常用外科手术器械与其使用.ppt

第六章 手术基本操作技术;内 容 提 纲;（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。;Sharp scalpel with disposable;Handles;Handles Blades ;Disposable Scalpel;Electrosurgical scalpel;（二）手术刀的使用;装刀片;Three basic grips for holding the scalpel;Scalpels ;The scalpel is held with thumb, middle and ring finger while the index finger is placed on the upper edge to help guide the scalpel. Long gentle cutting strokes are less traumatic to tissue than short chopping motions. ;The scalpel should never be used in a stabbing motion ;二、 surgical scissors;Classification by type of points;All types can have either straight or curved blades ;Mayo and Metzenbaum ;Mayo scissors (B) are used for cutting heavy fascia and sutures. Metzenbaum scissors (A) are more delicate than Mayo scissors. Metzenbaum scissors are used to cut delicate tissues and scissors have a longer handle to blade ratio.;执剪的方法;三、 tissue forceps;Thumb forceps are held like a pencil ;Thumb Forceps are not held like a knife ;;四、止血钳;持针钳在手术中的应用;Classification by size and shape and size of tips;Kelly Hemostatic Forceps and Mosquito Hemostats ;Mosquito hemostats (A) have a smaller, finer tip ;Carmalt ;Mayo-Hegar ;Olsen-Hegar ;六、surgical needles;七、retractor;Senn ;Hohman;Weitlaner ;Gelpi;;创钩的使用;创钩的使用;创钩的使用;八、towel forcep;九、tissue forceps;Forceps: consist of two tines held together at one end with a spring device that holds the tines open. Forceps can be either tissue or dressing forceps. Dressing forceps have smooth or smoothly serrated tips. Tissue forceps have teeth to grip tissue. Many forceps bear the name of the originator of the design, such as Adson tissue forceps.;Rat Tooth: A Tissue Forceps;Adson Tissue Forceps;Allis: An Intestinal Tissue Forceps;Babcock: An Intestinal Tissue Forceps ;Sponge Forceps;十、肠钳;Doyen Intestinal Forceps;Payr Pylorus Clamps;The thumb and ring finger are inserted into the rings of the scissors while the index and middle finger are used to guide the instrument. ;This is the wrong way to h