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[一种胃激光浆膜切开术的方法]

[A method of laser seromyotomy of the stomach].

作者信息

Skobelkin O K, Riabov V I, Litvin G D, Smol'ianinov M V, Kurbanov I A, Ashrafov R A

出版信息

Sov Med. 1990(3):23-5.

PMID:2195669
Abstract

A technique of laser seromyotomy was developed as a method for vagus denervation for the treatment of gastroduodenal ulcers. Soviet Raduga neodymium YAG laser and foreign Medilaz and Flexilas units were employed as sources of laser irradiation. The operation was performed in the 'contact scalpel' mode with the use of Soviet sapphire tips. The developed technique permits seromyotomy that results in better hemostasis and lower risk of gastric submucosal layer involvement vs. electronomo suggested earlier by Taylor, an English surgeon. Twelve patients were operated on; one developed intraperitoneal hemorrhage that ceased independently.

摘要

一种激光浆膜切开术作为迷走神经切断术被开发出来,用于治疗胃十二指肠溃疡。使用苏联的“彩虹”钕钇铝石榴石激光以及国外的“美迪拉兹”和“弗莱克西拉斯”设备作为激光照射源。手术在“接触手术刀”模式下进行,使用苏联的蓝宝石刀头。与英国外科医生泰勒之前提出的电刀切开术相比,所开发的技术能够实现浆膜切开术,从而实现更好的止血效果,并降低胃黏膜下层受累的风险。对12名患者进行了手术;其中1名患者出现腹腔内出血,但出血自行停止。

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