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内镜黏膜下剥离术中低高频功率设定下的强制凝固效果。

Efficacy of forced coagulation with low high-frequency power setting during endoscopic submucosal dissection.

机构信息

Tsukasa Ishida, Yoshiko Ohara, Yasuaki Kitamura, Ryusuke Ariyoshi, Tetsuya Yoshizaki, Fumiaki Kawara, Shinwa Tanaka, Yoshinori Morita, Eiji Umegaki, Namiko Hoshi, Takeshi Azuma, Division of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe 650-0017, Japan.

出版信息

World J Gastroenterol. 2017 Aug 7;23(29):5422-5430. doi: 10.3748/wjg.v23.i29.5422.

DOI:10.3748/wjg.v23.i29.5422
PMID:28839443
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5550792/
Abstract

AIM

To investigated the hemostatic ability of the S and F1-10 methods in clinical and studies.

METHODS

The hemostatic abilities of the two methods were analyzed retrospectively in all six gastric endoscopic submucosal dissection cases. The treated vessel diameter, compressed vessel frequency, and bleeding frequency after cutting the vessels were noted by the recorded videos. The coagulation mechanism of the two power settings was evaluated using the data recording program and histological examination on macro- and microscopic levels in the experiments using porcine tissues.

RESULTS

F1-10 method showed a significantly better hemostatic ability for vessels ≥ 2 mm in diameter and a trend of overall better coagulation effect, evaluated by the bleeding rate after cutting the vessels. F1-10 method could sustain electrical current longer and effectively coagulate the tissue wider and deeper than the S method in the porcine model.

CONCLUSION

F1-10 method is suggested to achieve a stronger hemostatic effect than the S method in clinical procedures and models.

摘要

目的

研究 S 和 F1-10 两种方法在临床和 研究中的止血能力。

方法

对所有 6 例胃内镜黏膜下剥离术患者的两种方法的止血能力进行回顾性分析。通过记录的视频记录切割血管后的处理血管直径、受压血管频率和出血频率。通过数据记录程序和组织学检查,评估两种功率设置的凝血机制,在猪组织的 实验中进行宏观和微观水平的评估。

结果

F1-10 法在处理直径≥2mm 的血管时表现出明显更好的止血能力,且在切割血管后的出血率方面显示出总体更好的凝血效果。在猪模型中,F1-10 法比 S 法能维持更长的电流,并能更有效地凝固更宽更深的组织。

结论

F1-10 法在临床操作和 模型中比 S 法能达到更强的止血效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/49318b5d1ae2/WJG-23-5422-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/909de9722a68/WJG-23-5422-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/f514cdc6589a/WJG-23-5422-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/286ba1a9dd82/WJG-23-5422-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/4eee1476ec50/WJG-23-5422-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/49318b5d1ae2/WJG-23-5422-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/909de9722a68/WJG-23-5422-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/f514cdc6589a/WJG-23-5422-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/286ba1a9dd82/WJG-23-5422-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/4eee1476ec50/WJG-23-5422-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ff/5550792/49318b5d1ae2/WJG-23-5422-g005.jpg

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