Hainer B L
Department of Family Medicine, Medical University of South Carolina, Charleston 29425.
J Am Board Fam Pract. 1991 Nov-Dec;4(6):419-26.
Electrosurgery uses electricity to remove tissue, coagulate bleeding, or destroy tumors. Modern units, first developed for application in neurosurgery, are now available in office models that are most commonly used by the family physician for cutaneous surgery. Electrosurgery can accomplish cutting, coagulation, desiccation, and fulguration. Electrosurgical equipment for the office is relatively inexpensive and portable. The main advantage of this surgical modality is rapid completion of the procedure with minimal surgical time, because hemostasis occurs at the time of the incision. After some basic instruction and initial practice on animal tissue, which are provided through the guidance of several excellent texts or continuing education courses, the family physician can readily apply electrosurgery in an office-based practice safely, efficiently, and with satisfying results.
电外科手术利用电流来切除组织、止血或摧毁肿瘤。现代电外科设备最初是为神经外科手术而研发的，现在也有适用于门诊的型号，家庭医生在进行皮肤外科手术时最常使用这类设备。电外科手术可实现切割、止血、干燥和烧灼。门诊用的电外科设备相对便宜且便于携带。这种手术方式的主要优点是手术过程能迅速完成，手术时间最短，因为在切口时就能实现止血。通过几本优秀教材或继续教育课程的指导，在动物组织上进行一些基本操作指导和初步练习后，家庭医生就能在门诊实践中安全、高效地运用电外科手术，并取得令人满意的效果。
