一种腔镜手术器械装载篮的设计与应用

Design and Application of a Loading Basket of Laparoscopic Surgical Instruments

目的探讨新型的腔镜手术器械装载篮在降低腹腔镜手术器械运送和灭菌过程中损坏率的作用。方法将2015年7月至2016年6月间使用的144件腹腔镜手术器械设为对照组,另将使用新型的腔镜手术器械装载篮后的2016年7月至2017年6月期间使用的144件腹腔镜手术器械设为观察组,回顾分析使用新型腔镜手术器械装载篮前后,腹腔镜手术器械在运送和灭菌过程中的损坏情况。结果对照组共计损坏39件,腹腔镜手术器械损坏率为27.08%;观察组共计损坏12件,腔镜手术器械损坏率为8.33%,2组比较差异有统计学意义(P<0.05)。结论新型的腔镜手术器械装载篮能防止器械在运送、灭菌过程中滑动,避免器械互相碰撞或与装载篮筐碰撞造成器械损伤,保护了器械,减少了腹腔镜手术器械的损耗,降低手术成本。

Objective To explore the role of a novel loading basket in reducing the damage rate of laparoscopic surgical instruments during transport and sterilization.Methods A total of 144 laparoscopic surgical instruments used between July 2015 and June 2016 were defined as the control group,and another set of 144 laparoscopic surgical instruments loaded by novel loading basket between July 2016 and June 2017 were considered as the observation group.A retrospective analysis was performed to compare the damage rates of laparoscopic surgical instruments during transport and sterilization before and after utilizing the novel loading basket.Results A total of 39 laparoscopes were damaged in the control group,with a damage rate of 27.08%.There were 12 laparoscopes damaged in the observation group,with a damage rate of 8.33%.The difference between two groups was statistically significant(P<0.05).Conclusion The novel loading basket can prevent the laparoscopic surgical instruments from sliding during transportation and sterilization,avoiding instrument damage caused by collision among laparoscopes or collision between laparoscopes and the loading basket,protecting the instruments,reducing the loss of laparoscopic surgical instruments,and decreasing the operation cost.