妇科达芬奇机器人手术腹壁定位标尺基于CATIA建模设计及应用.docVIP

妇科达芬奇机器人手术腹壁定位标尺基于CATIA建模设计及应用 　　[摘要]目的 基于?算机图形辅助三维交互式作用（CATIA）三维设计软件设计妇科达芬奇机器人手术腹壁定位标尺，并在临床手术配合使用中进行效果评价。方法 选择2015年1月～2016年1月在吉林省肿瘤医院进行妇科机器人手术的患者60例，根据入院顺序分为对照组和试验组，每组30例，首先通过CATIA三维软件模拟建模设计，然后根据妇科机器人手术需要模拟建腹壁定位标尺，在使用过程中适当进行调整，对照组依照妇科医生经验使用常规置入机器人手术鞘卡方法，试验组使用妇科机器人腹壁定位标尺进行定位植入鞘卡方法，比较两组患者的腹壁穿刺鞘卡时间、床旁器械臂系统器械臂发生碰撞次数、床旁器械臂系统器械臂术中角度不当次数、术中鞘卡移位次数及医护人员对两组手术定位方法的满意度。结果 试验组腹壁穿刺鞘卡时间明显短于对照组，床旁器械臂系统器械臂发生碰撞次数、床旁器械臂系统器械臂术中角度不当次数、术中鞘卡移位次数方面明显少于对照组，差异均有统计学意义（t=29.46，P=0.000；t=15.66，P=0.000；t=9.23，P=0.000；t=7.38，P=0.000）；医生对试验组定位方法的满意度明显高于对照组方法，差异有统计学意义（t=5.364，P=0.000），护士满意度差异无统计学意义（t=1.756，P=0.086）。结论 手术腹壁定位标尺应用于妇科达芬奇机器人手术，可缩短医生腹壁穿刺鞘卡时间，减少机器人器械臂碰撞与鞘卡腹壁脱落次数，提高满意度，临床应用效果明显 [关键词]妇科达芬奇机器人手术；腹壁定位标尺；计算机图形辅助三维交互式作用 [中图分类号] R197.39 [文献标识码] A [文章编号] 1674-4721（2017）02（c）-0149-04 Design and application of an abdominal wall positioning scale based on CATIA modeling for gynecological surgeries assisted with Da Vinci robot LIU Yan-jiang1 AN Ran-ran2 LI Dong-qing1 CHANG Ying1▲ 1.Department of Surgical Room，Jilin Cancer Hospital in Jilin Province，Changchun 130012，China；2.Department of Surgical Room，Binzhou Medical University Hospital in Shandong Province，Binzhou 256603，China [Abstract]Objective To design an abdominal wall positioning scale based on CATIA 3D design software for gynecological surgeries assisted with Da Vinci robot and to evaluate its effect in clinical surgeries.Methods 60 cases of gynecological surgeries assisted with Da Vinci robot in Jilin Cancer Hospital from January 2015 to January 2016 were selected and divided into two groups （control group and experiment group） according to the hospital admission sequence，with 30 cases in each group.Firstly，CATIA 3D software was used to simulate the modeling，then the abdominal wall positioning scale was constructed and simulated according to the need of gynecologic robotic surgery and appropriate adjustments were made during the process of use.The conventional robotic surgical sheath card implantation method was taken in co