专家讲座系列二针刀闭合性手术简论.docVIP

专家讲座系列二针刀闭合性手术简论 　　[摘要] 本文通过阐述针刀闭合性手术的概念，分析闭合性手术与开放性手术之间的关系，介绍闭合性手术器械、作用原理，以及闭合性手术的理论基础、操作特点和要求，促进临床医务工作者对针刀闭合性手术理论的理解。针刀闭合性手术是在针刀医学理论的指导下，应用针刀器械对骨关节周围软组织进行切割、分离，以解除患者的痛苦，达到治疗的目的。针刀闭合性手术的适应证已从骨伤科疾病发展到内、外、妇、儿、皮肤、五官科、美容整形等众多临床疑难杂症中，未来发展空间会非常广阔，已具备发展针刀临床亚学科的条件。 　　[关键词] 针刀；闭合性手术；开放性手术 　　[中图分类号] R245 [文献标识码] A [文章编号] 1673-7210（2016）11（c）-0161-05 　　A simple comment on needle-knife closed operation 　　ZHANG Tianmin DU Yanjun 　　College of Acupuncture and Osteology and Traumatology， Hubei University of Chinese Medicine， Hubei Province， Wuhan 430065， China 　　[Abstract] This paper elaborates the concept of needle-knife closed operation， analyzes the relationship between closed operation and open operation， introduces closed surgical instruments， action principle， and the theoretical basis， operating characteristics and requirements of closed operation， so as to promote the understanding of clinical medical workers for the theory of needle-knife closed operation. Under the guidance of acupotomology theory， needle-knife closed operation is using needle-knife instruments to cut or separate the soft tissue around the joint， to relieve the pain of patients， so as to achieve the purpose of treatment. The indications of needle-knife closed operation have developed from orthopedic diseases to many clinical difficult miscellaneous diseases of department of internal medicine， surgery， gynecology， pediatrics， dermatology， ophthalmology and otorhinolaryngology， and plastic and aesthetic surgery. The future development space of needle-knife closed operation will be very broad， which has owned the conditions of developing clinical sub-discipline of acupotomology. 　　[Key words] Needle-knife； Closed operation； Open operation 　　西医手术在治疗疾病中所取得的成就是有目共睹的，西医专家们也在研究如何减少开放性手术的并发症及后遗症，但传统手术具有切口较大、创伤大、需要切除部分人体组织器官、术后需要缝合伤口等缺点。找到一种以不切除人体组织器官的外科手术是医学的进步，针刀闭合性手术就是这样一种外科手术，其以针刀医学理论和人体弓弦力学解剖系统为理论基础，在非直视条件下进行手术，切口小，创伤小，不切除人体的任何解剖结构，术后无需缝合。本文通过了解针刀闭合性手术的基本概念和针刀操作过程，阐述针刀闭合性手术的特点与优势，规范针刀临床技术操作，保障针刀操作安全