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find Keyword "手术器械" 7 results
  • LIVER TRANSECTION BY CURETIAGE AND ASPIRATION—A NEW TECHNIQUE FOR HEPATECTOMY

    an easy and safe technique, liver transection by curettage and aspiration (LTCA), using an efficient instrument, Peng’s multifunction operative dissector (PMOD) is described in this article. A comparison brtween two groups of patients undergonig hapatectomy were made. One group were operated on with LTCA; the other group with forceps crush method (FCM). Results: the amount of blood loss with LTCA was only half of that with FCM. The time needed for liver transection with OTCA was 40 percent shorter than that with FCM. After comparision of a variety of currently available techniiques and surgical instruments, it is concluded that LTCA is superior to all other techniques, while PMOD is superior to CUSA.

    Release date:2016-08-29 03:44 Export PDF Favorites Scan
  • 内腔镜手术器械清洗常见问题与对策

    【摘要】 目的 剖析和总结医院在内腔镜手术器械清洗过程中存在的问题及经验。 方法 以卫生部颁发的《内镜清洗消毒技术操作规范》为标准,对内腔镜手术器械清洗过程每一环节的问题进行逐一剖析,并针对各具体问题提出相应的建议与措施。 结果 建全清洗制度、规范清洗流程、严格执行内镜清洗消毒技术操作规范、固定清洗人员并加强其培训,是提高内腔镜器械清洗质量的保证。 结论 重视和加强腹腔镜手术器械的清洗,是确保医疗质量和患者手术安全的重要环节。

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • CHOLECYSTECTOMY BY MINI INCISION (REPORT OF 840 CASES)

    目的 总结840例小切口胆囊切除术的经验体会。方法 我院应用新器械行小切口胆囊切除术840例,男302例,女538例,年龄16~64岁; 胆囊结石832例,胆囊息肉8例。其手术指征与大切口胆囊切除术相同。术中应用小切口自动伸开架、深部送结器、小切口带灯拉钩、缝合胆囊肝床之外科扣锁钳、肝脏直角灯钩以及为防止在小切口内手术时遗失纱布而特制的气囊纱布; 同时,确保手术能在小切口内完成,术前进行了周密检查以排除肝、胆、胃之肿瘤,并于术前行动态胆囊底B超定位检查,以确定小切口之位置和了解手术难易。结果 840例中行择期手术737例,急诊手术103例; 手术历时平均30分钟; 住院时间3~4天。术后全部患者均获随访,其满意度为98.5%(827/840)。因照明障碍误伤右肝管1例,因胆囊颈结石嵌顿误伤胆总管1例。结论 应用小切口及自制手术器械行胆囊切除术,避免了LC及传统开腹术的一些弊端,效果确切,便于患者接受。

    Release date:2016-09-08 01:59 Export PDF Favorites Scan
  • 控制特殊手术器械包翻蒸的管理实践与效果

    目的探讨控制手术室特殊器械包翻蒸的有效措施,以减少翻蒸量、优化手术资源使用并延长器械使用寿命。 方法统计手术室普外科2009年12月-2010年5月翻蒸器械类别及数量,分析各类器械翻蒸原因,并从2010年6月起通过整改器械配置、改变器械储存/消毒方法、调整器械备用数量等干预措施降低器械翻蒸量。 结果手术器械翻蒸包从干预前的平均每月38包减少到干预后的平均每月15包,翻蒸比例由0.63%降低到0.25%,器械翻蒸得到有效控制。 结论使用科学、动态的管理方法,器械包的翻蒸量是可以控制的。

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  • 数字图像及电子内标签在手术器械回收中的应用分析

    目的探讨数字图像及电子内标签在降低手术器械回收差错率、提升工作效率的效果。 方法建立并使用手术器械数字图像及电子内标签,将每套手术器械分类整理,用数码相机拍摄,留存数字图像并按照器械名称命名后存盘;用电子表格制作手术器械的内标签并存盘。存盘后的数字图像及手术器械内标签拷贝在手术器械回收点的电脑中,同时植入到手术器械信息追溯系统中。选择2013年1月-2014年12月在手术器械回收岗工作的普通工人,进行手术器械数字图像及电子内标签的操作培训。将建立手术器械数字图像及电子内标签前后1年,2013年1月-12月为A组,2014年1月-12月为B组。比较两组手术器械回收差错率、手术室满意度及回收操作人员满意度。 结果与建立手术器械数字图像及电子内标签前1年(A组,0.045%)比较,B组手术器械回收的差错率(0.007%)降低,而采用手术器械数字图像及电子内标签后回收操作人员对其便捷性、可操作性、操作意愿、操作准确性及岗位成就感的满意度均提高(P<0.05);手术室满意度从92%提高到100%。 结论数字图像和电子内标签能直观、形象的识别手术器械、特殊器械的重要部件,还能对照检查手术器械包的完整性,方便回收操作人员在回收时发现手术器械的缺失、损坏,及时与手术室沟通,将差错杜绝在源头,提高了工作准确度和满意度。

    Release date:2016-11-23 05:46 Export PDF Favorites Scan
  • Technical summary and modified instruments of free vascularized fibular grafting for osteonecrosis of femoral head

    Objective To summarize retrospectively the clinical technology of repairing osteonecrosis of femoral head (ONFH) by free vascularized fibular grafting (FVFG), and the value of modified instruments in operation. Methods Between March 2011 and January 2013, 35 patients with ONFH (47 hips) who underwent FVFG with modified instruments. There were 24 males (32 hips) and 11 females (15 hips), aged 34 years on average (range, 22-43 years). The unilateral hip was involved in 23 cases and the bilateral hips in 12 cases. The disease duration ranged from 5 to 9 months (mean, 7 months). Based on etiology, 25 hips were classified as alcohol ONFH, 12 hips as corticosteroids ONFH, 3 hips as trauma ONFH, and 7 hips as idiopathic ONFH. According to the Association Research Circulation Osseous(ARCO) stage, 3 hips were rated as stage I, 39 hips as stage II, and 5 hips as stage III on the X-ray films. The preoperative Harris score was 58.2±6.1. Results The time to get fibula was 15-35 minutes (mean, 25 minutes). The operation time was 90-200 minutes (mean, 130 minutes), and the blood loss during operation was 150-500 mL (mean, 270 mL). All the patients achieved primary healing of incision, without complication of infection or deep vein thrombosis. All 35 patients were followed up 12-42 months, with an average of 28 months. The Harris score at final follow-up was 87.3±5.7, showing significant difference when compared with preoperative score (t=102.038,P=0.000). Radiographic results at final follow-up showed good position of fibula; and necrosis was improved in 9 hips, had no changes in 36 hips, and aggravated in 2 hips. Conclusion FVFG for ONFH can improve hip function effectively, and modified instruments can improve operation efficiency.

    Release date:2017-03-13 01:37 Export PDF Favorites Scan
  • 单孔胸腔镜下常规手术器械替代一次性手术器械对肺癌肺叶切除术的临床分析

    目的探讨单孔胸腔镜下常规手术器械替代一次性手术器械对肺癌肺叶切除术近期临床疗效及治疗费用差异。方法前瞻性纳入 2017 年 10 月至 2018 年 6 月云南省肿瘤医院胸外一科Ⅰa~Ⅲa 期非小细胞肺癌患者 44 例。患者按手术方式不同分为一次性器械组 24 例[A 组,对照组,男 10 例、女 14 例,平均年龄 53.8(30~77)岁]和常规器械替代组 20 例[B 组,试验组,男 9 例、女 11 例,平均年龄 53.6(35~70)岁]。比较两组临床效果。结果两组手术均顺利完成,两组术中出血量、术后引流管引流量、术后胸腔引流管留置时间、术后住院时间、并发症发生情况差异无统计学意义(P>0.05)。A 组手术时间和住院总费用分别为(57.29±7.52)min 和(52 830.79±6 621.71)元,B 组手术时间和住院总费用分别为(79.00±9.81)min 和(29 565.90±2 734.25)元,两组差异有统计学意义(P<0.05)。结论单孔胸腔镜下常规手术器械替代一次性器械在肺癌肺叶切除术中安全可行,且大大降低了患者住院总费用。

    Release date:2019-07-17 04:28 Export PDF Favorites Scan
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