CO_2激光应用于兔肾部分切除术的实验研究  

Experimental Study on the Partial Nephrectomy of Rabbit by CO_2 Laser

作　　者：佟昕[1] 王世勋[1] 赵雪静[1] 佟艳春[1] 

机构地区：[1]北京军区总医院263临床部泌尿外科,北京101149

出　　处：《解放军医药杂志》2012年第9期15-17,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的探讨CO2激光应用于兔肾部分切除术的可行性与安全性。方法开放手术条件下,应用CO2激光施行兔肾部分切除术,观察术中及术后情况,记录肾切除时间及出血量,对切除术后的肾脏截面进行组织学检查,监测并比较术前、术后1天及1周的尿素、肌酐值。结果应用CO2激光可以在5～9 min顺利实现对兔肾实质的部分切除,术中平均出血量为(10±3)ml,术后无明显并发症发生。术后1天及1周的尿素、肌酐值与术前比较差异均无统计学意义(P>0.05)。光镜下观察显示激光照射对周围肾脏组织损伤小。结论应用CO2激光进行肾部分切除术安全、有效。Objective To explore the feasibility and safety of the partial nephrectomy of rabbit by CO2 laser. Methods With limits surgical procedures, partial nephrectomy was done on rabbits by CO： laser. The intraoperative and postoperative duration time for the nephrectomy and the cadaverine quantity of bleeding were recorded and the pathological examination on cross-section of kidney tissue was done. The urea nitrogen and creatinine before and after 1 day and after a week of the operation were detected and compared. Results The operation could be finished in 5-9 minutes by CO2 laser and the average blood volume was （10± 3 ） ml with no significant postoperative complications. Comparison showed no statistical significance in the urea nitrogen and creatinine after 1 day and after a week of the operation. There was little lesion for circumambient kidney tissues under light microscope. Conclusion Partial nephrectomy is safe and effective by CO2 laser.

关 键 词：激光手术 二氧化碳 肾部分切除术 兔 

分 类 号：R692.9[医药卫生—泌尿科学]