[组织化学测定实质器官使用钕- yag激光后的活力极限]。

G A Stöhr, K H Dietl, J J Morcate
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引用次数: 0

摘要

特殊的儿科手术问题,特别是新生儿和幼儿的半全肺切除术和部分肝脏切除术,为激光治疗提供了新的适应证。特殊的形态学特征,如小器官和小血管直径,使激光手术对儿童有用。在标准激光光凝条件下,利用组织化学技术可在兔肝、脾、肾中显示明确的坏死区域(与激光剂量有关)。部分器官切除后5天,可以观察到一个清晰的生命边界,一周后,一个侵入性生长的纤维化组织进入坏死区域,形成新的包膜。无感染或出血病例(84例部分器官切除)。利用已知的剂量,可以精确地计算出坏死和蒸发的面积。
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[Histochemical determination of vitality limits after the use of neodymium-YAG-lasers on parenchymatous organs].

Specific pediatric surgical problems, specially the hemisplenectomy and the partial liver resection in newborns and small children, offer a new indication for the laser beam. Special morphologic characteristics, like small organs and small vessels diameter, make the laser an useful procedure in children. With help of a histochemical technic could be shown a defined necrosis area - in dependence of the laser dose - in liver, spleen and kidney of rabbits under standard laser photocoagulation. Five days after the partial organ resection one could observe a well defined vital border, and after one week an invasive growing fibrotic tissue into the necrosis area, which would form the new capsula. No cases of infection or bleeding were present (84 partial organ resections). Using known doses one can exactly calculate the area of necrosis and evaporation.

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