Tag nrho cov thyroidectomy nrog ultrasonic scalpel
Thyroidectomy yog ib qho ntawm cov txheej txheem nquag ua hauv kev phais lub taub hau thiab caj dab thoob ntiaj teb.
Kev phais cov thyroid yog ua los ntawm ntau hom kws phais, nrog rau cov kws phais lub taub hau thiab caj dab, kws phais neeg endocrine, kws phais mob oncologic, thiab cov kws phais dav dav.
Kev nyab xeeb thyroid phais yuav tsum tau ua tib zoo saib xyuas rau hemostasis thiab ceev faj tswj cov ntshav thaum khaws cia cov qauv tseem ceeb xws li cov hlab ntsha rov qab.
Cov thyroid caj pas muaj ntshav txaus; hemostasis tam sim ntawd yog qhov tseem ceeb kom tsis txhob los ntshav intraoperative, tswj kev phais kom meej meej kom tsis txhob raug mob rau cov qauv tseem ceeb xws li cov qog parathyroid lossis cov hlab ntsha rov qab, thiab txo cov teeb meem tom qab phais.
Hemostasis yog ib qho tseem ceeb uas txiav txim siab qhov tshwm sim ntawm lwm yam teeb meem thiab seb lub sijhawm ua haujlwm ntev npaum li cas, yog li cuam tshuam qhov ntev ntawm kev mus pw hauv tsev kho mob thiab tag nrho cov nqi kho mob.
Tam sim no, ntau txoj hauv kev tau siv hauv kev kho mob kom ua tiav kev phais hemostasis, suav nrog ligation thiab suturing (siv sutures, clips, thiab staplers), electrocautery (monopolar thiab bipolar electrosurgery), ultrasonic coagulation, thiab electrothermal hlab sealing.
Cov khoom siv hluav taws xob siv hluav taws xob tso siab rau lub zog thermal rau cov protein ntau; Txawm li cas los xij, qhov sib kis ntawm tshav kub nyob rau hauv qhov chaw phais yuav ua rau puas tsuaj ib puag ncig cov qauv tseem ceeb. Nyob rau hauv xyoo tas los no, tau muaj kev xav tau ceev nrooj los tshawb nrhiav cov thev naus laus zis tshiab nrog txo qhov cuam tshuam thermal diffusion kom txo qis cov teeb meem hauv kev ua haujlwm thiab txo lub sijhawm ua haujlwm.
Niaj hnub no, peb xav qhia peb lub tuam txhab Ultrasonic Scalpel, cov cuab yeej phais tsim los muab kev txiav thiab coagulation nrog tsawg kawg nkaus thermal kis.
Tsab ntawv xov xwm no yog los tham txog qhov sib txawv ntawm kev kho mob phais qhov tshwm sim ntawm kev siv ultrasonic scalpels thiab cov txheej txheem ligation hauv cov thyroid phais.
Ultrasonic scalpel siv lub zog siv hluav taws xob tsim los ntawm ultrasonic kev co ntawm zaus txog 55,000 Hz kom ua tiav cov hlab ntim los ntawm kev cuam tshuam cov hydrogen bonds thiab protein bonds hauv cov ntaub so ntswg thiab cov hlab ntsha, yog li tsim cov coagulum hauv cov hlab ntsha lumen.
Nws kuj tsis tshua muaj kev khiav hauj lwm kub (50-100 degree) minimizes tshav kub conduction rau cov ntaub so ntswg uas nyob ib sab, yog li txo qhov kev pheej hmoo ntawm thermal raug mob. Tsis tas li ntawd, cov cuab yeej tsis xa cov hluav taws xob tam sim no los ntawm tus neeg mob lub cev thaum ua haujlwm.
Lub Ultrasonic Scalpel integrates ob qho tib si hemostatic thiab txiav zog rau hauv ib lub cuab yeej, yog li zam lub sij hawm noj txuam nrog nquag hloov thiab tuav ntau yam twj paj nruag.
Kev vam meej ntawm kev phais cov thyroid feem ntau yog nyob ntawm ntau yam tseem ceeb: ua kom muaj hemostasis txaus los tiv thaiv lub neej muaj peev xwm -kev hem thawj hemorrhage, tswj kev phais kom meej meej los pab txhawb cov ntaub so ntswg, thiab khaws cov qauv tseem ceeb, tshwj xeeb tshaj yog cov hlab ntsha rov qab thiab cov qog parathyroid. Raws li cov kev cai kho mob no, TM-txiav txiab-style ultrasonic scalpel tsim los ntawm peb lub tuam txhab yog tsim los ua kom tau raws li cov kws phais neeg xav tau.
Transient hypocalcemia pom tom qab tag nrho cov thyroidectomy (TT) yog suav tias yog cuam tshuam nrog kev raug mob rau cov qog parathyroid, uas txuas nrog rau cov thyroid caj pas thiab sib koom ib feem ntawm nws cov ntshav. Peb kwv yees tias kev siv lub scalpel ultrasonic tuaj yeem pab cuam tshuam nrog lub dav hlau deb ntawm cov tshuaj parathyroid capsule, yog li txo qhov muaj feem cuam tshuam rau nws cov ntshav.
Raws li kev nyab xeeb, ua tau zoo, thiab muaj txiaj ntsig zoo rau cov txheej txheem thyroidectomy cov txheej txheem, ultrasonic scalpel muaj cov txiaj ntsig zoo hauv kev kho mob.
Nws qhov txiaj ntsig tseem ceeb yog nyob rau hauv kev ua kom yooj yim ntawm txoj kev phais los ntawm kev tshem tawm qhov xav tau ntawm cov hlau nplaum thiab cov hlua khi thaum tseem ua tiav cov hemostasis txhim khu kev qha. Cov kws kho mob kws kho mob uas muaj kev paub dhau los ntawm ob qho tib si ultrasonic scalpels thiab cov khoom siv hluav taws xob zoo ib yam feem ntau qhia tias, hauv cov txheej txheem zoo sib xws, kev siv ultrasonic scalpel txo qis lub sijhawm ua haujlwm, kev ua haujlwm hauv cov ntshav, thiab tom qab kev phais hauv tsev kho mob.
Hauv sutureless qhib thiab endoscopic - pab cov thyroid phais, kev ua haujlwm feem ntau raug txwv vim yog cov yam ntxwv ntawm lub caj dab. Yog li ntawd, kev tswj xyuas qhov chaw phais kom meej thiab tsis muaj ntshav yog qhov tseem ceeb heev.
Ib qho tseem ceeb yuav tsum tau muab sau tseg: raws li kev tawm tswv yim los ntawm cov kws kho mob cov kws phais thaum lub sij hawm cov txheej txheem, recurrent laryngeal paj (RLN) palsy tom qab tag nrho cov thyroidectomy (TT) yog ib qho teeb meem tsis tshua muaj heev.
Cov pov thawj kho mob tau pom tias ultrasonic scalpel ua rau muaj kev raug mob tsawg dua rau cov ntaub so ntswg ib puag ncig piv nrog cov txheej txheem electrocautery hemostasis. Txawm li cas los xij, hais txog qhov tshwm sim ntawm qhov rov tshwm sim ntawm lub paj hlwb tsis ua haujlwm (RLND), tsis muaj qhov sib txawv tseem ceeb ntawm cov khoom siv ultrasonic thiab cov cuab yeej siv hluav taws xob.
Yog li ntawd, thaum siv cov cuab yeej no nyob ze rau qhov tseem ceeb ntawm cov qauv anatomical xws li RLN, kev ua haujlwm zoo thiab ceev faj tseem ceeb heev.
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