中国实用妇科与产科杂志

中国实用妇科与产科杂志

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妇科肿瘤腹腔镜手术中单极电刀应用技巧及副损伤防治

康山   

  1. 作者单位：河北医科大学第四医院妇产科,河北 石家庄 050011
  • 出版日期:2016-07-02 发布日期:2016-07-11

Application of monopolar electrotome and prevention of its side injury in laparoscopic surgeries for gynecological tumors.

KANG Shan.   

  1. Department of Obstetrics and Gynecology,Fourth Hospital, Hebei Medical University, Shijiazhuang 050011, China
  • Online:2016-07-02 Published:2016-07-11

摘要：

电凝电流使细胞内的水分蒸发以达到止血的目的。“两区，两界，三层，六结构”以及腹主动脉下段“沿途”五个“路标”对于应用单极电钩开展盆腹腔淋巴结的切除提供了清晰的思路。输尿管三级供血原理为避免输尿管热损伤提供了可靠的解剖学基础。

关键词: 高频电刀, 淋巴结切除术, 子宫切除术, 热损伤

Abstract:

Abstract: Electrocoagulation leads to the cell water evaporation, effectively controlling hemorrhage. “Five marks” on distal abdominal aorta, “two regions”, “two bounds”, “three layers” and “six structures” provide guidance and direction for application of pelvic and celiac lymphadenectomy by monopolar electrotome. The three-level blood supply of ureter can avoid thermal damage anatomically.

Key words: high-frequency electrotome, lymphadenectomy, hysterectomy, thermal damage

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