It can be so lifelike to imitate the operation

It can be so lifelike to imitate the operation
It can be so lifelike to imitate the operation
Staff reporter sweet Beibei Inner mirror technology has already been popularized extensively in China, but " apprentice type " Training is that the mirror operation at present mainly trains the mode, " apprentice " Usually can't start to operate, can only teach doctor with higher authorities' tape by method to observe. At last the end of August, Chinese Medical Association secreted the surgery branch of the urine and Wu Jieping medical center of urology surgery and jointly ran the mirror simulation training center in Chinese urology surgery, begin to substitute a patient with computer and accept a doctor " Treat " ,Explore the new mode that the mirror trains in urology surgery. So far, over 300 doctors coming from all parts of the country have accepted training in this centre already. Imitating the operation is operated and precise as to one millimetre of computer simulation in this training center to train in the room, the reporter sees, it is calculus " patient " that doctor Wang Gang is planning to secrete the urine (puncture the simulator by the kidney of cover) Punctured the rubble, fetched the stone operation by the kidney of cover. It is introduced puncture the intersection of simulator and high artificial waist of rib of human body by leather kidney, in front of operation, the simulator reveals automatically " Patient " Case history, image( Kidney radiography) , test data,etc., offer the intersection of operation and doctor to as specifically and accurately as possible materials of patient. Wang Gang steps on the X-ray footboard with the right foot, displays the patient's renal image immediately on the simulator display screen. Wang Gang keep watch on with the utmost concentration the display screen, puncture and orientate the kidney one by simulation, yes " patient " Skin get between kidney set up by one piece passway,finally putting kidney mirrors leather into kidney and lasting stoning rubble passway. Operate and finish training, the assessing and testing the system objectively of the simulator demonstrates automatically that operates total time, the number of times, number of times of touching rib, blood vessel that the X-ray exposes time, punctures damage objective indexes such as situation, set system punching and radiography pharmaceutical consumption,etc.. Click to " test and assess objectively " ,Simulator brief the intersection of operation and " the intersection of complication and one, puncture 2 of depth, offset " this on . Professor Zhang Yi of this training center explains: "The evaluation criterion to imitate operation is as strict as standard operation, though deviation of 2 millimetres has not influenced the whole result of operation, but so long as should not happen in principle, no matter how little fault will all be the simulator ' uncover '. " Secrete swallow one group of introductions of urine surgery branch's General Board, Peking University Wu Jieping medical center of urology surgery director according to Chinese Medical Association, the training range of this training center contains urology surgery and achieves the treatment technology in various a little, include cystoscope, surgery, the intersection of prostate and the intersection of laser and treatment, ureteral the intersection of mirror and surgery through being urethral, pass leather the intersection of kidney and the intersection of mirror and surgery, the intersection of peritoneoscope and surgery,etc.. Recently, this centre also received 18 students in Senior three interested in medical science in Shijingshan District of Beijing, let them experience when college entrance examination come " Doctor's job " . Can get abundant starting to train and coming from Harbin medical university Xu WanHai who attaches to the fourth hospital urology surgery to tell reporters here, he participate in the intersection of mirror and training class under much urology surgery, have a meeting, see video, see, lead, teach doctor make operation in operating room usually, students can't start to operate, is like that " expert's operation is demonstrated " even more . Imitating the training center can get abundant starting to be trained. In 3 days training in this centre, not merely theory knowledge is explained and demonstrated with the operation, have also carried on peritoneoscope kidney excising, peritoneoscope prostate cancer and radically treated the simulated training of skill,etc.. First from Liaoning Province doctor say, when just begin to be trained, he feel that it is very difficult to pass the leather kidney mirror operation, can already finish operating independently through starting to train repeatedly now. "Let me do the operation, I, on knowing how things stand and feeling confident in the heart again now. " The unified training standard demands urgently to set up a Yi and say, the inner mirror technology of China has already been popularized extensively at present, but besides " technological standardard management of making a diagnosis of the mirror in the gynaecology ", the norm that technology has not set up training of other inner mirrors yet of making a diagnosis, all parts train competence to be different. "Under training the normal situation in unison, train limitation greatly in clinical ' the apprentice type '. " Yi Zhang say, fetch stone through leather the intersection of kidney and mirror for example, some doctor think, set up large passway kind, but the large passway will cause and bleed in patient's skill sometimes; Some doctors think that it is good to set up the passage aisle, but the passage aisle will cause the trouble of the operation to great calculus patient, will even infect etc.. If the young doctor does not have overall understanding, which kind of method operation learn which kind of method uses, bring up, teach teacher good at which kind of method which kind of fine method does it think, may not to each appropriate patient. The inner mirror doctor needs to judge that is suitable for the patient's therapeutic method through all-round training, the norm of this kind of study has not been set up yet now. The reporter knows, the overwhelming majority of doctor who participates in training is a high age and service seniority doctor in the above attending physician, a lot of people in them tell reporters, participate in training through supporting in enterprises by oneself, if train and turn the simulation of mirror in this kind of urology surgery into routinizing training, there will be more benefited doctors. In fact, the low age and service seniority doctor needs such training even more. "The capacity of the centre is limited after all, it is impossible to satisfy the training secreting the urine surgeon in the whole country to study, such an inner mirror simulation training center should be dominated by the government, set up in the whole country much. " The intersection of swallow and group that say, not only mirror under urology surgery, every professional inner the intersection of mirror and doctor of discipline should accept, unify normal overall systematic inner the intersection of mirror and theory study and operate, train. Hope to pass the mirror operation doctor in setting-up and training urology surgery of this centre, promote and discuss and set up and improve unifying the normal inner mirror doctor and train the examination mechanism, promote the development of mirror undertaking in our country.


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