CN1729946A - Laser therapeutic system - Google Patents
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- CN1729946A CN1729946A CN 200510093900 CN200510093900A CN1729946A CN 1729946 A CN1729946 A CN 1729946A CN 200510093900 CN200510093900 CN 200510093900 CN 200510093900 A CN200510093900 A CN 200510093900A CN 1729946 A CN1729946 A CN 1729946A
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Abstract
The invention relates to a laser therapy system comprising: a first laser generator for generating vaporized slicing laser; a first light-combine mirror which has an angle of 45 degrees to said vaporized slicing laser; a second laser generator for generating coagulated hemostasis laser which has an angle of 45 degrees to the first light-combine mirror and vertical to the vaporized slicing laser; a first reflection mirror with a angle of 45 degrees to the vaporized slicing laser; a third laser generator for generating the guiding laser with an angle of 45 degrees to the first laser reflection mirror and vertical to the vaporized slicing laser; a optical fiber coupler vertical to the guide laser; a optical fiber connected to the optical fiber coupler; a endoscope connected to the optical fiber; and a optical filter connected to the endoscope. Wherein, the first light-combine mirror is plated a layer which is high transparent to the vaporized slicing laser and high reflective to the coagulated hemostasis laser; the first reflection mirror is plated a layer which is high reflective to the vaporized slicing laser and the coagulated hemostasis laser; and the input end of optical fiber coupler is plated a layer which is high transparent to the vaporized slicing laser and the coagulated hemostasis laser.
Description
Technical field
The present invention relates to a kind of laser therapeutic system, especially a kind of cutting hemoglobin tissue of both can effectively having vaporized also has good solidified structure and haemostatic effect, and clearly indicates the laser therapeutic system of therapeutic goal.
Background technology
Laser has high brightness and high directivity, is easy to control and phtotpolymerizable Jiao, and laser can also import body cavity with fiber-optic transfer.Laser also has characteristics such as monochromaticity and coherence, makes laser obtain extensive use in medical science.Wherein most of medical applications are that the heat effect of utilizing laser energy is solidified, carbonization and vaporization tissue, when injected organism tissue is melted or cut and reach the purpose of treatment.
The green laser of 532 nanometers relatively is fit to melt or cut the hemoglobin tissue.Because the green laser penetration tissue depth of 532 nanometers is shallow, only there are 800 microns, absorptance to water is little, the cutting of can in water environment, vaporizing, and contain 80% the moisture of having an appointment in the tissue, so the green cut hemoglobin function of organization of 532 nanometers is strong, can be absorbed by the hemoglobin tissue selectivity, only the green laser of acousto-optic Q modulation 532 nanometers with tens of watts of power just makes the hemoglobin tissue vaporization when cutting, human body is cut open, cutting speed is fast, and wound is little, and wound heals easily.Again because the green laser of 532 nanometers belongs to four-level system, system parameter is influenced by external condition to change to compare with other laser less, and stable work in work can also import body cavity by the ordinary optic fibre transmission, loss is low, uses so be fit to very much medical treatment cutting hemoglobin tissue.
Because water is little to 1.06 microns laser absorption rate, therefore 1.06 microns laser have solidified structure and hemostatic capability preferably.Go deep into the dark advantage of when injected organism tissue 1.06 the Nd:YAG laser of micron wave length has, the degree of depth of infiltrating when injected organism tissue can reach 10mm, solidifies hemoglobin tissue and hemostatic effect preferably so have.Therefore use the Nd:YAG laser of 1.06 micron wave lengths to undergo surgery and treat.
There is the green laser of frequency multiplication of wavelength 2.94 μ m Er:YAG, 10.6 μ m CO2,2.09 μ mHo:YAG and wavelength 1.06 μ m Nd:YAG in present medical laser system.But these laser systems are single wavelength or multi-wavelength no matter, all is the simple modes of operation of pulse running mostly.And containing multiple compositions such as hemoglobin and water in the human body, heterogeneity has characterized absorption the holding property of human body to laser to the absorption of different wave length laser.The composition high, laser to the laser energy absorption rate just can moment just with tissue vaporization, have good cutting.Therefore can be used for surgical cut vaporization when injected organism tissue, but defective is the hemostatic function deficiency, carbonization is serious and wound is very big.
And Er:YAG laser can not transmit by silica fibre, can only transmit with special optical fiber, yet the price of special optical fiber is very expensive, and medical expense is very high.And Ho:YAG laser strict to operating temperature, lasing efficiency is just very low when being higher than 5 ℃ of operating temperatures, and output reduces so that can not use.CO2 laser belongs to gas laser again, and the life-span is shorter than solid state laser, and beam quality is good not as Solid State Laser.
Existing a kind of green laser therapeutic system that is used for the treatment of is a lamp pump Nd:YAG quasi-continuous laser.It is made up of quasi-continuous 532nm green glow and 1.06 μ m infrared lights.But at first, because the solid state laser of lamp pump just contains the defective of many lamp pump lasers inevitably.Big such as system bulk, service life is short, needs huge power supply and control section.And the efficiency of laser of lamp pumping is low, and slope efficiency is on average between 1%-3%, and beam quality is relatively poor relatively, the system reliability instability.And the laser therapeutic apparatus that uses as medical treatment must have the reliable quality assurance, just can reach satisfactory therapeutic effects, so the laser system of this lamp pump must face a lot of difficulties in clinical use.
Secondly, this system is the 532nm green glow and the 1.06 μ m infrared light laser systems of quasi continuous operation.This is the output laser that is obtained under the situation that fundamental frequency light does not have to turn-off by frequency double laser, just determined frequency doubled light 532nm green glow to have identical oscillating characteristic with fundamental frequency light 1.06 μ m laser, promptly the both is the very high laser instrument of peak power of quasi continuous operation.Fig. 1 represents the pulse envelope of quasi-continuous 532nm green glow and quasi-continuous fundamental frequency light 1.06 μ m laser, and solid line is represented the pulse envelope of 1.06 μ m laser among the figure, and dotted line is represented the pulse envelope of quasi-continuous 532nm green glow, and it is the Pt curve of power P and time t.Having determined that by the generation mechanism of this laser instrument both laser generation parameters such as pulsewidth, cycle, modulating frequency and peak power are identical, also is simultaneously substantially on the time, has only the wavelength difference, and t=0 represents among the figure, and two enveloping surfaces overlap.Therefore, in medical treatment, the pulse that both peak powers are very strong can be cut human body effectively, but this form turns round to such an extent that laser instrument hemostatic effect is too poor, amount of bleeding is very big in the operation, and the wound healing difficulty has directly increased patient's the misery and the difficulty of operation.Thus, there is the hemostatic capability defect of insufficient in the laser instrument of pulse.And the raising of green glow power has also improved pump power, the corresponding system cost that improved.
Summary of the invention
The purpose of this invention is to provide a kind of laser therapeutic system, the cutting hemoglobin of can effectively vaporizing tissue also has good solidified structure and haemostatic effect, and clearly indicates therapeutic goal.
For achieving the above object, the invention provides a kind of laser therapeutic system, comprising: one first laser generator is used to send vaporization cutting laser; One first closes light microscopic, becomes miter angle with described vaporization cutting laser; One second laser generator is used to send coagulation laser, and described coagulation laser and described first closes light microscopic and becomes miter angle, and cuts laser vertical with described vaporization; One first reflecting mirror becomes miter angle with described vaporization cutting laser; One the 3rd laser generator is used to send indication laser, and described indication laser becomes miter angle with described first reflecting mirror, and cuts laser vertical with described vaporization; One fiber coupler, perpendicular with described indication laser, be used for coupled laser; One optical fiber is connected with described fiber coupler; One endoscope is connected with described optical fiber, is used to observe when injected organism tissue; One optical filter is connected with described endoscope; Described first closes light microscopic is coated with the rete that vaporization is cut the high transmission of laser in the one side towards described first laser generator, and another side is coated with the rete to the high reflection of coagulation laser; Described first reflecting mirror is coated with the rete to vaporization cutting laser and the high reflection of coagulation laser; The incident end of described fiber coupler is coated with the rete to vaporization cutting laser and the high transmission of coagulation laser.
Described the 3rd generating laser also is connected with laser controller, is used to control the emission of indication laser.Described first closes between the light microscopic and first reflecting mirror and also has first optical gate, is used to stop that laser passes through, and described optical gate also is connected with controller, is used for controlling the folding of described optical gate.Also has second optical gate between described first optical gate and first reflecting mirror, be connected with described controller, described second optical gate is coated with the rete to vaporization cutting laser and the high reflection of coagulation laser, also comprise an acceptor of energy, described vaporization cutting laser and coagulation laser are reflected into acceptor of energy through second optical gate.Also have dust cap between described fiber coupler and the optical fiber, described dust cap is connected with the control motor of control dust cap folding.
Described first laser generator is semiconductor pumped solid crystal, transfers 532 nanometer pulse all solid state lasers of Q and frequency multiplication.Described solid crystal is Nd:YAG or Nd:VOY4 or Nd:GdVO4 or Yb:YAG solid crystal.Described first laser generator is the solid optical fiber laser.
Described second laser generator is all solid state laser of semiconductor pumped solid crystal continuous operation.Described solid crystal is Nd:YAG or Nd:VOY4 or Nd:GdVO4 or Yb:YAG solid crystal.Described second laser generator is the solid optical fiber laser.
Described the 3rd laser generator is a semiconductor laser.Described the 3rd laser generator is the solid optical fiber laser.
Described first laser generator can be for being used to send the laser generator of coagulation laser, described second laser generator can be for being used to send the laser generator of vaporization cutting laser, described first closes light microscopic is coated with rete to the high transmission of coagulation laser in the one side towards described first laser generator, and another side is coated with the rete to the high reflection of vaporization cutting laser.
Described first laser instrument and first closes also to have one and is used for first second reflecting mirror that closes light microscopic is gone in the laser-bounce that first laser instrument produces between the light microscopic.Described first reflecting mirror can also close light microscopic for one second, and fiber coupler and described vaporization cutting laser are perpendicular, and described first closes light microscopic is coated with rete to vaporization cutting laser and the high transmission of coagulation laser.
Described vaporization cutting laser is that wavelength is the intense pulse laser of 440nm to 580nm.Described coagulation laser is that wavelength is the continuous laser of 805nm to 2.09 μ m.Described indication laser is that wavelength is the laser of 404nm to 671nm.
Therefore, the present invention has the following advantages:
1, realized effective vaporization cutting hemoglobin tissue.
2, have good solidified structure and haemostatic effect.
3, can clearly indicate therapeutic goal.
Below by drawings and Examples, technical scheme of the present invention is described in further detail.
Description of drawings
Fig. 1 is the pulse envelope of quasi-continuous 532nm green glow and quasi-continuous fundamental frequency light 1.06 μ m laser.
Fig. 2 is the structural representation of laser therapeutic system embodiment 1 of the present invention.
Fig. 3 is the envelope sketch map of laser therapeutic system vaporization cutting laser of the present invention and coagulation laser.
Fig. 4 is the structural representation of laser therapeutic system embodiment 2 of the present invention.
Fig. 5 is the structural representation of laser therapeutic system embodiment 3 of the present invention.
Fig. 6 is the structural representation of laser therapeutic system embodiment 4 of the present invention.
Fig. 7 is the structural representation of laser therapeutic system embodiment 5 of the present invention.
Fig. 8 is the structural representation of laser therapeutic system embodiment 6 of the present invention.
The specific embodiment
The present invention goes into vaporization cutting laser, coagulation laser and indication laser aiming in patient's body, at vaporization cutting hemoglobin tissue, the time also have good solidified structure and haemostatic effect, and can clearly indicate therapeutic goal.
As shown in Figure 2, be structural representation of the present invention, comprise first laser generator 1, be semiconductor pumped Nd:YAG crystal, 532 nanometer pulse all solid state lasers of acousto-optic Q modulation and inner cavity frequency-doubling, the high power pulse of the 532nm that first laser generator 1 sends vaporization cutting laser 10 incides first along 45 degree and closes light microscopic 3, the first and close light microscopic 4 and be coated with rete to the high transmission of laser of 532nm towards the one side of first laser generator 1; One second laser generator 2, all solid state laser for the semiconductor pumped Nd:YAG crystal continuous running of the continuous solidification hemostasis laser that can send 1.06 μ m, the continuous solidification hemostasis laser 20 of the 1.06 μ m that second laser generator 2 sends incides first along 45 degree and closes light microscopic 2, and perpendicular with vaporization cutting laser 10, first closes light microscopic 4 is coated with the high rete that reflects of 1.06 μ m laser towards the one side of second laser generator 2; One first reflecting mirror 5 and fiber coupler 6, first reflecting mirror 5 is coated with the rete to 532nm and the high reflection of 1.06 μ m laser, vaporization cutting laser 10 and coagulation laser 20 are normally incident in fiber coupler 6 after 45 degree incide first reflecting mirror 5, the incident end 60 of fiber coupler 6 is coated with the rete to vaporization cutting laser 10 and the 20 high transmissions of coagulation laser; One the 3rd laser generator 3, for semiconductor laser can send the indication laser 30 of 650nm, indication laser incides first reflecting mirror 5 along 45 degree, and fiber coupler 6 is connected with endoscope 8 by optical fiber 7, and endoscope 8 is connected with optical filter 80 again.
In use, first laser generator 1 sends the high power pulse vaporization cutting laser 10 of 532nm, close the height reflection of the high transmission of light microscopic 4 and first reflecting mirror 5 by first after, vertically enter fiber coupler 6, enter in the body of therapist by optical fiber 7 and endoscope 8; The continuous solidification of the 1.06 μ m that second laser generator 2 sends hemostasis laser 20 after reflecting by first height that closes the height reflection of light microscopic 4 and first reflecting mirror 5, vertically enters fiber coupler 6, enters in the body of therapist by optical fiber 7 and endoscope 8; And the indication laser 30 of the 650nm that the 3rd laser generator 3 sends vertically enters fiber coupler 6 after by the reflection of first reflecting mirror 4, enters in patient's the body by optical fiber 7 and endoscope 8.
As shown in Figure 3, envelope sketch map for laser therapeutic system vaporization cutting laser of the present invention and coagulation laser, solid line is depicted as the pulse vaporization cutting laser 10 of the 532nm of pulse output, and dotted line is the continuous solidification hemostasis laser 20 of 1.06 μ m of output continuously.In treatment, 10 pairs of affected parts of the pulse of the 532nm of pulse output vaporization cutting laser carry out good cutting and vaporization, and the coagulation laser 20 of output can stop blooding and solidify affected part continuously, and indication laser 30 can be indicated.Endoscope 8 is after 80s by described optical filter, can observe therapeutic goal by CCD photographic head or eyes.
The vaporization cutting laser 10 of first laser generator, 1 emission of present embodiment can be reflected into first through a reflecting mirror and close light microscopic 4.
As shown in Figure 4, structural representation for the embodiment of the invention 2, roughly the same at present embodiment and embodiment 1, difference is first laser generator 1 and second laser generator, 2 switches, like this, first closes light microscopic 4 is coated with indicating the rete of laser 20 high transmissions in the one side towards second laser generator 2, is coated with the vaporization cutting laser 10 high retes that reflect in the one side towards first laser generator 1.The coagulation laser 20 of second laser generator, 2 emissions is injected first along miter angle and is closed light microscopic 4, inject after closing light microscopic 4 transmissions through first and to enter first reflecting mirror 5 after vaporization cutting laser 10 that first reflecting mirror, 5, the first laser generators 1 send closes the reflection of light microscopic 4 through first.
Certainly the coagulation laser 20 of second laser generator, 2 emissions of present embodiment can be reflected into first through a reflecting mirror and close light microscopic 4.
As shown in Figure 5, structural representation for the embodiment of the invention 3, its structure is identical substantially with embodiment 1, difference is, the high power pulse vaporization cutting laser 10 that first laser generator 1 sends 440nm is reflected into first by second reflecting mirror 11 and closes light microscopic 4, the second reflecting mirrors 11 and be coated with retes to the 10 high reflections of vaporization cutting laser.Close first and to have first optical gate 91 and second optical gate 92 between the light microscopic 4 and first illuminator 5, all be connected with controller 90, second optical gate 92 is coated with the rete to vaporization cutting laser 10 and the 20 high reflections of coagulation laser, and the vaporization of reflection cutting laser 10 and coagulation laser 20 are injected acceptor of energy 94, and the 3rd laser generator 3 be connected with laser controller 31, has the dust cap 61 that is used for preventing dust between fiber coupler 6 and the optical fiber, the control of the controlled motor 62 of the folding of this dust cap 61.
During work, the 440nm high power pulse vaporization cutting laser 10 of first laser generator, 1 emission closes the transmission of light microscopic 4 and injects second optical gate 92 through the reflection and first of second reflecting mirror 11, the continuous solidification hemostasis laser 20 of the 805nm that second laser generator 2 produces closes the reflection of light microscopic 4 through first and injects second optical gate 92, second optical gate 92 can be reflected into the major part of vaporization cutting laser 10 and coagulation laser 20 in the acceptor of energy 94, absorbed by acceptor of energy 94, the part of residue transmission is stopped by first optical gate 91, the folding of controller 90 control first optical gates 91 and second optical gate 92 just can be exported vaporization cutting laser 10 and coagulation laser 20 separately by controlling first laser generator 1 and second laser generator 2 again.Laser controller 31 can be controlled the emission of indication laser of the 404nm of the 3rd laser generator 3, and the duty that therefore can control indication laser 30 is Chang Liang, extinguish alternately, flicker and flicker totally five kinds of duties alternately.
The vaporization cutting laser 10 of first laser generator, 1 emission in the present embodiment can directly be injected first and close light microscopic 4.
As shown in Figure 6, the structure of present embodiment and embodiment 3 are roughly the same, difference is that the position of first laser generator 1 and second laser generator 2 exchanges mutually, second reflecting mirror 11 promptly is coated with the rete to the 20 high reflections of coagulation laser, first reflecting mirror 4 is coated with indicating the rete of laser 20 high transmissions in the one side towards second laser generator 2, is coated with the vaporization cutting laser 10 high retes that reflect in the one side towards first laser generator 1.The coagulation laser 20 of second laser generator 2 emission closes light microscopic 4 along injecting first after miter angle is injected second reflecting mirror 11, closes light microscopic 4 transmissions through first, and the vaporization cutting laser 10 that first laser generator 1 sends is through first reflection of closing light microscopic 4.
The coagulation laser 20 of second laser generator, 2 emissions in the present embodiment can directly reflect first and close light microscopic 4.
As shown in Figure 7, structural representation for the embodiment of the invention 5, the structure of present embodiment and embodiment 3 are roughly the same, difference only is, change first reflecting mirror 4 into second and close light microscopic 40, second closes light microscopic 40 degree and the rete that vaporization is cut laser 10 and the 20 high transmissions of coagulation laser, after the continuous solidification hemostasis laser 20 of the high power pulse of 580nm vaporization cutting laser 10 and 2.09 μ m can close light microscopic 40 along 45 degree incidents second like this, be transmitted into 30 of indication laser that light bonder 6, the three laser generators 3 send and close through second that the reflection of light microscopic 40 is laggard goes into optical fiber bonder 6.
During work, before entering laser couplers 6, the duty of first laser generator 1, second laser generator 2, and the control method of first optical gate 91, second optical gate 92 and controller 90, acceptor of energy 94 is all identical with embodiment 3.The indication laser 30 of laser controller 31 control the 3rd laser generator 3 emission 671nm has Chang Liang, extinguishes alternately, flicker and flicker totally five kinds of duty alternately, and indication laser 30 closes through second that light microscopic 40 reflections are laggard goes into optical fiber bonder 6.Vaporization cutting laser 10, coagulation laser 20 and indication laser 30 enter in patient's the body by optical fiber 7 and endoscope 8; Endoscope 8 is after 80s by described optical filter, can observe therapeutic goal by CCD photographic head or eyes.
First laser generator, 1 emitted laser of present embodiment can directly be injected first and close in the light microscopic 4.
Embodiment 6
As shown in Figure 8, present embodiment and embodiment 5 are roughly the same, difference is first laser generator 1 and second laser generator, 2 switches, like this, first closes light microscopic 4 is coated with indicating the rete of laser 20 high transmissions in the one side towards second laser generator 2, is coated with the vaporization cutting laser 10 high retes that reflect in the one side towards first laser generator 1.The coagulation laser 20 of second laser generator 2 emission is injected first along miter angle and is closed light microscopic 4, closes light microscopic 4 transmissions through first, and the vaporization cutting laser 10 that first laser generator 1 sends closes light microscopic 4 reflections through first.
First laser generator, 1 emitted laser of present embodiment can directly be injected first and close in the light microscopic 4.
In above each embodiment, first laser generator 1 can send the laser instrument of 440nm to 580nm laser for other, as solid optical fiber laser or semiconductor pumped solid crystal, promptly transfer 532 nanometer high power pulse all solid state lasers of Q and frequency multiplication, solid crystal can be Nd:YAG or solid crystals such as Nd:VOY4 or Nd:GdVO4 or Yb:YAG, and transfer the Q mode can be acousto-optic Q modulation, and electric-optically Q-switched the grade initiatively transferred the Q mode, also can be passive Q-adjusted modes such as crystal accent Q.Second laser instrument 2 can send the laser instrument of 805nm to 2.09 μ m laser for other, as the solid optical fiber laser, output laser can be exported with the optical fiber coupling, it perhaps is all solid state laser of semiconductor pumped solid crystal continuous operation, described solid crystal can be Nd:YAG, Nd:VOY4, Nd:GdVO4, solid crystals such as Yb:YAG, and the 3rd laser generator 3 can send the laser instrument of 404nm to 671nm laser for other, as semiconductor laser or solid optical fiber laser.Because 440nm to 580nm laser all can have good cutting and vaporization to affected part, and 805nm to 2.09 μ m laser all can have good hemostasis and consolidation to affected part, indication laser is the laser of 404nm to 671nm, promptly only otherwise identical with vaporization cutting Wavelength of Laser, it is just passable to play indicative function.
Therefore, the present invention has realized effectively vaporizing and has cut the hemoglobin tissue, also has good solidified structure and haemostatic effect, and clearly indicates therapeutic goal.
It should be noted last that, above embodiment is only unrestricted in order to technical scheme of the present invention to be described, although the present invention is had been described in detail with reference to preferred embodiment, those of ordinary skill in the art is to be understood that, can make amendment or be equal to replacement technical scheme of the present invention, and not break away from the spirit and scope of technical solution of the present invention.
Claims (19)
1, a kind of laser therapeutic system comprises:
One first laser generator is used to send vaporization cutting laser;
One first closes light microscopic, becomes miter angle with described vaporization cutting laser;
One second laser generator is used to send coagulation laser, and described coagulation laser and described first closes light microscopic and becomes miter angle, and cuts laser vertical with described vaporization;
One first reflecting mirror becomes miter angle with described vaporization cutting laser;
One the 3rd laser generator is used to send indication laser, and described indication laser becomes miter angle with described first reflecting mirror, and cuts laser vertical with described vaporization;
One fiber coupler, perpendicular with described indication laser, be used for coupled laser;
One optical fiber is connected with described fiber coupler;
One endoscope is connected with described optical fiber, is used to observe when injected organism tissue;
One optical filter is connected with described endoscope;
Described first closes light microscopic is coated with the rete that vaporization is cut the high transmission of laser in the one side towards described first laser generator, and another side is coated with the rete to the high reflection of coagulation laser; Described first reflecting mirror is coated with the rete to vaporization cutting laser and the high reflection of coagulation laser; The incident end of described fiber coupler is coated with the rete to vaporization cutting laser and the high transmission of coagulation laser.
2, laser therapeutic system according to claim 1 is characterized in that: described the 3rd generating laser also is connected with laser controller, is used to control the emission of indication laser.
3, laser therapeutic system according to claim 1 is characterized in that: described first closes between the light microscopic and first reflecting mirror and also has first optical gate, is used to stop that laser passes through, and described optical gate also is connected with controller, is used for controlling the folding of described optical gate.
4, laser therapeutic system according to claim 3, it is characterized in that: also have second optical gate between described first optical gate and first reflecting mirror, be connected with described controller, described second optical gate is coated with the rete to vaporization cutting laser and the high reflection of coagulation laser, also comprise an acceptor of energy, described vaporization cutting laser and coagulation laser are reflected into acceptor of energy through second optical gate.
5, laser therapeutic system according to claim 1 is characterized in that: also have dust cap between described fiber coupler and the optical fiber, described dust cap is connected with the control motor of control dust cap folding.
6, laser therapeutic system according to claim 1 is characterized in that: described first laser generator is semiconductor pumped solid crystal, transfers 532 nanometer pulse all solid state lasers of Q and frequency multiplication.
7, laser therapeutic system according to claim 6 is characterized in that: described solid crystal is Nd:YAG or Nd:VOY4 or Nd:GdVO4 or Yb:YAG solid crystal.
8, laser therapeutic system according to claim 1 is characterized in that: described first laser generator is the solid optical fiber laser.
9, laser therapeutic system according to claim 1 is characterized in that: described second laser generator is all solid state laser of semiconductor pumped solid crystal continuous operation.
10, laser therapeutic system according to claim 9 is characterized in that: described solid crystal is Nd:YAG or Nd:VOY4 or Nd:GdVO4 or Yb:YAG solid crystal.
11, laser therapeutic system according to claim 1 is characterized in that: described second laser generator is the solid optical fiber laser.
12, laser therapeutic system according to claim 1 is characterized in that: described the 3rd laser generator is a semiconductor laser.
13, laser therapeutic system according to claim 1 is characterized in that: described the 3rd laser generator is the solid optical fiber laser.
14, laser therapeutic system according to claim 1, it is characterized in that: described first laser generator is the laser generator that is used to send coagulation laser, described second laser generator is the laser generator that is used to send vaporization cutting laser, described first closes light microscopic is coated with rete to the high transmission of coagulation laser in the one side towards described first laser generator, and another side is coated with the rete to the high reflection of vaporization cutting laser.
15, according to claim 1 or 14 described laser therapeutic systems, it is characterized in that: described first laser instrument and first closes also to have one and is used for first second reflecting mirror that closes light microscopic is gone in the laser-bounce that first laser instrument produces between the light microscopic.
16, according to claim 1 or 14 described laser therapeutic systems, it is characterized in that: described first reflecting mirror is to close light microscopic, described fiber coupler and described vaporization cutting laser are perpendicular, and described first closes light microscopic is coated with the rete that vaporization is cut laser and the high transmission of coagulation laser.
17, according to claim 1,2,3,4 or 14 described laser therapeutic systems, it is characterized in that: described vaporization cutting laser is that wavelength is the intense pulse laser of 440nm to 580nm.
18, according to claim 1,2,3,4 or 14 described laser therapeutic systems, it is characterized in that: described coagulation laser is that wavelength is the continuous laser of 805nm to 2.09 μ m.
19, laser therapeutic system according to claim 1 and 2 is characterized in that: described indication laser is that wavelength is the laser of 404nm to 671nm.
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