电切刀

The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.

结果：1、钳夹分离切肝法不需特殊仪器设备，只要具备常规的腹腔镜器械即可实施，成本低，肝断面较易渗血；2、微波固化切肝法肝实质出血很少，视野清晰，成本低，操作简单，是一种安全、简便、有效的方法；3、超声刀是目前较为理想的切肝器械，术中出血少，但是，切割速度慢，手术时间长，而且，切割强度有限，适用于无肝硬化的肝切除；4、Ligsure具有挤压粉碎及高频电凝止血两大功能，可使包括7~以下管道的肝组织碳化、形成焦痴，具有一定的优势，但是，也存在分离钳电凝止血的缺点；5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感，便于术中显露、分离、控制出血等，可随意协助右手及助手的主要操作，缩短了手术时间，大大提高了腹腔镜肝切除的安全性，李朝龙等的改良方法，同样达到了手辅助目的，又节省了费用；6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术，操作简单、可靠，适用于肝左外叶切除及右肝第V段切除；7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构，多用于肝左静脉、门静脉分支、管径较大胆管的切割，缺点是不能用于较厚肝组织的切割，而且价格昂贵；8、临床巧例腹腔镜肝切除均获得成功，手术时间最短1.5h，最长sh，平均125 min，多数在100 min左右，手术出血量最少50 ml，最多500 ml，平均1 78 ml，除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水，1例术后发生胆漏外，其余无并发症，发生胆漏的1例患者术后住院40d，多数在术后一周左右出院，术后住院时间5一40d，平均gd。

Objective To investigate the clinical and application values of LEEP circumcise electrotome for the treatment of cervical intraepithelial neoplasia.

目的 探讨LEEP环切电刀治疗宫颈上皮内瘤样病变的临床应用价值。

Methods: 1. Experimental laparoscopic liver resection: We selected pigs as experimental models aiming to approach human beings physiological and anatomical condition. After CO2 pneumoperitoneum was established, the ligaments around liver were dissociated. Livers were cut off by the methods such as clamp dissection, microwave tissue coagulator, ultrasound dissector, Ligsure dissection, hand-assisted, short abdominal incision laparoscopy-assisted, and Endo-GIA switcher. The operation time and bleeding volume were compared between different methods of laparoscopic liver resection. The advantages and limitations of different methods were summarized. 2. Clinical laparoscopic liver resection: 15 cases with tumors in segment V of anterior right lobe or segments II, III of left lateral lobe or segment IV of left internal lobe were selected in this study. The liver diseases included hepatocellular cancer, hepatic cavernous hemangioma and hepatic focal nodular hyperplasia. The ligaments around liver were dissociated after CO2 pneumoperitoneum established. Laparoscopic liver resection were carried out by some of the methods combined such as clamp dissection, microwave tissue coagulator, hand-assisted, short abdominal incision laparoscopy-assisted, ultrasound dissector, rotation and suction dissector.

1、实验性腹腔镜肝切除：以猪为实验动物，旨在接近人体的生理、解剖环境下进行实验，建立操作空间后游离肝脏周围韧带，采用钳夹分离切肝法、微波刀切肝法、超声刀切肝法、Ligsure切肝法、手辅助腹腔镜肝切除法、小切口腹腔镜辅助切肝法、Endo-GIA切肝法等方法实施腹腔镜下肝切除，比较不同切肝方法的手术时间、出血量，总结各种方法的优越性及其局限性。2、临床腹腔镜肝切除：选择肿瘤位于肝右前叶第Ⅴ段、肝左外叶第Ⅱ、Ⅲ段及左内叶第Ⅳ段的15例患者，病种包括原发性肝癌、肝海绵状血管瘤、肝脏局灶性增生，建立气腹后游离肝脏周围韧带，采用钳夹分离断肝、微波刀固化后断肝、手辅助腹腔镜肝切除、小切口腹腔镜辅助肝切除、超声刀断肝、旋吸断肝等多种方法分离切线肝组织，暴露管道结构，再采用高频电凝、钛夹夹闭、缝扎止血、止血纱布覆盖、氩气刀止血、生物胶止血、Endo-GIA处理等多种方法相结合处理肝断面，统计手术完成情况、手术时间、手术出血量、术后并发症及术后住院时间等，评价腹腔镜肝切除的可行性及安全性。

Proposing cervical gland whether or not has atypical hyperplasia,repeatedly obtaining more sample,deeply (＞5mm)getting tissue,or conically cutting cervical biopsy by high frequency electro surgical unit,can help us diagnose this disease early period and promptly,also prevent missed diagnosis.

诊断宫颈微偏腺癌应密切结合临床表现，提出宫颈腺体有无不典型增生，多取材并尽量深取组织(＞5mm)或高频电刀锥切宫颈活检，可早期及时诊断，防止漏诊。

Objective:To investigate the effect of loop electrosurgical excision procedure in the treatment of benign cervical neoplasm.

目的：探讨高频电刀环切术(loop electrosurgical excision procedure，LEEP)在治疗宫颈良性赘生物中的疗效。

Paper cutting, press 1A and 6A cutter button, press paper is electro-suck-4J relay, hydrauliclifting press paper companies to xiazhuang paper, in a certain degree, pressure switch 5XK simultameous, cutter contactor 1 c through to magnetic clutch (doesn't draw), Cutter knife nizh.

切纸时，按下1A和6A切纸按钮，压纸继电器4J得电吸合，控制液压压纸机构向下压纸，在压紧一定程度时，压力开关5XK闭合，切纸接触器1C接通电磁离合器，切纸刀下切。

Axotomized, turn the paper of the cam disconnect switch on the side of the circuit, forcing 3XK press paper cutter and a loss of power, but the operators have not yet had enough time to release the button, turn the paper cutting of the cam over the limit switch 3XK, 4J and 1 c was electric pick-up, gnashing paper cutter does not reset, in this case, a rotating cam on the other side lost your limit switch XM, intermediate relay 5J load-disconnected.

纸张切断后，转动的凸轮一侧断开行程开关3XK的回路，迫使压纸和切纸断电，但是操作者还未来得及松开切纸按钮，转动的凸轮滑过行程开关3XK后，4J和1C仍得电吸合，造成切纸刀不复位，这时，转动的凸轮另一侧断开了行程开关XK，中间继电器5J失电断开。

This kind of quartz stone cutting tool is a technological innovation product, the design structure is novel, it change the use of sole grade grinding compound which is already a traditional manufacture method, it simultaneously used the rough and fine grain grinding compound in the cutting tool different part, ie, by the electricity chromium welded skill, weld the large grain diamond grinding compound on the tool bit top (4050 #) and weld the tool bit both sides the metal polish fine grain grinding compound which the nominal grade value is one level up smaller than large grain grinding compound 100-120

这种石材切具属一项技术创新产品，设计结构新颖，这在于它改变了使用单一粒级磨料的传统制作方法，而是在切具刀头不同部位同时使用粗细粒磨料，也就是在刀头顶面和刀头两侧由电铬焊合艺分别同定粗粒金刚石磨料(4050目)和标称粒级值小于粗粒磨料一级以上的金属抛光用细粒磨料100-120目

This kind of stone cutting tool is a technological innovation product, the design structure is novel, it change the use of sole grade grinding compound which is already a traditional manufacture method, it simultaneously used the rough and fine grain grinding compound in the cutting tool different part, ie, granite tile by the electricity chromium welded skill, weld the large grain diamond grinding compound on the tool bit top (4050 #) and weld the tool bit both sides the metal polish fine grain grinding compound which the nominal grade value is one level up smaller than large grain grinding compound 100-120

这种石材切具属一项技术创新产品，设计结构新颖，这在于它改变了使用单一粒级磨料的传统制作方法，而是在切具刀头不同部位同时使用粗细粒磨料，也就是在刀头顶面和刀头两侧由电铬焊合艺分别同定粗粒金刚石磨料(4050目)和标称粒级值小于粗粒磨料一级以上的金属抛光用细粒磨料100-120目

Of a tight set of professional production and marketing packages, retirement dumping sets, crushing machine dedicated hub, Park nuts, washers and the only basis for withdrawal of Zhang Tao and manually slurry valve, manually Serous valve, pneumatic valve size, rolling, the rectangle, the first track bolts, T-bolts, knife at the end of bolts, Anchor Bolt, bolt-section,-key, plastic screws, Xiao class, grass-cutting Feidao pinched stainless steel screws and a fan-shaped, needle-shaped nozzle, high strength bolts and nuts, stainless steel bolts and nuts, copper bolts and nuts, motorcycle-wide standard of vehicles, vehicle standard parts, household electrical appliances, electrical equipment standard parts, furniture hardware , Dang Quan, rivets, and various non-standard fasteners GB-pieces, Chong parts, stamping parts, car parts, and so on.

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She gently rebuff ed him, but agreed that they could be friends

她婉言拒绝了，但同意作为朋友相处。

If in the penal farm, you were sure to be criticized.

要是在劳改农场，你等着挨绳子吧！