1、a1吻合器的历史及发展a2外科手术的共同目标 高效 快速 止血 安全 为患者提供最佳效果 为外科医生提供最佳效果 a3何为吻合？两种组织结构之间行手术连接 A surgical connection between two structures.a4 无吻合口张力 无吻合口漏 止血效果好 足够的吻合口血供 足够的吻合口内径a5吻合的目的 吻合组织，建立通路 结扎血管或组织移植体残端 保持止血 a6吻合方式缝合/手缝吻合 Suture/Hand-sewn approximation缝钉固定器械/缝钉吻合 Stapling Device/Stapled approximationa7机械吻合的理念
2、双排交错的缝钉理念双排交错的缝钉理念B型成钉的缝合理念型成钉的缝合理念a8缝钉的参数根据组织厚度决定钉子关闭的高度根据组织厚度决定钉子关闭的高度a9缝钉成型非反应性钛=引起的组织反应较少 Non reactive Titanium=causes little tissue reactionB形 a10缝钉线a11吻合器发展史1908年，第一台吻合器械（匈牙利的Humer Htl）First stapling instrument(Humer Htl,Hungary)早期产品 Early production 不好使用 Cumbersome结构复杂 Complicated 性能不可靠 Unrel
3、iablea12吻合技术的发展 最近发展状况（过去的25年中）Recent development(within the last 25 years)更可靠 More reliable使用更便捷 Easier to use 质量更好 Better quality 出现的技术问题较少 Fewer technical problems能在较难处理的位置构建吻合 Ability to create anastomoses in difficult placesa13吻合器类型I-直线型吻合器这些吻合器至少导入两排双重错开的钛缝钉，一些吻合器同时能切割及分切组织。These staplers plac
4、e at least two double staggered rows of titanium staples and some simultaneously cut and divide tissue between them.a14吻合器类型II-直线型切割吻合器这些吻合器至少导入两排双重错开的钛缝钉，一些吻合器同时能切割及分切组织。These staplers place at least two double staggered rows of titanium staples and some simultaneously cut and divide tissue between
5、 them.a15吻合器类型III-弧形切割吻合器这些吻合器至少导入两排双重错开的钛缝钉，一些吻合器同时能切割及分切组织。These staplers place at least two double staggered rows of titanium staples and some simultaneously cut and divide tissue between them.a16吻合器类型IV-管型吻合器这些吻合器至少导入两排双重错开的钛缝钉，一些吻合器同时能切割及分切组织。These staplers place at least two double staggered r
6、ows of titanium staples and some simultaneously cut and divide tissue between them.a17吻合器类型V-腔镜下直线切割吻合器这些吻合器至少导入两排双重错开的钛缝钉，一些吻合器同时能切割及分切组织。These staplers place at least two double staggered rows of titanium staples and some simultaneously cut and divide tissue between them.a18为什么选择机械吻合？使用便捷 Ease of use稳定 Consistency速度快 Speed一些缝钉可同时在两组双排缝钉之间切割组织 Some simultaneously cut between two sets of double rows of staples使依靠技能的外科医生实行微创手术 Enables skill dependent surgeons to carry out minimally invasive proceduresa19问与答问与答a20谢谢！
