电外科烟雾对手术环境及其暴露人群健康影响的研究进展

Research advances in the effect of electrosurgical smoke on surgical environment and the health of exposed population

随着现代医疗技术的高速发展,电外科设备和技术已在手术领域广泛应用,促进了手术的顺利开展,但应用电外科器械处理组织时产生的大量烟雾也对手术环境空气带来严重污染。研究报道烟雾中富含有毒有害的化学成分、生物成分、活性颗粒、活性细胞及诱导突变的物质等,对环境中暴露人群健康将带来潜在的风险。因此,提高围手术团队对电外科烟雾危害的认识,加强对手术环境烟雾的的检测和探索电外科烟雾的防护,对减少手术室环境烟雾污染及其暴露人群健康的潜在风险具有重要意义。本文就电外科烟雾的产生特点及其有害影响研究进展做一综述。

With the rapid development of modern medical technology,electrosurgical equipment and techniques are widely used in surgery and promote the smooth operation of surgery.However,the large amount of smoke produced by electrosurgical equipment in the treatment of tissues brings heavy pollution to surgical environment.Studies have shown that such smoke contains various toxic and harmful chemical components,biological components,active particles,active cells,and substances that induce mutation,which is a potential risk for the health of exposed population.As a result,it is of vital importance to increase the awareness of the harm of electrosurgical smoke among team members engaged in perioperative work,strengthen the detection of smoke in surgical environment,and explore the protection against electrosurgical smoke,which helps to reduce smoke pollution in operating room environment and potential risks to the health of exposed population.This article reviews the recent research advances in the features of smoke generation and its bad influence on health.