兽医口腔颌面外科中的血管封闭系统：当前证据与临床应用。
Vessel Sealing Systems in Veterinary Oral and Maxillofacial Surgery: Current Evidence and Clinical Applications.
文献信息
| PMID | 42714397 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Kristina Feigin |
| 作者单位 | Andover, MA, USA. |
| 期刊 | Journal of veterinary dentistry |
| SCI 分区 | Q3 |
| IF | 1 |
| 研究类型 | 综述 Meta · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
血管封闭系统（VSSs）是一种医疗器械，利用双极电热能量通过使血管壁中的胶原蛋白和弹性蛋白变性来封闭血管，成功闭塞血管并减少手术过程中的失血。这些设备在许多情况下消除了对传统结扎或手术夹的需要，并已在人类和兽医外科中广泛采用。已报道的优势包括缩短手术时间、改善止血、减少失血以及能够使用单一器械进行解剖和血管封闭。本文的目的是总结关于血管封闭技术的当前证据，并讨论其在兽医口腔颌面外科中的应用。来自人类头颈外科和兽医外科的已发表研究表明，VSSs 对多种手术安全有效，包括颈清扫术、甲状腺切除术、腮腺切除术和扁桃体切除术。在兽医口腔颌面外科中，血管封闭设备可促进上颌骨切除术、下颌骨切除术、舌切除术、唾液腺切除术、扁桃体切除术、软腭切除术、淋巴结切除术以及其他需要可靠止血的软组织切除术。潜在的局限性包括热损伤、设备成本以及关于一次性手柄重复使用的担忧。尽管如此，当前证据和作者的临床经验支持 VSSs 作为有价值的手术工具，可在复杂的口腔颌面手术中提高手术效率和止血效果。
英文摘要
Vessel sealing systems (VSSs) are medical devices that use bipolar electrothermal energy to seal blood vessels by denaturing collagen and elastin in the vessel wall, successfully occluding the vessel and reducing blood loss during surgical procedures. These devices eliminate the need for conventional ligatures or surgical clips in many situations and have become widely adopted in both human and veterinary surgery. Reported advantages include reduced operative time, improved hemostasis, decreased blood loss, and the ability to perform dissection and vessel sealing with a single instrument. The objective of this article is to summarize the current evidence regarding vessel sealing technology and discuss its applications in veterinary oral and maxillofacial surgery. Published studies from human head and neck surgery and veterinary surgery demonstrate that VSSs are safe and effective for a variety of procedures, including neck dissection, thyroidectomy, parotidectomy, and tonsillectomy. In veterinary oral and maxillofacial surgery, vessel sealing devices can facilitate maxillectomy, mandibulectomy, glossectomy, sialoadenectomy, tonsillectomy, staphylectomy, lymphadenectomy, and other soft tissue resections where reliable hemostasis is essential. Potential limitations include thermal injury, device cost, and concerns regarding repeated reuse of single-use handpieces. Nevertheless, current evidence and the authors' clinical experience support VSSs as valuable surgical tools that improve surgical efficiency and hemostasis during complex oral and maxillofacial procedures.