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飞秒激光屈光手术学

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飞秒激光屈光手术学

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《飞秒激光屈光手术学》共分为五篇20章,第一篇为概述,正所谓“温故知新”,此篇首先系统回顾了角膜屈光手术的发展历史,之后试图为略显纷乱复杂的各类手术方式梳理出较为清晰的脉络,对目前的各种手术方式进行了归纳分类。同时,从临床实用角度概述了飞秒激光的工作原理、作用机制以及飞秒激光的可能影响。之后予以展开,针对本书主题,对飞秒激光的物理学基础理论知识予以详尽论述,并论述了激光对生物组织的基本作用,另有一个全新的章节论述了角膜生物力学特点及其对各种手术方式的影响。第二篇对最新出现的全飞秒手术,特别是SMILE手术这一全新术式,作为国内首位完成人,予以详细论述,包括手术原理、手术适应证、并发症等,此为新的尝试。第三篇,将目前国内外最常用的飞秒激光发生器的工作原理结合临床,邀请国内在此方面应用较多的专家较全面阐述了飞秒激光辅助的LASIK手术(FS—LASIK)的相关内容。同样,在第四篇特邀专家对目前应用飞秒激光治疗的所有角膜屈光手术一一予以讲述,几乎涵盖了飞秒激光辅助下的各种传统角膜屈光手术的改良及在其他眼科手术中的最新应用。包括飞秒激光角膜基质内切割(IntraCOR),飞秒激光介导的角膜基质环植入术(FS,ICRSs),飞秒激光角膜基质内老视矫正手术,飞秒激光角膜基质内镶嵌术(Cornealinlays),飞秒激光介导的散光角膜切开术(FS—AK)以及飞秒激光介导的胶原交联术(FS—CXL)等等。第五篇内容主要涵盖飞秒激光在角膜其他方向的应用,如角膜移植等,邀请该领域的专家做了较为详尽的介绍。为展现飞秒激光的最新进展,我们还荣幸地邀请到世界上第一位完成飞秒激光白内障手术的ZoltanZ.Nagy教授对目前飞秒激光在白r8障手术中的应用进行介绍。
Catalogue

第一篇飞秒激光基础
第一章概论
第一节角膜屈光手术历史及发展
一、引言
二、角膜屈光手术发展史
三、激光技术的发展及应用
第二节角膜屈光手术分类
一、根据基本矫正原理
二、根据手术部位
三、根据是否应用激光及应用激光的种类
第三节飞秒激光与角膜屈光手术
一、基本概念及相关特性
二、飞秒激光对角膜组织的作用机制
三、飞秒激光技术与角膜屈光手术成功的基本原则
第二章超短脉冲激光与飞秒激光器
第一节激光脉冲与超短脉冲激光简介
一、脉冲与激光脉冲
二、何为“超短”激光脉冲
三、产生超短激光脉冲的主要方法
四、飞秒激光脉冲的特性和主要应用
第二节超短脉冲激光的表征
一、描述超短激光脉冲的基本参量
二、飞秒激光脉冲强度和脉冲宽度的定义
三、表征激光脉冲的其他一些重要参量
四、超短脉冲激光的光谱分布与谱宽
五、超短激光脉冲的空间特性
六、真实情况下的激光超短脉冲特性
第三节飞秒激光器的工作原理

第二篇飞秒激光角膜微透镜取出术(“全飞秒”手术)
第三篇飞秒激光辅助的LASIK手术
第四篇飞秒激光角膜屈光手术最新进展
第五篇飞秒激光的最新发展及其应用
Book Abstract

第二章 超短脉冲激光与飞秒激光器
飞秒激光是脉冲宽度在飞秒(10秒)量级的激光脉冲。在这一章中,我们主要介绍与飞秒激光应用密切相关的光学基础知识和产生飞秒激光的核心仪器一一飞秒激光器的基本原理。我们首先回顾激光和超短脉冲激光有哪些重要特点以及如何以简单的数学表达式来描述飞秒激光脉冲,而后介绍飞秒激光器的一些最基本的参数,并着重阐述产生飞秒脉冲激光的方法、原理和相关的重要科学概念。希望通过本章內容的学习,能够帮助读者充分了解和掌握包括飞秒激光的主要特点、产生方法、传输特性方面的一些关键性的基础知识。
第一节 激光脉冲与超短脉冲激光简介
本节主要介绍什么是激光超短脉冲、超短脉冲激光的特点、产生超短脉冲激光的主要方法和超短脉冲激光(包括飞秒激光)的一些重要应用。
一、脉冲与激光脉冲
在科学研究中,通常我们用“脉冲”两个字来描述某一物理量发生突然变化的现象,即“脉冲”是相对于“连续”而言的。人们经常遇到的不同形式的脉冲包括声脉冲、电脉冲、光脉冲等。我们将室内的灯打开又关上,就产生了一个光脉冲(实际上,与此同时我们也产生了电脉冲和对应开关嘀嗒声的声脉冲).我们看到的闪电是自然界产生的光脉冲。照相吋,闪光灯发出的光是一个光脉冲.行驶到交通路口时红、绿、黄交通灯的交替亮灭也都对应光脉冲的产生。因此,人类生活中实际上充满了各种各样脉冲形式的光。只是这些光脉冲(或称之为脉冲光)的强弱、持续时间乃至颜色等重要特性都有所不同。在现实当中,绝对连续不变的光波是不存在的。从这一点出发我们不妨认为连续光是延续时间接近于无限长的光脉冲。
所谓激光脉冲,顾名思义是指脉冲形式的激光。如果在空间中某处对其进行观测,会发现它仅在短暂的时间内存在,这也正是脉冲的含义。对于单一的脉冲,我们可以用脉冲宽度(或简称脉宽)、脉冲形状、脉冲幅度来对其进行描述,而对多个激光脉冲(可以是接连不断的脉冲,或简称连续脉冲),其基本描述量还包括脉冲重复频率、脉冲间隔的相对抖动、脉冲幅度起伏等。
……
Introduction

如果说科学技术进步89~命内涵在于创新,屈光手术领域则始终享受着创新带来的成果,同时,也在诠释着创新在专业发展中的推动作用。激光应用于眼科屈光手术领域整整3。年.纵观近代角膜屈光手术发展史,不难发现其始终处于变迁、革新之中。手术方式从准分子激光最早成功应用于角膜屈光手术的PRK手术,到后来广为流传的LASIK手术:手术部位历经了从角膜表面切削(PRK,tPRK)、表层手术(LASEK、Epi—LASIK)到板层手术(LASIK),而后,浅表板层6,9(SBK)手术,乃至又回归表层以及集表层与板层手术优势共存的各种手术方式。重要的是,新技术与经典术式的融合亦催生了新的手术方式,FS—LASIK、FLEx等技术是飞秒激光技术与LASIK相结合的产物。而更加令人欣喜的是,飞秒激光的应用成就了手术设计理念的重大突破,SMILE等手术则是集各手术优势较具代表性的创新成果之一。在手术形式上,从角膜切削术到植入物,再到组织的成型及透镜的取出,更是千差万别、种类繁多。科学技术的不断发展为我们提供了各式各样8.9方法和手段,新的技术、新的理念层出不穷,面对众多8.9手术方式,它们的特点如何?我们将如何选择?本书尽可能予以展现。
全书共分为五篇20章,第一篇为概述,正所谓“温故知新”,此篇首先系统回顾了角膜屈光手术的发展历史,之后试图为略显纷乱复杂的各类手术方式梳理出较为清晰的脉络,对目前的各种手术方式进行了归纳分类。同时,从临床实用角度概述了飞秒激光的工作原理、作用机制以及飞秒激光的可能影响。之后予以展开,针对本书主题,对飞秒激光的物理学基础理论知识予以详尽论述,并论述了激光对生物组织的基本作用,另有一个全新的章节论述了角膜生物力学特点及其对各种手术的影响。第二篇对最新出现的全飞秒手术,特别是SMILE手术这一全新术式,作为国内首位完成人,予以详细论述,包括手术原理、手术适应证、并发症等,此为新的尝试。第三篇,将目前国内外最常用的飞秒激光发生器的工作原理结合临床,邀请国内在此方面应用较多的专家较全面阐述了飞秒激光辅助的LASIK手术(FS—LASIK)的相关内容。同样,在第四篇特邀专家对目前应用飞秒激光治疗的所有角膜屈光手术——予以讲述,几乎涵盖了飞秒激光辅助下的各种传统角膜屈光手术的改良及在其他眼科手术中的最新应用。包括飞秒激光角膜基质is切割(IntraCOR),飞秒激光介导的角膜基质环植入术(FS—ICRSs),飞秒激光角膜基质内老视矫正手术,飞秒激光角膜基质内镶嵌术(Cornealinlays),飞秒激光介导的散光角膜切开术(FS—AK)以及飞秒激光介导的胶原交联术(FS—CXL)等等。第五篇ra容主要涵盖飞秒激光在角膜其他方向的应用,如角膜移植等,邀请该领域的专家做了较为详尽的介绍。为展现飞秒激光的最新进展,我们还荣幸地邀请到世界上第一位完成飞秒激光白内障手术的ZoltanZ.Nagy教授对目前飞秒激光在白内障手术中的应用进行介绍。诸专家学者们的积极参与,不仅拓展和丰富了本书的内容,同时也较权威地反映了本领域前沿的技术和水平。
本书以精练的文字对各类手术的基本原则、步骤、关键技术和特殊技巧作了详尽论述,并应用大量的自绘图片、照片和表格清晰展现了相关原理、手术并发症及其处理原则等,较为全面、系统地呈现了飞秒激光角膜屈光手术的成就。
有人说,在激光没有出现之前,人类历史上从未有过这样安全有效的屈光矫正手术。无论其准确与否,至少说明激光矫正方式(0aser.visio门COl“recl:i。n,LVC)为屈光不正的矫正开辟了全新的领域,做出了全新的尝试。我们这些屈光手术医师(被命名为第一代),与更年轻的医师们(第二代、第三代)一起,在不断尝试新的技术的过程中,不仅体验到这些新技术的精准、快捷与有效,同时也经历了许多前人未曾涉及的困惑,面临着这些新技术对我们所提出的新的挑战。
飞秒激光目前应用较普及,也是未来发展的方向,但是迄今为止,国内尚无一部飞秒激光专著,值此出版之际,恰缝全飞秒SMILE手术全国培训中心已接待来自全国各地医院的近、00名医生来中心交流学习。他们最多的反映是无较系统的书籍可参考。也是本书的编写动机之一。因此,本书以飞秒激光为主线。但事实上,飞秒激光仅作为一种工具和手段,是一媒介,本书真正的内容仍是围绕角膜屈光手术展开。如各类手术的治疗原理、适应证、并发症及其处理等。
与这一领域的患者常有较高的期望值一样,我们也不满足于简单的视力提高,更希望在术后不仅获得更好的视功能,而且能够尽量避免副作用和损害:希望在矫正目的达到的同时,尽可能保持组织结构的完整。新目标对我们提出了更高的要求。视觉光学的进步彻底改变了我们对视光的认识,而医学的发展、新型检查技术和手段时出现也需要我们对人眼超微结构及各类损害的表现有重新的认识,需要我们以科学、严谨的态度,对各类新的治疗技术(如激光)对人眼组织的影。向及其规律有更深入的理解与掌握。
本书的编委均为本领域的拓荒者和实践者,他们多为目前活跃在屈光手术一线的资深专家和国内本领域的顶尖学者,非常感谢所有参与本书编写工作的专家将他们弥足珍贵的多年经验与大家分享,并以此种方式记录下来,供大家借鉴与交流。
感谢各位前辈的支持和鼓励以及国内外同行的积极参与和指导;感谢所有参与并帮助完成此书的人。感谢为本书的稿件整理和校对付出了大量工作的编写秘书张琳医师,图片绘制者魏升升医师,特邀绘制刘薇老师以及辅助做了大量工作、默默奉献的吴迪、张慧同学;感谢参与资料收集与文稿校对工作的我的学生祖培培、苏小连、吴文静、武志清、吴雅楠、李晓晶、徐路路、张佳媚、寞瑞、于长江等同学,感谢A¨Khan的参与。本书编写过程中参考了大量国内外资料,得到了天津市眼科医院图书馆刘清馆长、方旭老师的无私帮助,以及我的同事耿维莉、金颖、王璐、左彤等医师的支持与理解,在此一并致以真诚的谢意,谢谢你们
感谢天津市眼科医院领导、前辈和同仁对本书的关注和大力支持。
感谢人民卫生出版社刘红霞主任、李海凌等及各位编辑自始如一、坚定不移的秉承出版“一流的图书”的宗旨,正因他们的坚持和付出,保证了本书的质量并得以顺利出版。
此外,还要深深地感谢我的家人在本书编写期间给予的不断的鼓励和支持。
……

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Gift card that has already been consumed is non-refundable.

Sold by JD@CHINA

Service Guarantee

Yami Free Shipping over $49
Yami Easy Returns
Yami Ships from United States

Shipping

  • United States

    Standard Shipping is $5.99 (Excluding Alaska & Hawaii). Free on orders of $49 or more.

    Local Express is $5.99 (Available in Parts of CA, NJ, MA & PA). Free on orders of $49 or more.

    2-Day Express (Includes Alaska & Hawaii) starts at $19.99.

Return Policy

You may return product within 30 days upon receiving the product. Items returned must be new in it's original packing, including the original invoice for the purchase. Customer return product at their own expense.

Sold by JD@CHINA

Service Guarantee

Yami Cross-store Free Shipping over $69
Yami 30-days Return

Yami-China FC

Yami has a consolidation warehouse in China which collects multiple sellers’ packages and combines to one order. Our Yami consolidation warehouse will directly ship the packages to your door. Cross-store free shipping over $69.

Return Policy

You may return products within 30 days upon receiving the products. Sellers take responsibilities for any wrong shipment or missing items. Packing needs to be unopened for any other than quality issues return. We promise to pack carefully, but because goods are taking long journey to destinations, simple damages to packaging may occur. Any damages not causing internal goods quality problems are not allowed to return. If you open the package and any quality problem is found, please contact customer service within three days after receipt of goods.

Shipping Information

Yami Consolidation Service Shipping Fee $9.99(Free shipping over $69)

Sellers in China will ship their orders within 1-2 business days once the order is placed. Packages are sent to our consolidation warehouse in China and combined there. Our Yami consolidation warehouse will directly ship the packages to you via UPS. The average time for UPS to ship from China to the United States is about 10 working days and it can be traced using the tracking number. Due to the pandemic, the delivery time may be delayed by about 5 days. The package needs to be signed by the guest. If the receipt is not signed, the customer shall bear the risk of loss of the package.

Sold by JD@CHINA

Service Guarantee

Free shipping over 69
Genuine guarantee

Shipping

Yami Consolidated Shipping $9.99(Free shipping over $69)


Seller will ship the orders within 1-2 business days. The logistics time limit is expected to be 7-15 working days. In case of customs clearance, the delivery time will be extended by 3-7 days. The final receipt date is subject to the information of the postal company.

Yami Points information

All items are excluding from any promotion or points events on Yamibuy.com

Return Policy

You may return product within 30 days upon receiving the product. Items returned must be new in it's original packing, including the original invoice for the purchase. Customer return product at their own expense.

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Jingdong book

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About the brand

Jingdong book