原位静电纺丝技术在微创手术及脏器止血中的应用研究进展

      Research Progress on Application of In-Situ Electrospinning Technology in Hemostasis for Minimally Invasive Surgery and Organ Hemostasis

      • 摘要: 微创手术的常见关键并发症之一是术中及术后出血,尤其是腹腔镜手术。出血的有效控制是手术成功的重要保障。脏器止血方式多为填充压迫止血、高频电凝止血、缝合止血、介入栓塞止血等,对组织损伤大、操作复杂、对弥散性渗血及不规则创面效果不佳。便携式原位静电纺丝技术,是一种新兴的不依赖外部大型高压电源的纳米纤维原位沉积技术,能为上述止血问题提供革命性的解决方案。该技术能够在术中实时地在伤口上形成纳米纤维膜,精准覆盖出血创面,实现快速、高效且生物相容性佳的止血与修复效果。该文从临床应用的角度,系统阐述了该技术的特征、发展现状及对脏器止血及微创手术的里程碑意义,并深入分析了其应用前景、核心优势和面临的挑战,以期为该技术的临床转化提供理论参考。

         

        Abstract: One of the common critical complications in minimally invasive surgery is intraoperative and postoperative bleeding, particularly in laparoscopic procedures. Effective control of bleeding is essential for surgical success. Traditional hemostatic methods include packing and compression, high-frequency electrocoagulation, suturing, and interventional embolization. These approaches often cause significant tissue damage, involve complex procedures, and prove ineffective for diffuse bleeding or irregular wound surfaces. Portable in-situ electrospinning technology, an emerging nanofiber deposition technique independent of external high-voltage power sources, offers a revolutionary solution to these hemostatic challenges. This technology enables the real-time formation of nanofiber membranes over surgical wounds during procedures, precisely covering bleeding surfaces to achieve rapid, efficient, and biocompatible hemostasis and tissue repair. From a clinical application perspective, this paper systematically outlines the technology's characteristics, current development status, and its milestone significance for minimally invasive surgery. It further analyzes its application prospects, core advantages, and challenges, aiming to provide theoretical reference for its clinical translation.

         

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