常用外科手术器械机器使用

CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD第六章手术基本操作技术手术种类繁多，范围、大小和复杂程度不同，但基本操作技术是相同的手术顺利完成，一定意义上取决于基本操作的熟练程度及其理论的掌握理论指导下的不断实践，是唯一的正确途径。稳、准、巧、轻、快是基本要求。CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD内容提纲第一节常用外科器械及其使用第二节显露第三节止血第四节缝合第五节拆线第六节打结第七节引流CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD（一）种类4、6、8号刀柄配19~24号刀片。3、5、7号刀柄配10、11、12、15号刀片专用手术刀，如眼科刀等。高频电刀。第一节常用外科器械及其使用一、手术刀CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDSharpscalpelwithdisposable10号小圆刃11号角形尖刃12号号弯形尖刃15号小圆刃3号刀柄8号刀柄CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDHandlesCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDHandlesBladesBlades#10,11,12,15fitthe#3handle,#22,#23fitthe#4handle,commonlyusedforlargeanimals.CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDDisposableScalpelCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDElectrosurgicalscalpelCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD（二）手术刀的使用装刀片法取刀片法视频026CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD装刀片CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDThreebasicgripsforholdingthescalpelPencilgripFingertipgripPalmgripCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDScalpelsCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDThescalpelisheldwiththumb,middleandringfingerwhiletheindexfingerisplacedontheupperedgetohelpguidethescalpel.Longgentlecuttingstrokesarelesstraumatictotissuethanshortchoppingmotions.CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDThescalpelshouldneverbeusedinastabbingmotionCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD二、surgicalscissors组织剪剪线剪CommonlyusedsurgicalscissorsCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDClassificationbytypeofpointsAlltypesofscissorscanhavebluntorsharpblades(A:Sharp:Sharp,B:Blunt:Blunt).CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDAlltypescanhaveeitherstraightorcurvedbladesCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDMayoandMetzenbaumCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDMayoscissors(B)areusedforcuttingheavyfasciaandsutures.Metzenbaumscissors(A)aremoredelicatethanMayoscissors.Metzenbaumscissorsareusedtocutdelicatetissuesandscissorshavealongerhandletobladeratio.CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD执剪的方法剪线的方法视频027CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD三、tissueforcepsA.DifferenttissueforcepsB.PencilgripforthumbforcepinuseC.PalmedpositionforthumbforcepbeingcarriedCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDThumbforcepsareheldlikeapencilCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDThumbForcepsarenotheldlikeaknifeCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD镊子在手术中的使用视频028CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD四、止血钳五、持针钳HemostaticforcepsNeedleholderCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhD持针钳在手术中的应用CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDClassificationbysizeandshapeandsizeoftipsHemostaticforcepsandhemostatsmaybecurvedorstraight.CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDKellyHemostaticForcepsandMosquitoHemostatsBotharetransverselyserratedMosquitohemostats(A)aremoredelicatethanKellyhemostaticforceps(B).CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDMosquitohemostats(A)haveasmaller,finertipComparisonofKellyandMosquitotipsCollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDCarmalt视频029CollegeofAnimalScienceandVeterinaryMedicineShandongAgriculturalUniversityCopyright©Allreserved,MAWMPhDMayo-HegarHeavy,withmildlytaperedjaws.Nocuttingblades.CollegeofAnimalScienceandVeterinary