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二氧化碳激光用于胃肠道肌切开术的性能评估。

Evaluation of the carbon dioxide laser for performance of gastrointestinal myotomies.

作者信息

LoCicero J, Frederiksen J W, Hartz R S, Kaufman M W, Michaelis L L

出版信息

Lasers Surg Med. 1985;5(4):423-7. doi: 10.1002/lsm.1900050409.

DOI:10.1002/lsm.1900050409
PMID:4033345
Abstract

Using a conventional carbon dioxide laser set at 8-W continuous-wave energy, a technique was developed in the animal laboratory to incise only the muscularis of the pylorus leaving the mucosa and submucosa intact. Similar esophageal myotomies were performed with less success, due to the rich submucosal venous plexus causing obscuring hemorrhage and to the reapproximation of the longitudinal esophageal muscle over a 3-week period. The technique for esophageal myotomy requires further refinement, but pyloromyotomy appears applicable for controlled human trials.

摘要

使用一台设置为8瓦连续波能量的传统二氧化碳激光,在动物实验室中开发了一种技术,仅切开幽门的肌层,而使黏膜和黏膜下层保持完整。由于丰富的黏膜下静脉丛导致出血模糊,以及食管纵肌在3周内重新靠近,类似的食管肌切开术成功率较低。食管肌切开术技术需要进一步完善,但幽门肌切开术似乎适用于可控的人体试验。

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