眼科

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动物实验与医学模拟教学相结合提高白内障手术培训效果

焦剑  丁炎娥  华文   

  1. 100020首都医科大学附属北京朝阳医院眼科(焦剑、华文);首都医科大学附属北京朝阳医院教育处(丁炎娥)
  • 收稿日期:2017-11-08 出版日期:2018-01-25 发布日期:2018-01-26
  • 通讯作者: 华文,Email:huawen01@aliyun.com

Improve the training effect of cataract surgery by both application of animal experiment and medical simulation teaching 

JIAO Jian1, Ding Yan-e2, HUA Wen1.   

  1.  1. Department of Ophthalmology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China;  2. Department of Education, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
  • Received:2017-11-08 Online:2018-01-25 Published:2018-01-26
  • Contact: HUA Wen, Email: huawen01@aliyun.com

摘要:

 白内障超声乳化吸除术(phacoemulsification,Phaco)具有更长而困难的学习曲线。近年来我们采用动物实验与医学模拟教学相结合的方法对青年眼科医生进行白内障手术训练,取得一些可供借鉴的经验。在Phaco手术技能培训的开始,应首先进行动物眼球与通过模拟器进行眼科基本显微手术技能的培训。本文从切口制作、黏弹剂注入、连续环形撕囊、水分离和水分层、晶状体核超声乳化吸除、晶状体皮质吸除、人工晶状体植入、黏弹剂吸除及恢复眼压及前房等方面比较了从动物眼球训练与通过模拟器训练的优势与局限性。(眼科,2018, 27: 66-70)

关键词: 白内障, 超声乳化吸除术, 动物实验, 模拟教学

Abstract:

 Phacoemulsification (phaco) usually needs more long and difficult learning curve. Recently, we train the cataract surgery techniques of young ophthalmologist by combined application of animal experiment and medical simulation teaching, and receive some experience for reference. At the beginning of surgical training of phaco, the basic ophthalmic microsurgery training should be performed by combined application of animal experiment and medical simulation teaching. In this article, we compared the advantages and limitations of the animal experiment and medical simulation teaching in the corneal incision making, viscoelastic injection, continuous curvilinear capsulorhexis, hydrodissection and hydrodelineation, lens nucleus phacoemulsification, removing lens cortical, intraocular lens implantation, removing viscoelastic, adjustment intraocular pressure and anterior chamber. (Ophthalmol CHN, 2018, 27: 66-70)

Key words: cataract, phacoemulsification, animal experiment, medical simulation teaching