisms. Geometric parameters of the ablation crater were obtained using the white-light interferometry technique, along with discussions on the effects of loading conditions. Energy analysis was given on the ablation process, and a linear relation between crater volume and laser energy was evaluated.

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张玉锋,华浚亦,边雅龙,蔡洋,卢磊*.钬激光消融凝胶结石组织的模型实验研究[J].实验力学,2025,40(4):467~478

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  • 收稿日期:2024-05-08
  • 最后修改日期:2024-06-24
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  • 在线发布日期: 2025-09-29
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