本文關(guān)鍵詞： 腎臟 腎部分切除 腹腔鏡手術(shù) 培訓(xùn)模型 離體器官　出處：《中國(guó)臨床解剖學(xué)雜志》2017年02期 　論文類型：期刊論文

【摘要】：目的應(yīng)用離體豬腎構(gòu)建模擬腹腔鏡腎部分切除術(shù)培訓(xùn)模型,并對(duì)培訓(xùn)模型進(jìn)行評(píng)價(jià)。方法將新鮮豬腎在腎纖維囊外去除脂肪等組織,在豬腎表面蓋兩個(gè)同心圓圈,小圈內(nèi)徑約28 mm,大圈32 mm,隨后操作時(shí)將豬腎固定在人體塑料模型內(nèi)。高級(jí)組6名、中級(jí)組6名、初級(jí)組8名進(jìn)行腹腔鏡下腎部分切除的操作,記錄數(shù)據(jù)并進(jìn)行統(tǒng)計(jì)分析。隨后高級(jí)職稱醫(yī)師對(duì)模型進(jìn)行Likert評(píng)分表評(píng)分,對(duì)離體豬腎解剖結(jié)構(gòu)條件、操作質(zhì)感、外觀及顏色、模型總體的逼真情況等方面進(jìn)行評(píng)價(jià)。結(jié)果 Likert評(píng)分中,模型解剖條件為5.00±0.00;操作質(zhì)感為4.33±0.52;外觀及顏色為4.33±0.52;模型總體逼真情況為4.67±0.52。初、中、高級(jí)組人員在第一次腎部分切除術(shù)的腎臟部分切除時(shí)間、縫合時(shí)間、內(nèi)外圈損傷數(shù)、縫合后切緣間隙距離等指標(biāo)有統(tǒng)計(jì)學(xué)差異。結(jié)論此培訓(xùn)模型具有簡(jiǎn)便、經(jīng)濟(jì)、手術(shù)模擬逼真度高等優(yōu)點(diǎn),可用于腹腔鏡腎部分切除的高級(jí)培訓(xùn)。
[Abstract]:Objective to construct and evaluate the training model of simulated laparoscopic partial nephrectomy in vitro. Methods fresh pig kidney was removed from the renal fiber capsule and other tissues were removed, and two concentric circles were covered on the surface of the pig kidney. The inner diameter of the small circle is about 28 mm, the large circle is 32 mm, and then the pig kidney is fixed in the plastic model of human body. The advanced group (6 cases), the intermediate group (6 cases) and the primary group (8 cases) underwent laparoscopic partial nephrectomy. The data were recorded and statistically analyzed. Then the senior professional physician scored the model with Likert score table. The anatomical conditions, operating texture, appearance and color of the isolated pig kidney were evaluated. Results in the Likert score, the anatomical condition of the model was 5.00 鹵0.002, the operating texture was 4.33 鹵0.52, the appearance and color was 4.33 鹵0.52.The overall lifelike condition of the model was 4.67 鹵0.52. There were significant differences in the time of partial nephrectomy, suture time, injury number of inner and outer ring, distance between incisal margin after suture and so on in the senior group. Conclusion this training model is simple and economical. It can be used in advanced training of laparoscopic partial nephrectomy.
【作者單位】： 南方醫(yī)科大學(xué)人體解剖學(xué)教研室;南方醫(yī)科大學(xué)南方醫(yī)院泌尿外科;
【基金】：廣東省科技計(jì)劃項(xiàng)目(2015A040404022,2014A020212200,2015B010125005,2015B010125006) 南方醫(yī)院杰青培養(yǎng)計(jì)劃(2016J007)
【分類號(hào)】：R737.11;R-332
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本文編號(hào)：1521645