3D打印输尿管软镜训练模型的设计与应用评价

发布时间：2018-02-05 03:12

本文关键词： D打印技术输尿管软镜钬激光碎石模拟器　出处：《解放军医药杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的通过3D打印技术设计研发一种输尿管软镜训练模拟装置,用于提高输尿管软镜碎石技能、学习知识和积累经验。方法根据12例实际肾盂结石患者CT资料,计算机辅助设计并3D打印肾脏模型。应用简易评分表评估16位医师学习情况。其中资深医生8名(输尿管软镜碎石经验50例以上)、初级医师8名(未做过输尿管软镜碎石医师)对模拟训练器的实用性进行评价,同时评估找到目标肾盏时间、碎石时间及满意度评分。结果资深医师与初级医师在找到所有目标肾盏时间、碎石时间对比差异无统计学意义(P0.05)。15名(93.8%)医师认为模型对他们的输尿管软镜碎石技术提高有很大帮助,并且认为通过患者个体化打印模型有利于帮助提高碎石成功率。结论应用3D打印的输尿管软镜训练模型,可以明显缩短学习曲线,有利于年轻医师快速掌握操作技巧,制定个体化治疗方案、降低手术并发症及医疗费用。
[Abstract]:Objective through 3D printing technology to design an ureteroscope training simulation device for improving the flexible ureteroscopy skills, knowledge and experience. Methods 12 patients with renal calculus patients with actual CT data, computer aided design and application of simple kidney 3D printing model. Score evaluation of 16 physicians learning. The senior doctor 8 (flexible ureteroscopy experience of more than 50 cases, primary care physicians (8) did not do flexible ureteroscopy to evaluate the practicability of physician) simulator, and evaluation to find the target renal calyceal stone time, time and satisfaction scores. The senior physicians and primary care physicians in finding all the target calyx time, no statistically significant difference compared (P0.05) lithotripsy time.15 (93.8%) physicians believe that the model is of great help to improve the flexible ureteroscope lithotripsy for them, and that the patient The individual print model helps to improve the success rate of lithotripsy ureteroscope. Conclusion the application of 3D printing training model, can significantly shorten the learning curve, is conducive to young physicians to quickly master the operation skills, individualized treatment, reduce the complications and medical expenses.

【作者单位】：沈阳军区总医院泌尿外科;沈阳军区总医院全军重症(战)创伤救治中心实验室;烟台警备区侦察船运大队卫生队;
【基金】：总后卫生部重大项目新上项目(AMS14L008)
【分类号】：R699;TP391.73
【正文快照】： 曹志强,李金辉,李昕,孙吉鹏,李欣阳,曹东兵,柳云恩,侯明晓随着生活水平及饮食结构的不断变化,泌尿系结石发病率逐年增高,其中肾结石发病率为37.5~42.70%[1-3]。治疗方法包括体外碎石、经皮肾镜碎石、输尿管软镜碎石术等。随着软镜设备及钬激光的逐步更新换代,输尿管软镜碎石术

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