医院伦理审查流程在连体婴分离术中的应用

Application of Ethical Review Procedure on Separation Surgery of Conjoined Twins

探讨连体婴分离术的伦理审查流程及实践应用，回顾1994年1月-2015年1月国内外报道的17例连体婴分离术，分析该类手术的伦理审查要点，建立了伦理审查流程并用于实践，按照分离手术必要性审查、手术可能性和安全性审查、牺牲性分离专项审查、技术审查、法律程序审查及隐私保护权审查的流程对昆明医科大学第一附属医院的1例连体婴逐项审查后，完成其分离手术。实践表明，该医院伦理审查流程提高了手术伦理审查效率，具有较好的操作性和实用性。

The process of ethical review in the separation surgery of the conjoined twins was discussed. The authors investigated 17 cases of separation surgery of the conjoined twins in China and abroad from January 1994 to January 2015, whose ethical review points were examined and analyzed. Then the ethical review procedure of separation surgery of the conjoined twins in the First Affiliated Hospital of Kunming Medical University was introduced, including the review processes of the necessity of the separation surgery, the possibility and safety of the surgery, the risk-benefit for the sacrificed baby, the technical and legal issues, and the protection of privacy. This case showed that the hospital ethical review procedure could enormously enhance the efficiency of the ethical review of surgery, which was also more feasible and practical.