妇科达芬奇机器人手术腹壁定位标尺基于CATIA建模设计与应用

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摘要目的基于计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。

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	刘彦江
	安冉冉
	李冬青
	常颖

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

Abstract：ObjectiveTo 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.Methods60 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 control group according to the experience of gynecologists;while,the gynecological abdominal wall robot positioning scale was used to position and implant the sheath card in experiment group.The time of abdominal puncture sheath card,the times of collision frequency of instrument arms for the bedside instrument arm system and improper surgical instrument angle,shift times of intraoperative sheath card and the satisfaction of gynecologists and nurses on surgical positioning were compared between the two groups.ResultsThe time of abdominal puncture sheath card in experiment group was shorter than that in control group,the times of collision frequency of instrument arms for the bedside instrument arm system and improper surgical instrument angle and the shift times of intraoperative sheath card in experiment group were less than those in control group,and the difference were statistically significant(t=29.46,P=0.000;t=15.66,P= 0.000;t=9.23,P=0.000;t=7.38,P=0.000);the satisfaction of gynecologists on surgical positioning method in experiment group was higher than that in control group,and the the difference was statistically significant(t=5.364,P=0.00);but there was no significant difference between the satisfaction of nurses on the two methods(t=1.756，P=0.086).ConclusionThe application of abdominal wall positioning scale for gynecological surgeries assisted with Da Vinci robot reduces the time used by doctors on abdominal puncture sheath,the collision frequency of instrument arms for the bedside instrument arm system and the exfoliation times of the sheath card from the abdominal wall,which improves satisfaction and achieves obvious clinical effect.

Key words： Gynecological surgeries assisted with Da Vinci robot Abdominal wall positioning scale CATIA

基金资助:吉林省继续医学教育项目（011405038）

引用本文:

刘彦江；安冉冉；李冬青；常颖. 妇科达芬奇机器人手术腹壁定位标尺基于CATIA建模设计与应用[J]. 中国当代医药, 2017, 24(6): 149-152.
LIU Yan-jiang；AN Ran-ran；LI Dong-qing；CHANG Ying. Design and application of an abdominal wall positioning scale based on CATIA modeling for gynecological surgeries assisted with Da Vinci robot. 中国当代医药, 2017, 24(6): 149-152.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I6/149

[1]	程勤，张玲琳，王家玲，等.UVB例达芬奇机器人手术护理配合关键点探讨[J].局解手术学杂志，2013，22（5）：546-547.
[2]	周娅颖，魏静蓉，张琦霞，等.达芬奇机器人手术器械的清洗与灭菌[J].局部解剖学杂志，2011，20（6）：601-605.
[3]	李鸿浩，刘雪梅，昝懿恒，等.达芬奇机器人手术系统在我国胸心外科应用的科学性和伦理学系统评价[J].中国胸心血管外科临床杂志，2014，21（3）：380-388.
[4]	丁仁泉，童向东，许世广，等.达芬奇机器人手术系统与电视胸腔镜在胸内纵隔疾病手术治疗中的对比研究[J].中国肺癌杂志，2014，12（7）：557-562.
[5]	谭民，王硕.机器人技术研究进展[J].自动化学报，2013，39（7）：963-972.
[6]	张小磊.应用达芬奇机器人手术系统治疗胃癌的临床研究[D].南京：南京大学，2012.
[7]	张大坤，许世广，丁仁泉，等.达芬奇机器人手术与胸腔镜辅助小切口手术对肺手术患者创伤对比分析[J].创伤与急危重病医学，2014，2（5）：296-300.
[8]	丁海峰，邵志民，王传铸，等.CATIA软件轮胎三维设计中的应用[J].轮胎工业，2004，1（4）：199-202.
[9]	赵子健.机器人辅助全膝关节置换手术系统的研究及其在临床前的应用[D].上海：上海交通大学，2009.
[10]	吕宏伟.机器人辅助微创手术视觉导航定位系统研究[D].长春：吉林大学，2008.
[11]	赵子健.机器人辅助全膝关节置换手术系统及其关键视觉技术分析[D].济南：山东大学，2005.
[11]	Gala RB，Margulies R，Steinberg A，et al.Systematic review of robotic surgery in gynecology：robotic techniques compared with laparoscopy and laparotomy[J].J Minim Invasive Gynecol，2014，21（3）：353-361.
[14]	肖荣贤.腹壁标尺定位小切口输尿管取石术（附25例分析）[J].中国临床研究，1996，19（3）：175-176.
[12]	Gehrig PA，Cantrell LA，Shafer A，et al.What is the optimal minimally invasive surgical procedure for endometrial cancer staging in the obese and morbidly obese woman?[J]. Gynecol Oncology，2008，111（1）：41-45.
[15]	Little RM,Deal AM,Zanation AM,et al.Occupational hazards of endoscopic surgery[J].Int Forum Allergy Rhinol，2012，2（3）：212-216.