激光上颌窦根治术的初步体会

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我院于75年2月至6月应用激光施行了8例上颌窦根治术,其中慢性上颌窦炎6例,上颌窦囊肿2例。 8例激光手术病人,男性3例,女性5例。年龄最小16岁,最大51岁。手术均在局部麻醉下进行。其中一例系第二次手术。全部操作过程从唇龈沟切口起至犬齿窝和下鼻道造骨孔均用激光刀施行。术后反应轻度肿胀6例,中度肿胀2例。8例病人切口均Ⅰ期愈合。通过8例激光上颌窦根治术,我们有以下几点初步体会: 一、出血问题:用激光刀手术可减少出血,因激光刀在切割组织时,由于激光的物理作用可使切口表面的血管产生凝固及小血栓形成而封闭血流,使手术创面达到不出血或少出血的目的,使手术野保持清晰,便利 In our hospital from February 75 to June the application of laser in 8 cases of maxillary sinus surgery, including 6 cases of chronic maxillary sinusitis, maxillary sinus cyst in 2 cases. 8 cases of laser surgery patients, 3 males and 5 females. Youngest 16 years old, maximum 51 years old. Surgery were performed under local anesthesia. One case is the second surgery. All operations from the sulcus incision to the fossa and inferior nasal bone osteotomy holes are implemented with a laser knife. Postoperative mild reaction in 6 cases, moderate swelling in 2 cases. 8 cases of patients incision healed. Through the eight cases of maxillary laser radical mastectomy, we have the following preliminary experience: First, the bleeding problems: laser knife surgery can reduce bleeding, because the laser knife in cutting tissue, due to the physical role of the laser can make incision surface of the blood vessels to coagulation and Small thrombus formation and closure of blood flow, so that the surgical wound to achieve the purpose of bleeding or bleeding, the surgical field to keep clear and convenient
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