微创（minimal invasive）.docVIP

微创（minimal invasive） The fifteenth chapter is microsurgery I. overview Microsurgery (microsurgery) is performed using optical magnification, that is, under a magnifying glass or an operating microscope, using microscopy A surgical discipline for fine tissue. It is a specialized surgical technique and has been widely used in the hand Various specialties of the subject, such as Department of orthopedics, hand surgery, plastic surgery, Department of Neurosurgery, gynecology, Department of Urology and Department of ENT And ophthalmology have become interdisciplinary and interdisciplinary subjects. In 1921, Nylen used the operating microscope for the first time to perform internal ear surgery for patients with sclerosis, and in 1950 Perritt The operating microscope was applied to the suture of the cornea, which enabled the microsurgical operation to be performed by simply enlarging the field of view. 196. year Jacobson anastomosed the small vessels with a diameter of 1. 6-3.2 mm under an operating microscope and achieved higher patency rates. Following the 1963 in China for the first time in the world report in 1965 also made successful replantation, replantation of severed finger replantation, the outside The Department has made a breakthrough. In 1966, Yang Dongyue successfully performed the worlds first second toe transplant thumb reconstruction using microsurgical techniques Microsurgery entered the stage of reconstructive surgery. Especially since 1972, free flap, muscle and bone have been anastomosed with blood vessel Or periosteal and nerve grafts have been successful, so that vascular tissue transplantation has been rapidly developed. With microsurgical solution The progress of dissection research, the donor sites of various tissue grafts have been discovered, and the clinical application of microsurgical techniques has been expanding Big. Chinese scholars have made constant innovations in microsurgical anatomy and basic theoretical research as well as surgical m