CAJ | 학술논문

目的：比较妇科手术中应用高频电刀、超声刀、PK刀对层流手术室空气质量的影响并探讨其防范措施。方法实验中妇科手术在层流手术室进行，对腔镜手术和开放手术应用高频电刀、超声刀、PK刀在术前与术毕层流手术室空气中的一氧化碳、二氧化碳、甲醛、苯、氨五个指标的浓度进行观察比较。结果在层流手术室，腔镜和开放妇科手术中应用高频电刀空气有害气体超标情况较超声刀和PK刀高（P<0.05），开放妇科手术空气有害气体超标情况较腔镜手术高（P<0.05），但超声刀和PK刀比较无明显差异（P>0.05）。结论层流手术室妇科手术应用超声刀、PK刀较高频电刀空气污染轻，腔镜妇科手术应用高频电刀、超声刀、PK刀较开放妇科手术空气污染轻。
목적：비교부과수술중응용고빈전도、초성도、PK도대층류수술실공기질량적영향병탐토기방범조시。방법실험중부과수술재층류수술실진행，대강경수술화개방수술응용고빈전도、초성도、PK도재술전여술필층류수술실공기중적일양화탄、이양화탄、갑철、분、안오개지표적농도진행관찰비교。결과재층류수술실，강경화개방부과수술중응용고빈전도공기유해기체초표정황교초성도화PK도고（P<0.05），개방부과수술공기유해기체초표정황교강경수술고（P<0.05），단초성도화PK도비교무명현차이（P>0.05）。결론층류수술실부과수술응용초성도、PK도교고빈전도공기오염경，강경부과수술응용고빈전도、초성도、PK도교개방부과수술공기오염경。
Objective To compare the effect of laminar flow operating room air quality in gynecological surgery with application of high-frequency electric knife, ultrasonic scalpel and PK knife. Methods The preoperative and intraoperative indexes of air carbon monoxide, carbon dioxide, formaldehyde, benzene, ammonia concentration in laminar flow operating room with application of high-frequency electric knife, ultrasonic scalpel and PK knife in endoscopy and open gynecological surgery were observed.Results The harmful gas of endoscopy and open gynecological surgery with application of the high frequency electricity knife exceeds that of ultrasonic scalpel and PK knife in laminar flow operating room (P<0.05), the harmful gas of open gynecological surgery exceeds that of endoscopy gynecological surgery in laminar flow operating room (P<0.05), but the harmful gas of ultrasonic scalpel and PK knife in laminar flow operating room used in gynecological surgery is no significant difference (P>0.05). Conclusion The air pol ution of gynecological surgery used ultrasonic scalpel and PK knife was lighter than that of high-frequency electric knife in laminar flow operating room. The air pol ution of endoscopy gynecological surgery used high frequency electric knife, ultrasonic scalpel and PK knife was lighter than that of open gynecological surgery in laminar flow operating room.