CAJ | 학술논문

目的：构建髂内子宫动脉血管介入教学模拟系统，对该模拟系统在临床教学改革中的应用价值进行研究。方法使用不同管径的玻璃管模拟出与人体髂内子宫动脉血管相仿的模型。操作床、导管、导丝、类C臂结构一律采用不锈钢材质制成，结合平板模拟成操作床板块。确定摄像头摆设位置，并结合脚闸、计算机组成影像板块。将上述三大组成部分进行整合处理，最终构建成髂内子宫动脉血管介入模拟系统。结果本组血管模型各构件比例与正常人体动脉血管完全一致。在操作床板块的作用下，血管模型将朝着二维方向移动。影像学板块可使用不同像素与格式的静态图或动态图，该板块具备 LIH 功能，并能截取动态导管运作过程中，任意时刻的立体平面投影图像。在该模拟系统的辅助下，可模拟髂内动脉、子宫动脉插管术等一系列血管介入的基本操作。结论在血管介入教学模拟系统的基础上，可模拟各类血管介入的基本操作。同时，该模拟系统能清晰地反映出血管介入过程中，可直视与非直视间的投影成像关系，适合于临床血管介入操作教学中推广应用。
목적：구건가내자궁동맥혈관개입교학모의계통，대해모의계통재림상교학개혁중적응용개치진행연구。방법사용불동관경적파리관모의출여인체가내자궁동맥혈관상방적모형。조작상、도관、도사、류C비결구일률채용불수강재질제성，결합평판모의성조작상판괴。학정섭상두파설위치，병결합각갑、계산궤조성영상판괴。장상술삼대조성부분진행정합처리，최종구건성가내자궁동맥혈관개입모의계통。결과본조혈관모형각구건비례여정상인체동맥혈관완전일치。재조작상판괴적작용하，혈관모형장조착이유방향이동。영상학판괴가사용불동상소여격식적정태도혹동태도，해판괴구비 LIH 공능，병능절취동태도관운작과정중，임의시각적입체평면투영도상。재해모의계통적보조하，가모의가내동맥、자궁동맥삽관술등일계렬혈관개입적기본조작。결론재혈관개입교학모의계통적기출상，가모의각류혈관개입적기본조작。동시，해모의계통능청석지반영출혈관개입과정중，가직시여비직시간적투영성상관계，괄합우림상혈관개입조작교학중추엄응용。
Objective To build the uterine artery in iliac blood vessels involved in teaching simulation system. Methods Using different diameter of glass tube simulating and uterine artery blood vessels inside the human body sacroiliac similar models. Bed operation, catheter, guide wire, class C arm structure were made of stainless steel material, combined the flat simulation into operation bed plate. Determined the decoration camera position, and combined with the foot brake and computer image plate. Integrated the three components of processing, eventual y builded into uterine artery within the iliac blood vessels involved in simulation system. Results This group of vascular model in each component proportion was exactly the same as that of normal human arteries. In bed plate under the action of operation, the blood vessels moved in the direction of the two-dimensional model. Imaging plates could use different pixels and format of static or dynamic figure, the sector had LIH function, and could capture the dynamic catheter operation process. Under the auxiliary of the simulation, system could be simulated in the iliac artery and uterine artery intubation technique, such as a series of basic operations vascular intervention. Conclusion In the teaching of blood vessels based on the simulation system, we can simulate the basic operations of al kinds of vascular intervention. At the same time, the simulation system can clearly reflect the vascular involvement in the process, which is suitable for popularization and application in clinical teaching of vascular interventional operation.