一种肾盂成形术的腹腔镜训练模型

发布时间：2018-03-09 02:03

本文选题：肾盂成形术　切入点：腹腔镜手术　出处：《南方医科大学学报》2013年10期 　论文类型：期刊论文

【摘要】：目的介绍一种离断性肾盂成形术的腹腔镜训练模型。方法采用猪肾、鸡食道嗉囊制作成肾盂输尿管连接部狭窄模型,鸡躯干用于固定该模型。在自制腹腔镜模拟训练箱内,对8名完成腹腔镜基本技能培训但无实际腹腔镜手术经验的年轻医师进行10轮的模拟训练,记录每次手术的完成时间,并根据每次手术术中缝合撕裂针数,术后检查吻合口针距、边距的情况,累计成手术的失误评分,对吻合口质量进行初步评估。结果 8名年轻医师均成功完成了培训,手术时间从最初72.70±8.26 min降至最后的54.50±7.69 min;吻合口失误评分从最初5.60±1.35分降至最后的2.50±1.58分,差异均有统计学意义(P0.05)。结论此模型制作简易、术野逼真、训练有效,能较好地模拟腹腔镜离断性肾盂成形术的各个手术步骤,适合于临床医师进行该术式的初级培训。
[Abstract]:Objective to introduce a laparoscopic training model of amputated pyeloplasty. Methods the model of ureteropelvic junction stenosis was made from pig kidney and chicken oesophagus crop, and the torso of chicken was used to fix the model. Eight young physicians who had completed basic skills training in laparoscopic surgery but had no practical experience in laparoscopic surgery were trained for 10 rounds of simulated training. The time of completion of each operation was recorded, and the number of laceration needles sutured during each operation was recorded. After operation, the needle distance and margin of anastomosis were examined, and the error score of operation was accumulated. The quality of anastomotic site was evaluated preliminarily. Results all the 8 young doctors successfully completed the training. The operative time decreased from 72.70 卤8.26 min to 54.50 卤7.69 min, and the anastomotic error score decreased from 5.60 卤1.35 to 2.50 卤1.58. The difference was statistically significant (P 0.05). Conclusion this model is simple, realistic and effective. It can simulate each procedure of laparoscopic disconnected pyeloplasty and is suitable for the primary training of clinicians.
【作者单位】：南方医科大学珠江医院泌尿外科;
【基金】：江西省科技支撑计划项目(2009BSB11203)
【分类号】：R-332

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