妇科恶性肿瘤腹腔镜手术培训模型的建立

发布时间：2018-01-18 10:28

本文关键词：妇科恶性肿瘤腹腔镜手术培训模型的建立　出处：《中国妇产科临床杂志》2015年01期 　论文类型：期刊论文

【摘要】：目的构建满意的妇科腹腔镜恶性肿瘤手术猪模型,并规范猪模型的手术步骤。方法采用全身麻醉的10头雌性猪,仰卧位,穿刺3个操作孔和1个检查孔,分别放置手术器械和腹腔镜镜头。记录子宫+输卵管卵巢切除、子宫角缝合、盆腔淋巴结切除、腹主动脉旁淋巴结切除以及膀胱修补操作的时间、失血量和并发症情况。结果共完成子宫+输卵管卵巢切除10例,子宫角缝合20例,10例盆腔淋巴结切除,10例腹主动脉旁淋巴结切除,膀胱修补10例。所有手术培训项目均顺利完成,统计学结果提示各类型手术的手术时间、术中出血量呈正态分布,无并发症发生。结论猪解剖特点可满足妇科常见类型手术的培训。使用猪作为妇科腹腔镜手术模型可以缩短手术医师适应腹腔镜手术操作过程和新器械的磨合过程。
[Abstract]:Objective to establish a satisfactory pig model of gynecological laparoscopic malignant tumor operation and to standardize the operation procedure of the pig model. Methods Ten female pigs under general anesthesia were used in supine position, 3 puncture holes and 1 inspection hole. The time of ovariectomies of oviducts, suture of uterus horn, pelvic lymphadenectomy, para-aortic lymphadenectomy and bladder repair were recorded. Results there were 10 cases of ovarian hysterectomy, 10 cases of pelvic lymph node resection and 10 cases of para-aortic lymphadenectomy. Bladder repair in 10 cases. All the surgical training items were completed successfully. The statistical results indicated that the operation time and blood loss of each type of operation were normal distribution. Conclusion the anatomical characteristics of pigs can meet the training of common types of gynecologic surgery. Using pigs as a model of gynecologic laparoscopic surgery can shorten the adaptation of surgeons to the operation process of laparoscopic surgery and the running-in of new instruments. Cheng.
【作者单位】：中国人民解放军总医院妇产科;
【分类号】：R737.3;R-332
【正文快照】： 腹腔镜手术损伤小,出血少,术后恢复快,但培训困难,使用动物模型可帮助医生尽快适应腹腔镜手术。由于动物模型能模拟人体内环境和操作情景,所以构建满意的动物模型有助于手术医师平稳过渡,加快腹腔镜甚至是机器人手术治疗妇科恶性肿瘤的普及[1-3]。目前,有关构建手术模型文献逐

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