跳到主要內容

臺灣博碩士論文加值系統

(44.200.86.95) 您好!臺灣時間:2024/05/20 08:26
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

我願授權國圖
: 
twitterline
研究生:劉彥宏
研究生(外文):Yen-Hung Liu
論文名稱:高頻電燒刀電凝效果之改進研究
論文名稱(外文):The study for improvement of Electrosurgical Unit coagulation
指導教授:謝其昌謝其昌引用關係
指導教授(外文):Chi-Chang Hsieh
學位類別:碩士
校院名稱:國立高雄第一科技大學
系所名稱:機械與自動化工程研究所
學門:工程學門
學類:機械工程學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:中文
論文頁數:69
中文關鍵詞:低凝單擊電燒刀可程式控制器蛋白質凝固臨界溫度
外文關鍵詞:PLCDesiccate coagulationMonopolar coagulationProtein critical temperature
相關次數:
  • 被引用被引用:0
  • 點閱點閱:592
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
本研究使用可程式控制器控制高頻電燒刀單極電燒刀之電凝效果探討改變能量產生來提升電刀的工作效率及改善電刀缺點。實驗結果發現從電刀升溫實驗找尋蛋白質凝固臨界溫度維持最久速度最快,蛋液沾黏實驗低凝對蛋白質凝固作用刀頭沾黏量最多,大鼠背部燒灼實驗對組織細胞蛋白質凝固最好刀頭沾黏最少,由以上實驗結果找出電刀的最適合能量與時間,並以可程式控制器控制改善,最適能量與時間臨界溫度14秒改善後增加為17秒,擊發時間由原本16秒降低至15秒,增加蛋白質凝固的效果以及減少電刀能量的消耗,因此改變能量產生來源有效影響電刀使用提升使用效率減少能量損害。
PLC controlled electrosurgical unit to monopolar coagulation change the energy generated source used in my research to improve work efficiency and improve the shortcomings. My experiment result discovered identify the most suitable energy for the electrosurgical unit and activation time temperature experiments from electrosurgical unit and protein critical temperature maintaining the longest fastest in 30 protein adhesion experiments from electrosurgical unit desiccate coagulation maximum protein adhesion for the head sticking and Norway rat tissue adhesion experiments electrosurgical unit protein coagulation least than for the head sticking .In conclusion improve by PLC controlled identify the most suitable energy for the electrosurgical unit and activation time we can find to protein critical temperature increase 3 seconds and activation time reduce one second in 30 seconds can prove improve work efficiency and improve the shortcomings.
中文摘要. ..i
英文摘要............. ii
誌謝............. .. iv
目錄................................ .....v
表目錄.................................. viii
圖目錄............................... ..x

第一章 緒論........................................................................................... 1
1.1 前言.................................................................................................. 1
1.2 臨床應用.......................................................................................... 1
1.3 高頻電燒刀起源.............................................................................. 5
1.4 文獻探討.......................................................................................... 6
1.4.1 組織熱傷害............................................................................ 6
1.4.2 溫度對組織的變化................................................................ 7
1.4.3 蛋白質變性.............................................................................7
1.4.4電燒波形型態(Wave forms) ................................................... 8
1.5 電刀的優缺點...................................................................................................10
1.6 研究動機與目標…...........................................................................................10

第二章 電刀原理.....................................................................................12
2.1 單極電刀的機轉與原理....................................................................12
2.1.1 乾燥..........................................................................................15
2.1.2 電灼..........................................................................................15

第三章 研究設計與方法.........................................................................17
3.1 所需實驗設備................................................................................... 17
3.2 高頻電刀功率功能檢測與步驟....................................................... 26
3.3 高頻電燒升溫實驗架構與步驟....................................................... 28
3.4蛋液沾黏實驗架構與步驟................................................................ 29
3.5大鼠背部沾黏實驗…….................................................................... 31
3.6 PLC控制升溫實驗................................................................ ………32

第四章 結果與分析…............................................................................ 33
4.1 高頻電刀分析儀檢測功能實驗........................................................33
4.2 刀頭升溫實驗…................................................................................34
4.3 蛋液沾黏組實驗............................................................................... 42
4.4 大鼠背部組織沾黏實驗…............................................................... 47
4.5 PLC控制升溫實驗............................................................................ 49

第五章 結論…........................................................................................ 51
參考文獻.................................................................................................. 52
[1]Nader N Massarweh, MD, Ned Cosgriff, MD, Douglas P Slakey, MD, MPH, FACS.
[2]高才,林康平,書名:生物醫學工程導論中華民國生物醫學工程學會年份:2008年 1 版ISBN:9789866507038書號:LS0077。
[3]Oberdorster G, Gelein RM, Ferin J, Weiss B. Association of particulate air pollution and acute mortality: involvement of ultrafine particles? Inhal Toxicol 1995;7(1):111-24.
[4]Valleylab Maintenance Engineer Training Information Fisher, Miller, 1987, “Electrically focused surgical light”, PATENT E.P. 0056505B1.
[5]趙鵬,高頻電刀質量控制檢測技術出版社:中國計量出版社 出版日期:2011/03/01。
[6]Sibbons P, Southgate A. Comparison of wound-healing and tissue effects using the Gyrus PlasmaKnife with monopolar, Coblation, and Harmonic Scalpel methodologies. Comparative Clinical Pathology 2006;15(1):17-26.
[7]US National Library of Medicine National Institutes of HealthSearch termSearch database Search Limits Advanced Journal list Help Journal ListBiomed Eng Onlinev.12; 2013PMC3751592.
[8]Lantis, J.C., II, F.M. Durville, R. Connolly, and S.D. Schwaitzberg, Comparison of coagulation modalities in surgery. J Laparoendosc Adv Surg Tech A, 1998. 8(6): p. 381-94.
[9]Sutton PA, Awad S, Perkins AC, Lobo DN. Comparison of lateral thermal spread using monopolar and bipolar diathermy, the Harmonic Scalpel and the Ligasure. British Journal of Surgery. 2010;97(3):428–433.
[10]Perko Z, Pogoreli? Z, Bilan K, et al. Lateral thermal damage to rat abdominal wall after harmonic scalpel application. Surgical Endoscopy and Other Interventional Techniques. 2006;20(2):322–324. [PubMed]
[11]Livaditis GJ. Comparison of monopolar and bipolar electrosurgical modes for restorative
[12]dentistry: a review of the literature. J Prosthet Dent 2001;86(4):390-9.
[13]Electrosurgery: History, Principles,and Current and Future UsesNader N Massarweh, MD, Ned Cosgriff, MD, Douglas P Slakey, MD, MPH, FACS
[14]王方,林慧琳,神奇卡卡—三段式縮頭電刀筆,國立台灣大學醫學院附設醫院手術室耿繼業,2006,“幾何光學”,全華出版社。
[15]Fundamentals of Electrosurgery Part I: Principles of Radiofrequency Energy for Surgery。
[16]邱怡友主任,肝臟惡性腫瘤的經皮穿刺局部治療,出自癌症新探59期台北榮民總醫院放射線部介入性診療科2012元月02繆家鼎、徐文娟、牟同升,2003,“光電技術”,五南出版社。
[17]Vallylab_Part number 945 00 102 effective date:July 1998 SurgistatB Service Manual顏鴻森、吳隆庸,2006,“機構學”,東華書局。
[18]OPTEX CO., LTD All Rights Reserved.2004
[19]18.METTLER TOLEDOOperating instructions balans_mettler_pb153_s_okt_200 Service Manual Version as from October 2003.
[20]謝石泉,石安牧場,2002年通過HACCP國際食品安全管制系統認證BE02/3047HA號。
[21]Fluke Corporation April 2007 FLUK RF303___omeng0000 Service Manual All product names are trademarks of their respective companies.2007, All rights reserved. Printed in USA.
[22]劉育志,腹腔鏡手術之謎:這麼小一個洞,醫師到底是怎麼開刀,2013-08-02。
[23]Electrosurgical Units; Electrosurgical Units, Argon-Enhanced Coagulation, ECRI, August 1999.
[24]Nader N Massarweh, MD, Ned Cosgriff, MD, Douglas P Slakey, MD, MPH, FACS.
[25]Livaditis, G.J., Comparison of monopolar and bipolar electrosurgical modes for restorative dentistry: a review of the literature. J Prosthet Dent, 2001. 86(4): p. 390-9.
[26]Pearce JA. Electrosurgery. New York: Wiley Medical; 1986.
[27]Cuschieri, Buess and Perissat, Operative Manual of Endoscopic Surgery, Springer-Verlag, 1992, pp. 44-60
[28]Dujovnyet.al.,Bipolarcoagulationinneurosurgery,SurgNeurol,1998;49:328-32modalities in surgery, J Laparoendoscopic Adv Surg Tech, 1998,Dec;8:6:381-94.
[29]Title of Thesis:Research of thermal injury and anti-adherence on tissue by monopolar electrosurgery in minimal invasive surgery Author:Hsiu-Ling Jan Thesis advised by : Che-Tong Lin, DDS, PhD Keng-Liang Ou, PhD
[30]The Design of Anti-Sticking Electrosurgical Instrument with Irrigation for Laparoscope
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top