低温等离子射频消融术在鼻科及颅底外科的新作用
Emerging Roles of Coblation in Rhinology and Skull Base Surgery.
作者信息
Choby Garret W, Hwang Peter H
机构信息
Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University, 801 Welch Road, MC 5739, Stanford, CA 94305, USA.
Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University, 801 Welch Road, MC 5739, Stanford, CA 94305, USA.
出版信息
Otolaryngol Clin North Am. 2017 Jun;50(3):599-606. doi: 10.1016/j.otc.2017.01.010. Epub 2017 Mar 18.
Coblation is a technology that incorporates bipolar radiofrequency energy to ablate tissue at relatively low temperatures. Its use for sinonasal surgery is actively being investigated, including applications for turbinate reduction, sinus surgery, skull base surgery, and adenoidectomy. Potential benefits include reduction in blood loss, improved endoscopic surgical visualization, and reduction in postoperative pain. The main drawbacks are its relatively high cost, potential adverse effects on functional epithelium, and relative paucity of long-term outcomes.
低温等离子消融术是一种利用双极射频能量在相对低温下消融组织的技术。目前正在积极研究其在鼻鼻窦手术中的应用，包括下鼻甲缩小术、鼻窦手术、颅底手术和腺样体切除术。其潜在益处包括减少失血、改善内镜手术视野以及减轻术后疼痛。主要缺点是成本相对较高、对功能性上皮可能产生不良影响以及长期疗效相对较少。
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