带有双侧部分输尿管的猪膀胱模型在宫腔镜培训中的应用

刘丹,帅汝臻,马钊,李丹丹,吴学,吕春玲,哈春芳

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (6) : 701-704.

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (6) : 701-704. DOI: 10.13418/j.issn.1001-165x.2018.06.021
临床研究

带有双侧部分输尿管的猪膀胱模型在宫腔镜培训中的应用

  • 刘丹1, 2, 帅汝臻3, 马钊4, 李丹丹4, 吴学4, 吕春玲1, 哈春芳1, 2
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Application of pig bladder training model with bilateral ureteral in hysteroscopic training procedure

  • LIU Dan 1, 2 , SHUAI Ru-zhen 3, MA Zhao 4, LI Dan-dan 4, WU Xue 4,LV Chun-ling 1,HA Chun-fang 1,2
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摘要

目的 为获得最大程度模拟人类子宫的宫腔镜精细电切培训用模型。  方法 获取带有双侧部分输尿管的猪膀胱,指导学员进行宫腔镜手术技巧的培训(实验组模型),同期使用传统的培训模型四腔猪心(对照组模型),考核为双向性,指导教师以考核内容进行打分,学员则填写调查问卷来评价模型。  结果 3站宫腔镜手术模拟培训中,两组模型训练学员的成绩及学员对模型的评价均有统计学差异(P<0.05),认为膀胱模型膨起度良好,视野清晰,便于辨识解剖结构,能够更逼真模拟宫腔实际操作的困难状况。  结论 猪膀胱因其最大程度模拟人类子宫及其术中实际困难情境,是宫腔镜技术培训的理想模型。

Abstract

Objective To get a model similar enough to “human uterine” for the training of elaborated hysteroscopy skills. Mathods Ready-made pig bladder training models with partial bilateral ureteral were used in this study. Training with the pig heart with four chambers were used as the control group. A two-way evaluation was performed for both the trainees and trainers. Results There were statistical significance between the two groups in all three training stations including basic hysteroscopic skill training,operating skill training and electrical operation hysteroscopic skill training due to the great similarity between the pig bladder  and the human uterus, giving the trainees with its realistic tactile feeling,better anatomy recognition,simulated conditions in the surgical environment(P<0.05).    Conclusions    Pig bladder is the ideal realistic and lifelike uterine model for the training of hysteroscopy skills on account of simulating real conditions in the surgical environment.

关键词

猪膀胱 /  培训模型 /  宫腔镜

Key words

Pig bladder;    / Training model;    / Hysteroscopy

引用本文

导出引用
刘丹,帅汝臻,马钊,李丹丹,吴学,吕春玲,哈春芳. 带有双侧部分输尿管的猪膀胱模型在宫腔镜培训中的应用[J]. 中国临床解剖学杂志. 2018, 36(6): 701-704 https://doi.org/10.13418/j.issn.1001-165x.2018.06.021
LIU Dan,SHUAI Ru-zhen, MA Zhao, LI Dan-dan, WU Xue,LV Chun-ling,HA Chun-fang. Application of pig bladder training model with bilateral ureteral in hysteroscopic training procedure[J]. Chinese Journal of Clinical Anatomy. 2018, 36(6): 701-704 https://doi.org/10.13418/j.issn.1001-165x.2018.06.021

参考文献

[1]  段华. 妇科内镜医师培训与质量控制[J].中国实用妇科与产科杂志, 2010, 26(1)4-6.
[2] Mayo WJ. Medical education for the general practitioner[J]. JAMA, 1927, 88(18): 1377-1379.
[3] Erian MM, McLaren GR, Erian AM. Advanced hysteroscopic surgery training[J]. JSLS, 2014, 18(4): 1-7.
[4] Swindle MM. Swine in the laboratory in surgery, anesthesia, imaging, and experimental techniques[M]. USA:  Taylor-Francis Group, 2007.
[5]  Dass N, McMurray G, Greenland JE, et al. Morphological aspects of the female pig bladder neck and urethra: quantitative analysis using computer assisted 3-dimensional reconstructions[J]. J Urol, 2001, 165(4): 1294-1299.
[6]  阚菲菲, 李若葆. 子宫颈周围组织损伤的研究进展[J]. 中国临床解剖学杂志, 2011, 29(5): 597-598.
[7]  包成, 柯荔宁. 输卵管结构病变引发不孕的诊疗研究进展[J]. 中国临床解剖学杂志, 2014, 32(1): 115 -116.
[8]  Zubair I, Marcotte MP, Weinstein L, et al. A novel amniocentesis model for learning stereotactic skills[J]. Am J Obstet Gynecol, 2006, 194(3): 846-848.

基金

宁夏医科大学教改项目(20150911)


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