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[永久性经皮电连接。一般原则]

[Permanent percutaneous electric connection. General principles].

作者信息

Sabin P, Labbé D, Levillain D, Cazin L, Caston J

机构信息

Clinique Saint-Antoine, Stomatologie et Chirurgie Maxillo-Faciale, Bois Guillaume, France.

出版信息

Rev Laryngol Otol Rhinol (Bord). 1997;118(5):335-42.

PMID:9687654
Abstract

The Swedes for more than twenty years, and the Germans for over five years have been able to maintain inert or active prostheses with permanent percutaneous connections, thanks to the dependable and proven material and techniques of extraoral implants. The significant improvement extra-oral implants have brought about is not only in a new therapeutic approach to the treatment of important facial defects or transmission deafness; it is also because for some twenty old years now, the few millimeter wide cylinders of Titanium, the <> affixed on the implants, have crossed the cutaneous barrier for extended periods without complications. The percutaneous abutment thus creates a permanent communication between the interior and the exterior of the organism. If the abutment, instead of simply carrying a Maxillo-Facial Prosthesis or an auditive prosthesis, is modified by placing an electric conductor inside it, the simple "percutaneous peg" will turn out to be, in a way, a "percutaneous electric plug". By adapting classic "mechanical" abutments and implants, authors have created a Permanent Percutaneous Electric Connection (PPEC) which has been successfully experimented on rabbits to record EEG. Clinical applications on humans would make it possible either to receive "bio-electrical information" coming from within the organism, or to send electrical energy into the organism. This last application opens vast perspectives of improvement both in diagnosis and therapy in many fields.

摘要

二十多年来,瑞典人以及五年多来德国人一直能够借助可靠且经过验证的口腔外植入材料和技术,维持带有永久性经皮连接的惰性或活性假体。口腔外植入带来的显著进步不仅体现在治疗重要面部缺陷或传导性耳聋的新治疗方法上;还在于大约二十年来,固定在植入物上的几毫米宽的钛圆柱体(“基台圆柱体”)能够长时间穿过皮肤屏障而无并发症。因此,经皮基台在生物体内部和外部之间建立了永久性连接。如果基台不是简单地承载颌面假体或听觉假体,而是通过在其内部放置电导体进行改造,那么这个简单的“经皮栓”在某种程度上就会变成一个“经皮电插头”。通过改进经典的“机械”基台和植入物,作者创造了一种永久性经皮电连接(PPEC),并已在兔子身上成功进行实验以记录脑电图。在人体上的临床应用将有可能接收来自生物体内的“生物电信息”,或者向生物体内输送电能。最后这一应用为许多领域的诊断和治疗带来了广阔的改进前景。

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