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牙科中的电外科手术:过去与现在。

Electrosurgery in dentistry: past and present.

作者信息

Moore D A

机构信息

USA DENTAC, Fort Riley, KS 66442-5043, USA.

出版信息

Gen Dent. 1995 Sep-Oct;43(5):460-5.

PMID:8941740
Abstract

Compared to scalpel surgery, electrosurgery requires more expertise, but the advantages counter the technical complexities. Inexperienced operators should seek continuing education before using electrosurgery. For the operator to obtain predictable results, electrosurgery should be restricted to proven indications for soft-tissue surgery. Contact with alveolar bone, and restorations in vital teeth should be avoided. Lateral-heat accumulation should be minimized by following the principles discussed. Profound anesthesia, and high-speed suction for odor control, should be used to facilitate patients' comfort.

摘要

与手术刀手术相比,电外科手术需要更多的专业知识,但其优势抵消了技术复杂性。 inexperienced operators should seek continuing education before using electrosurgery. 为使操作者获得可预测的结果,电外科手术应限于已证实的软组织手术适应症。应避免与牙槽骨接触以及对活髓牙进行修复。应遵循所讨论的原则将侧向热积聚降至最低。应使用深度麻醉和高速抽吸以控制气味,以提高患者的舒适度。

相似文献

1
Electrosurgery in dentistry: past and present.牙科中的电外科手术:过去与现在。
Gen Dent. 1995 Sep-Oct;43(5):460-5.
2
Dental electrosurgery- a case history of equipment delevlopment.牙科电外科手术——设备发展的病例史。
Med Res Eng. 1972 Sep-Oct;11(5):11-7.
3
[Principles and risks of electrosurgery].[电外科手术的原理与风险]
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Jan;44(1):10-3. doi: 10.1055/s-0028-1128179. Epub 2008 Dec 29.
4
[New technology: evaluation of thermic treatment in 91].
J Dent Que. 1991 Dec;28:527-30.
5
[Cutting and coagulating with high frequency currents: electrophysical effects of application of HF-surgery in dentistry].[高频电流切割与凝固:高频外科手术在牙科应用中的电物理效应]
ZWR. 1991 Apr;100(4):211-8.
6
Electrosurgery in dentistry.
Quintessence Int. 1998 Oct;29(10):649-54.
7
Electrosurgery thermal injury. Myth or misconception?电外科热损伤。是神话还是误解?
Surg Laparosc Endosc. 1991 Dec;1(4):223-8.
8
Skin burns resulting from the use of conductive distention/irrigation media during electrosurgery with a rollerablation electrode.在使用滚轴消融电极进行电外科手术期间,因使用导电扩张/冲洗介质导致的皮肤烧伤。
Health Devices. 2005 Aug;34(8):283-4.
9
Higher currents, greater risks: preventing patient burns at the return-electrode site during high-current electrosurgical procedures.电流越高,风险越大:在高电流电外科手术过程中防止患者返回电极部位灼伤。
Health Devices. 2005 Aug;34(8):273-9.
10
Use of a saline bag as a shoulder roll during surgery not recommended.不建议在手术期间使用盐袋作为肩部支撑物。
Arch Surg. 2009 Oct;144(10):892. doi: 10.1001/archsurg.2009.164.

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