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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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

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	Articles by authors
	LIU Yan-jiang
	AN Ran-ran
	LI Dong-qing
	CHANG Ying

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LIU Yan-jiang,AN Ran-ran,LI Dong-qing, et al. Design and application of an abdominal wall positioning scale based on CATIA modeling for gynecological surgeries assisted with Da Vinci robot[J]. 中国当代医药, 2017, 24(6): 149-152.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I6/149

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