基于医用水刀的肝脏切割及力学性能
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天津科技支撑计划重点项目(11ZCKFSY01900)


Liver tissue separation by medical water-jet scalpel and its mechanical property study
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    目的 研究医用水刀切割软组织的力学性能,验证医用水刀具有软组织选择性切割的良好特性。方法 测定猪肝脏实质和不同尺寸动静脉血管的拉伸力学性能,对猪以及Wistar大鼠肝脏实质进行切割,血管分离,以及大鼠病理切片HE染色,最后对实验现象进行分析研究。结果 右叶猪肝脏医用水刀切割实验,压力设定为3 MPa时保留最细血管的直径为0.8 mm。大鼠肝脏手术刀与医用水刀对比切割的病理切片表明医用水刀对组织的损伤较小。结论 医用水刀对不同特性的软组织具有选择性切割的良好特性,能有效避免现有手术刀的“一刀切”现象。

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    Objective To study mechanical properties of the medical water-jet scalpel when cutting parenchyma such as liver and verify its tissue-selective cutting characteristic. Methods The tension mechanical properties of porcine liver parenchyma and its vessels with different sizes were determined. Porcine and Wistar rat liver tissues were cut with arteriovenous vessels well reserved, and pathological section of the rats were analyzed by HE staining to explain the experimental phenomena. Results When the working pressure was set at 3 MPa, the incising and separating on the right lobe of porcine liver by medical water-jet scalpel in this experiment were done with minimal vessels of 0.8 mm in diameter left. Pathological sections from ordinary scalpel and medical water-jet scalpel showed that the medical water-jet scalpel caused smaller tissue damage. Conclusions The medical water-jet scalpel could cut heterogeneity soft tissue with highly-selective characteristics, which may effectively avoid the existing “one size fits all” phenomenon caused by ordinary scalpel.

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侍才洪,张坤亮,柴虎,李昊,张建明,李瑞欣,杨康健,张西正.基于医用水刀的肝脏切割及力学性能[J].医用生物力学,2013,28(1):85-90

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  • 收稿日期:2012-04-01
  • 最后修改日期:2012-06-21
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