腹腔镜摄像头线缆弹簧加固器的设计及应用

Design and application of spring stiffener for laparoscopic camera cable

目的探讨腹腔镜摄像头线缆弹簧加固器的临床应用效果。方法自行设计腹腔镜摄像头线缆弹簧加固器,并自2017年1月起应用于临床。分别统计温州医科大学附属第一医院手术室2016年1—12月(改进前)、2017年1—12月(改进后)腹腔镜摄像头的维修次数和49名持镜手术医生对手术的满意度,比较改进前及改进后两组的差异。结果改进前后22个腹腔镜摄像头维修次数差异有统计学意义(P<0.05);改进前后持镜医生对手术总体满意度、手术中断、画面清晰、手术配合、手术进展差异均有统计学意义(P<0.05)。结论腹腔镜摄像头弹簧加固不仅可以降低摄像头维修率,还可以提高摄像头持镜手术医生的满意度,值得临床推广。

Objective To explore the clinical application effects of the spring stiffener for laparoscopic camera cable. Methods Self-designed laparoscopic camera cable spring reinforcement and the camera was used in clinical practice since January 2017. The maintenance frequency of laparoscopic camera and the operative satisfaction of 49 surgical doctors using the camera were measured between January and December 2016 and between January and December 2017 in the operation room of the First Affiliated Hospital of Wenzhou Medical University. The difference was compared between the two groups before and after improvement. Results There was statistical difference in the maintenance frequency of the 22 laparoscopic cameras before and after improvement (P<0.05);there was statistical difference in the surgical doctors' overall operative satisfaction, surgical interruption, picture clarity, surgical collaboration and surgical progress (P<0.05) , and the satisfaction after improvement was higher than that before improvement. Conclusions The spring stiffener for laparoscopic camera cable can not only reduce the frequency of camera maintenance, but also improve the satisfaction of the surgical doctors using the camera, which is worth promoting in clinical practice.