Soderstrom R M
Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle 98122.
J Reprod Med. 1991 Apr;36(4):265-6.
The "drip-stop-coagulate" technique used during microsurgery is tedious and, at times, frustrating when electrolyte-rich solutions are used as an irrigant. Glycine, a nonelectrolyte solution, allows the gynecologist to apply electrosurgical energy in a fluid medium; lactated Ringer's solution, the irrigant frequently used by microsurgeons, will not. When, during microsurgery, glycine is used in place of lactated Ringer's solution, the origin of the bleeding site can be easily isolated and coagulated during irrigation, assisting the surgeon in precise and complete hemostasis.
在显微手术中使用的“滴注-停止-凝固”技术很繁琐,而且当使用富含电解质的溶液作为灌洗液时,有时会令人沮丧。甘氨酸,一种非电解质溶液,能让妇科医生在液体介质中应用电外科能量;而显微外科医生常用的灌洗液乳酸林格氏液则不行。在显微手术中,当用甘氨酸代替乳酸林格氏液时,出血部位的源头在冲洗过程中能够很容易地被分离并凝固,有助于外科医生实现精确和彻底的止血。