妇科腹腔镜手术能量器械常见副损伤及防治·综述·.pdfVIP

20 17 8 44 4 J Int Obstet Gynecol August 20 17 Vol. 44 No. 4 ·468 · 国际妇产科学杂志 年 月第 卷第 期 ， ， ， ·综 述· 妇科腹腔镜手术能量器械常见副损伤及 防治 庞辉，岳秀英△ 【摘 要 】 随着医学科学的发展，腹腔镜手术因具有手术伤口较小，恢复更快，疼痛更少和肠功能恢复较早等优 点已在临床中广泛开展，在妇科肿瘤治疗领域中发挥着越来越重要的作用。腹腔镜手术是一种能量器械依赖性手术， 随着各种能量器械的研发和投入使用，腹腔镜手术器械的功能越来越强大，视野越来越清晰，切割止血越来越得心应 手，降低了手术难度，从而使腹腔镜手术操作日益变得步骤简化，手术范围增大，精细度提高，充分体现了微创的特点， 这些进步在给手术医生提供了更多机会的同时，也使医生面临着更为艰巨的挑战。各种能量器械导致的副损伤一直是 妇科手术医生关注的重要问题。本文就腹腔镜常见能量器械引起的副损伤及其防治进行了详细阐述，旨在帮助临床医 生进一步了解手术中的器械，做到更精准的使用，减少副损伤。 【关键词 】 妇科外科手术；外科手术，微创性；腹腔镜；外科器械；手术中并发症 Prevention of Complications and Side Injuries by Gynecological Laparoscopic Surgery Energy Equipment PANG Hui, YUE Xiu-ying. Dep artment of Gynecology ，Tianj in Baodi Peop le ′s Hosp ital ，Baodi Clinical College of Tianj in Medical University ， Tianj in 301800, China Corresp onding author: YUE Xiu-ying, E-mail: yunruyue@ 【Abstract 】 With the development of medical science, the laparoscopic surgery has been widely used in clinical treatment. Its advantages mainly lie in relatively small operation scars, faster wound recovery, less pain, and earlier recovery of bowel functions, etc. Because of these advantages, laparoscopic surgery is playing an increasingly significant role in gynecological tumor treatment. Meanwhile, laparoscopic surgery is energy equipment-dependent. The research and application of more energy devices have made the laparoscopic surgery more powerful, the scope larger, and hemostasis more convenient, thereby lower down the surgical difficulty. These devices fully display the features of minimally invasive surgery. With these devices, the laparoscopic surgeries are simplified, the surgical scopes are extended, and the surgical precisions are improved. While such medical advancement brings more opportunities to doctors