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手术中的射频能量:最新技术水平

Radiofrequency energy in surgery: state of the art.

作者信息

Ihnát Peter, Ihnát Rudinská Lucia, Zonča Pavel

机构信息

Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00, Ostrava, Czech Republic,

出版信息

Surg Today. 2014 Jun;44(6):985-91. doi: 10.1007/s00595-013-0630-5. Epub 2013 Jun 1.

DOI:10.1007/s00595-013-0630-5
PMID:23728491
Abstract

Over a period of more than 100 years, radiofrequency energy has been introduced in many fields and applications in medicine. At present, radiofrequency constitutes the basis of numerous medical devices employed in almost all medical specialties. It is particularly applicable and valuable in various minimally invasive procedures for its locally focused effects. Radiofrequency energy is a technical term established to describe high-frequency alternating electrical currents (with a frequency ranging from 300 kHz to 3 MHz) and their impact on biological tissue. The application of RF energy causes controlled tissue heating with consequent cell protein denaturation and desiccation, which leads to cell death and tissue destruction. The primary principle of radiofrequency is that the generated heat can be used to cut, coagulate or induce metabolic processes in the target tissue. The authors of this paper offer a comprehensive and compact review of the definition, history, physics, biological principles and applications of radiofrequency energy in current surgery.

摘要

在100多年的时间里,射频能量已被引入医学的许多领域和应用中。目前,射频是几乎所有医学专科所使用的众多医疗设备的基础。由于其局部聚焦效应,它在各种微创手术中特别适用且具有价值。射频能量是一个技术术语,用于描述高频交流电(频率范围为300 kHz至3 MHz)及其对生物组织的影响。射频能量的应用会导致可控的组织加热,进而引起细胞蛋白质变性和干燥,导致细胞死亡和组织破坏。射频的主要原理是所产生的热量可用于切割、凝固或诱导目标组织中的代谢过程。本文作者对射频能量在当前外科手术中的定义、历史、物理原理、生物学原理及应用进行了全面而简洁的综述。

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Radiofrequency energy in surgery: state of the art.手术中的射频能量:最新技术水平
Surg Today. 2014 Jun;44(6):985-91. doi: 10.1007/s00595-013-0630-5. Epub 2013 Jun 1.
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Low-Level Radiofrequency Exposure Does Not Induce Changes in MSC Biology: An in vitro Study for the Prevention of NIR-Related Damage.低水平射频暴露不会引起间充质干细胞生物学特性的改变:一项预防近红外相关损伤的体外研究
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本文引用的文献

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A systematic review and meta-analysis of the treatments of varicose veins.静脉曲张治疗的系统评价和荟萃分析。
J Vasc Surg. 2011 May;53(5 Suppl):49S-65S. doi: 10.1016/j.jvs.2011.02.031.
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Radiofrequency ablation for uncomplicated varicose veins.单纯性静脉曲张的射频消融治疗
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Liver resection with bipolar radiofrequency device: Habib 4X.使用双极射频设备进行肝切除术:Habib 4X。
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What are the current indications for use of radiofrequency devices in hip arthroscopy? A systematic review.目前髋关节镜检查中使用射频设备的适应症有哪些?一项系统评价。
J Hip Preserv Surg. 2015 Aug 11;2(4):323-31. doi: 10.1093/jhps/hnv055. eCollection 2015 Dec.
6
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HPB (Oxford). 2008;10(4):256-60. doi: 10.1080/13651820802167136.
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J Vasc Surg. 2009 Jan;49(1):230-9. doi: 10.1016/j.jvs.2008.06.030. Epub 2008 Aug 9.
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Endovenous radiofrequency ablation for the treatment of varicose veins.静脉内射频消融治疗静脉曲张。
Vascular. 2007 Sep-Oct;15(5):255-61. doi: 10.2310/6670.2007.00062.
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A radiofrequency-assisted minimal blood loss liver parenchyma dissection technique.一种射频辅助的微创肝实质离断技术,术中失血极少
Dig Surg. 2007;24(4):306-13. doi: 10.1159/000103663.
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Actual role of radiofrequency ablation of liver metastases.肝转移瘤射频消融的实际作用。
Eur Radiol. 2007 Aug;17(8):2062-70. doi: 10.1007/s00330-007-0587-0. Epub 2007 Feb 15.
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Am J Surg. 2007 Feb;193(2):143-8. doi: 10.1016/j.amjsurg.2006.04.008.
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Laparoscopic liver resection using radiofrequency coagulation.使用射频凝固的腹腔镜肝切除术。
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Electrosurgery: history, principles, and current and future uses.电外科手术:历史、原理以及当前和未来的应用。
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