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本文报告在三只兔舌部分切除术中如何使用 Nd:YAG 光导纤维(简称 YAG 光纤刀)。对照 CO_2激光刀、电刀、手术刀,证实光纤刀切割和止血效果良好(除电刀外,三者出血量之比约为1∶4∶6),坏死带小(0.13～0.18mm),伤口愈合好。缺点是切割速度较慢。经过260例口腔颔面部光纤刀手术的临床观察,我们发现其止血效果和动物实验一样,具有不必缝合的优点和根小的副作用。所以,光纤刀对血管丰富的口腔颌面部手术有实用价值,可以广泛应用。
This article reports on how to use Nd: YAG optical fiber (YAG fiber knife) in three partial resection of the tongue. Control CO_2 laser knife, electric knife, scalpel, confirmed the fiber knife cutting and hemostasis effect (in addition to the knife, the three bleeding ratio of about 1: 4: 6), with a small necrosis (0.13 ~ 0.18mm), the wound Heal well. The disadvantage is that the cutting speed is slower. After the clinical observation of 260 cases of oral 颔 facial fiber knife surgery, we found that its hemostatic effect and animal experiments, with the advantages of no need to suture and small root side effects. Therefore, the fiber optic knife on the vascular rich oral and maxillofacial surgery has practical value, can be widely used.