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电外科切口引起的侧向产热。

Lateral heat production secondary to electrosurgical incisions.

作者信息

Kalkwarf K L, Krejci R F, Edison A R, Reinhardt R A

出版信息

Oral Surg Oral Med Oral Pathol. 1983 Apr;55(4):344-8. doi: 10.1016/0030-4220(83)90186-x.

DOI:10.1016/0030-4220(83)90186-x
PMID:6574410
Abstract

Adverse healing responses, including necrosis of soft tissue and sequestration of alveolar bone, have been reported following the use of electrosurgery for intraoral incisions. These responses are usually attributed to excessive heat accumulation during the surgical procedure. The purpose of this investigation was to measure temperature changes in subadjacent connective tissue during intraoral electrosurgical incisions in palatal mucosa of miniature swine. Results indicate that single electrosurgical incisions should be accomplished at a speed of approximately 7 mm. per second and that successive incisions should be separated by a cooling interval of 8 to 10 seconds to avoid generation of heat sufficient to initiate an adverse healing response.

摘要

据报道,使用电外科进行口腔内切口后会出现不良愈合反应,包括软组织坏死和牙槽骨分离。这些反应通常归因于手术过程中过多的热量积累。本研究的目的是测量小型猪腭黏膜口腔内电外科切口过程中相邻结缔组织的温度变化。结果表明,单次电外科切口应以约每秒7毫米的速度完成,连续切口之间应间隔8至10秒的冷却时间,以避免产生足以引发不良愈合反应的热量。

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Lateral heat production secondary to electrosurgical incisions.电外科切口引起的侧向产热。
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Subjacent heat production during tissue excision with electrosurgery.电外科手术组织切除过程中的深部产热
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Healing of experimental excisional wounds in the rat palate. II. Histological study of electrosurgical wounds.大鼠腭部实验性切除伤口的愈合。II. 电外科伤口的组织学研究。
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