| X线引导下经皮肾镜离体猪肾模型的建立 |
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| 引用本文： | 高伟,欧彤文,张弋,崔昕,吴江涛,王琦,崔波. X线引导下经皮肾镜离体猪肾模型的建立[J]. 现代泌尿外科杂志, 2011, 16(5): 413-416 |
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| 作者姓名： | 高伟 欧彤文 张弋 崔昕 吴江涛 王琦 崔波 |
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| 作者单位： | 1. 首都医科大学宜武医院泌尿外科,北京,100053
2. 北京大学吴阶平泌尿外科医学中心,北京,100144 |
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| 摘 要： | 目的建立X线引导下经皮肾镜手术的猪肾模拟训练模型。方法本模型是在EARP首先所描述的实验模型的启发下改进而来的。使用临床上应用的标准经皮肾镜手术材料,用全层猪皮（包括皮肤、皮下脂肪、肌肉）包裹猪肾在X线定位下模拟经皮肾镜的操作,其输尿管内事先逆行插入输尿管导管至肾盂为逆行造影做准备。结果本模型成本低、制作简单,准备时间仅需10min。本模型可进行穿刺、置入导丝、扩张通道、经皮肾镜检查、碎石取石等模拟手术操作。培训学员中65位接受操作训练后调查：X线下定位、穿刺到导丝放入时间平均为（12.490±3.602）min,经皮扩张时间平均为（2.890±1.002）min,进镜观察到肾盂输尿管连接部所需时间平均为（4.310±1.224）min。结论这种生物模型可以模拟临床中X线引导下的经皮肾镜手术过程,是作为教学及获得技能的良好工具。
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| 关 键 词： | 肾 经皮肾镜技术 医学教育 猪模型 X线透视 |
Construction of X-ray guided simulated training model of percutaneous nephroscope |
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| GAO Wei,OU Tong-wen,ZHANG Yi,CUI Xin,WU Jiang-tao,WANG Qi,CUI Bo. Construction of X-ray guided simulated training model of percutaneous nephroscope[J]. Journal of MOdern Urology, 2011, 16(5): 413-416 |
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| Authors: | GAO Wei OU Tong-wen ZHANG Yi CUI Xin WU Jiang-tao WANG Qi CUI Bo |
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| Affiliation: | GAO Wei1,OU Tong-wen1,ZHANG Yi2,CUI Xin1,WU Jiang-tao1,WANG Qi1,CUI Bo1(1.Department of Urology,Xuanwu Hospital,Capital Medical University,Beijing 100053,2.Wujieping Urology Center,Peking University,Beijing 100144,China) |
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| Abstract: | Objective To establish an X-ray guided simulated training model of percutaneous nephroscope(PCN).Methods The laboratory model of PCN described by EARP was modified,with regular equipment used in clinical practice employed.Freshly removed porcine kidney covered with crassus pigskin(including skin,grease and musculature) was used for PCN to puncture the kidney under X-ray in order to establish an operating access.The ureter was catheterized for retrograde pyelography.Results The model was constructed with low... |
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| Keywords: | kidney percutaneous nephroscope medical education swine model fluoroscopy |
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