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经内镜上呼吸道激光手术的仪器设备与技术

Instrumentation and techniques in transendoscopic upper respiratory tract laser surgery.

作者信息

Tulleners E

机构信息

Section of Surgery, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, USA.

出版信息

Vet Clin North Am Equine Pract. 1996 Aug;12(2):373-95. doi: 10.1016/s0749-0739(17)30287-0.

DOI:10.1016/s0749-0739(17)30287-0
PMID:8856882
Abstract

Transendoscopic laser surgery provides equine surgeons with a safe, reliable, and minimally invasive method of performing many surgical procedures in the upper respiratory tract. Although the Nd:YAG laser has proven efficacy, other newer lasers such as the diode and holmium: YAG lasers may prove to be useful tools for equine upper respiratory tract surgery. Long grasping forceps and a high quality fiberoptic or video endoscope are critical components necessary for performing transendoscopic laser surgery. For many of the most common upper respiratory tract abnormalities, a laryngotomy can be eliminated, morbidity is minimal, the horse can often return to normal exercise in approximately 7 to 14 days, and trainer and owner acceptance is excellent. Transendoscopic laser surgery is most likely to be cost effective in large referral practices or in a university setting.

摘要

经内镜激光手术为马科动物外科医生提供了一种安全、可靠且微创的方法,用于在上呼吸道进行多种外科手术。尽管钕:钇铝石榴石激光已被证明有效,但其他更新的激光,如二极管激光和钬:钇铝石榴石激光,可能会被证明是马科动物上呼吸道手术的有用工具。长柄抓钳和高质量的纤维光学或视频内窥镜是进行经内镜激光手术所需的关键部件。对于许多最常见的上呼吸道异常情况,可以避免进行喉切开术,发病率极低,马匹通常在大约7至14天内即可恢复正常运动,并且训练师和马主的接受度很高。经内镜激光手术在大型转诊机构或大学环境中最有可能具有成本效益。

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