CN1237749A - Human body model for surgical clinical skill teaching - Google Patents

Human body model for surgical clinical skill teaching Download PDF

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Publication number
CN1237749A
CN1237749A CN 99114234 CN99114234A CN1237749A CN 1237749 A CN1237749 A CN 1237749A CN 99114234 CN99114234 CN 99114234 CN 99114234 A CN99114234 A CN 99114234A CN 1237749 A CN1237749 A CN 1237749A
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China
Prior art keywords
emulation
box
human body
body model
surgical clinical
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CN 99114234
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CN1091914C (en
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潘立群
陈荣明
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Nanjing University of Chinese Medicine
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Nanjing University of Chinese Medicine
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Abstract

The present invention discloses a human body model for teaching purpose for raising clinical skill of surgical teachers and training clinical skill of surgical students. Said human body model is formed from rigid solid body support and artificial skin, and is characterized by that the interior of said body cavity is equipped with correspondent removable artificial body foci and organ boxes, so that it provides the favourable condition for training clinical ability of surgical students.

Description

Human body model for surgical clinical skill teaching
The present invention relates to a kind of medical teaching apparatus, especially a kind of in, the innovation of doctor trained in Western medicine human body model for surgical clinical skill teaching.
The clinical basic skills cultivation of paying attention to the medico is the common recognition of modern medicine education.Yet current both at home and abroad at present teaching human body model all can only be applicable to the atraumatic Clinical Skill Teaching, and teaching all can't provide any service for the surgery wound operative skill.Find by retrieval, the applying date is that August 27, the patent No. in 1993 are that ZL93240193.7 Chinese patent " surgery multifunctional human analogue means " discloses the manikin simulating equipment of a kind of " simulated torso is stamped simulation skin outside the abdominal cavity ", this device is owing to be equipped with the parts such as simulation abdominal muscle, simulation intestinal tube and plan sound loudspeaker that are wrapped on the rotation axis, therefore can carry out the teaching of a surgery corpse or other object for laboratory examination and chemical testing comparatively realistically, make the student be able to obtain near clinical perceptual knowledge by looking, touch, kowtow, listening.But therefore this surgery multifunctional human analogue means still exists the problem that can not satisfy the surgery teaching owing to can not carry out operation and other traumatic operations.
The objective of the invention is to, the problems referred to above at existing surgery teaching aid existence, a kind of " human body model for surgical clinical skill teaching " that can repeat operation and other traumatic operations proposed, thereby real the realization to cultivate the teaching pattern conversion that medico's ability in clinical is a main target, for the student provides a kind of teaching platform that the wound operation can be arranged.
In order to achieve the above object, " human body model for surgical clinical skill teaching " of the present invention mainly is made of rigid solid trunk support simulation skin, and show that each dependent body tabulation cuts open sign, its innovation part is that this " human body model for surgical clinical skill teaching " presets cavity, and disconnectable simulated humanbody focus and the organ box that matches with it is housed.
In the teaching, because " human body model for surgical clinical skill teaching " of the present invention is equipped with and can changes simulated humanbody focus and organ, therefore for the student, everyone has an opportunity to resemble genuine patient and takes action on one's own on one's body, carry out such as cut, free, excision, ligation, sew up, insert, wash, carry poison dispel corruption, change that pipe is drawn out pus by applying a plaster to the affected part, hanging wire, change dressings etc. various in, the training of doctor trained in Western medicine surgical skill, thereby acquire operative skill really up to the mark.This has embodied standardization and repeatable science principle; For the teacher, can carry out the cultivation of surgical clinical ability to the student from thinking and two aspects of operation in view of the above, thereby provide a kind of desirable simulation teching platform for surgical clinical teaching.Be not difficult to find out, of the present invention promoting the use of meets the reform thinking and the teaching requirement of cultivating the applied talent, created advantage for improving student's ability in clinical, for medical education, especially to have the teaching of wound operative skill to step into scientific, modern track to surgery significant.
The invention will be further described below in conjunction with accompanying drawing.
Fig. 1 is the structural representation of one embodiment of the invention.
Fig. 2 is the structure for amplifying synoptic diagram of the appendix box of Fig. 1.
Fig. 3 is the structure for amplifying synoptic diagram after the gall-bladder box of Fig. 1 is opened stomach wall.
Fig. 4 is the structure for amplifying synoptic diagram that the left oblique inguinal hernia box of Fig. 1 cuts state.
Fig. 5 is the structure for amplifying synoptic diagram that the great saphenous vein of Fig. 1 cuts box.
Rigid solid trunk 1 and latex simulation skin 2 that " human body model for surgical clinical skill teaching " among Fig. 1 mainly made by fiberglass constitute, and be embedded with the appendix box 3, gall-bladder box 4, left oblique inguinal hernia box 5, the great saphenous vein that match with it and cut box 6 in the cavity of right lower abdomen, right upper quadrant of the abdomen, left groin and the thigh root of this manikin.Illustrate one by one below in conjunction with relevant accompanying drawing:
In the cavity of the right lower abdomen of this manikin, be embedded with the appendix box 3 that matches with it, as shown in Figure 2, the upper surface of this appendix box 3 is coated with and similar on every side latex emulation stomach wall 3-1, this stomach wall is respectively simulation skin, hypodermis, musculus obliquus externus abdominis aponeurosis (aponeuroses), oblique, musculus trasversus abdomins, peritonaeum from outside to inside, emulation is housed in the appendix box 3 returns the region between the heart and the diaphragm portion structure, at three teniae coli 3-2 places of converging latex emulation appendix 3-3 is housed, on the mesentery 3-4 of this emulation appendix 3-3, be provided with an emulation appendicular artery 3-5, and the ileum 3-6 that links to each other with time the region between the heart and the diaphragm portion.
In the cavity of the right upper quadrant of the abdomen of this manikin, be embedded with the gall-bladder box 4 that matches with it, as shown in Figure 3, the surface structure of this gall-bladder box 4 is a simulation skin, hypodermis, theca of rectus abdominis muscle, rectus aabdominis, sheath behind the rectus aabdominis, musculus trasversus abdomins, peritonaeum, dress liver 4-1 in the gall-bladder box 4, its visceral surface adheres to and has at the end, body, neck, the pyriform emulation gall-bladder 4-2 of pipe structure and the choledochus 4-3 that is attached thereto, the space 4-4 that on this structure, should keep somewhere calot's triangle, the emulation mucous layer of the internal layer of this gall-bladder 4-2 for making with foamed latex, outer emulation placenta percreta for making with latex.Two emulation cystic artery 4-5 before and after being equipped with between two-layer.Enter gall-bladder front and rear wall from choledochus 4-3 rear through calot's triangle 4-4 by this artery.Emulation adipose tissue and placenta percreta constitute emulation ligamentum hepatoduodenale 4-6, and its inferoanterior is emulation stomach hole 4-7 of portion and duodenum 4-8.
Along this manikin left side groin, go up to anterior superior spine, assign in the cavity at tuberculum pubicum place and be embedded with the left indirect hernia of abdominal thigh box 5 that matches with it, as shown in Figure 4, the surface structure of this box is simulation skin 5-1, hypodermis 5-2, musculus obliquus externus abdominis aponeurosis (aponeuroses) 5-3, be equipped with in this box: emulation iliohypogastric nerve 5-4, conjoint tendon 5-5, spermatic cord 5-6 and preceding in the hernical sac 5-7 of side and connective tissue attached to it, be positioned at arteria epigastrica inferior 5-8, ring 5-9, outer shroud, ligamentum inguinale 5-10, the transverse fascia of hernical sac inboard.
The place ahead is embedded with great saphenous vein and cuts box 6 in the thigh root of this manikin, and as shown in Figure 6, its surface structure is simulation skin 6-1 and hypodermis 6-2, be equipped with in the box one can the pull displacement great saphenous vein 6-3, link to each other with the red liquid bag.
Except above various changeing simulated humanbody focus and the organ box, this manikin also has following design feature:
1. this manikin belly is equipped with the general service pump (frequency 70 times/minute of apery body beat pulse, pressure 100~120mmHg), the input pipe of this pump links to each other with the red liquid bag, efferent duct links to each other with emulation appendicular artery 3-5, emulation cystic artery 4-5 and the arteria epigastrica inferior 5-8 in the gall-bladder box 4 in the appendix box 3 respectively, and arterial distal is all sealed.Like this, when injuring " blood vessel ", have " blood " pulsation ejection, and can touch the beating judging the type of hernia of arteria epigastrica inferior, thereby make surgery teaching and training and examination have more clinical effectiveness true to nature in operation.
2. be respectively equipped with on the simulation skin of this manikin chest, back, buttocks, finger and shank emulation acute mastitis (doctor trained in Western medicine: acute mastitis), back of the body subcutaneous ulcer (doctor trained in Western medicine: carbuncle on the back), the pyogenic infection of buttock (doctor trained in Western medicine: the buttocks acute cellulitis), snake-belly furuncle (doctor trained in Western medicine: tenosynovitis acuta purulentia), ulcer on the shank (doctor trained in Western medicine: chronic ulcer of lower limb) etc., can be for the change dressings operation of class of student exercise.
3. the neck of this manikin, chest, midriff are provided with sinus, propose the dispel operation of rotten therapy of poison for student exercise.
4. the finger end of this manikin is provided with the emulation nail of pullable, pulls out the first art for student's exercise;
5. the podex setting of this manikin can be carried out the replaceable module of anus impotence ligating method for treating anal fistula training for the student.
6. each indwelling size is the cavity of 5*5cm in the left and right sides thoracic cavity, and its surface structure is a skin, hypodermis, and upper and lower rib, intercostal muscle is to insert the usefulness of chest reformation training white silk.
Above structure make present embodiment the surgical clinical skill teaching content more horn of plenty enrich, thereby make the student be grasped more surgical skill.
After the human body model for surgical clinical skill teaching of present embodiment is applied to medical teaching, make the student by true to nature repeating, reach the purpose of these surgery basic skills on top of, avoid in the past for want of the skill operation teaching platform and cause theoretical ivory-towered all drawbacks, thereby improve the quality of teaching effectively, satisfied the demand of market economy for medical person.

Claims (9)

1. human body model for surgical clinical skill teaching, mainly constitute by rigid solid trunk support simulation skin, it is characterized in that: the lesions position of described human body model for surgical clinical skill teaching has cavity, and corresponding with it identical changed simulated humanbody focus and organ box are housed in this cavity.
2. human body model for surgical clinical skill teaching according to claim 1, it is characterized in that: be embedded with the appendix box that matches with it in the cavity of right lower abdomen, the upper surface of this appendix box is coated with surface and similar latex emulation stomach wall on every side, this stomach wall is respectively simulation skin, hypodermis, musculus obliquus externus abdominis aponeurosis (aponeuroses), oblique, musculus trasversus abdomins, peritonaeum from outside to inside, the emulation small intestine is housed in the described appendix box, latex emulation appendix is housed, on the mesentery of this emulation appendix, be provided with an emulation arterial at three emulation teniae coli places of converging.
3. human body model for surgical clinical skill teaching according to claim 2, it is characterized in that: be embedded with the gall-bladder box that matches with it in the cavity of right upper quadrant of the abdomen, the choledochus that oval emulation gall-bladder is housed in this gall-bladder box and is attached thereto, the internal layer of this gall-bladder box is the emulation placenta percreta made from latex for emulation mucous layer, the skin made from foamed latex, the emulation blood vessel is housed between two-layer, and choledochus is outward the emulation ligamentum hepatoduodenale that emulation adipose tissue and placenta percreta constitute.
4. human body model for surgical clinical skill teaching according to claim 3, it is characterized in that: on the left groin to anterior superior spine, assign in the cavity at tuberculum pubicum place and be embedded with the left indirect hernia of abdominal thigh box that matches with it, the upper surface of described left indirect hernia of abdominal thigh box is simulation skin, hypodermis, musculus obliquus externus abdominis aponeurosis (aponeuroses), be equipped with in this left oblique inguinal hernia box: the emulation iliohypogastric nerve, conjoint tendon, spermatic cord and preceding in the hernical sac of side and connective tissue attached to it, be positioned at arteria epigastrica inferior, ring, outer shroud, ligamentum inguinale, the transverse fascia of hernical sac inboard.
5. human body model for surgical clinical skill teaching according to claim 4, it is characterized in that: the place ahead is embedded with great saphenous vein and cuts box in the thigh root, its surface structure is simulation skin and hypodermis, be equipped with in the box one can pull the great saphenous vein of displacement.
6. human body model for surgical clinical skill teaching according to claim 5, it is characterized in that: belly is equipped with general service pump and red liquid capsule, the efferent duct of this general service pump links to each other with emulation arterial, the emulation cystic artery in the gall-bladder box in the appendix box respectively, and input pipe links to each other with red liquid capsule in the abdomen.
7. human body model for surgical clinical skill teaching according to claim 1 is characterized in that: be respectively equipped with emulation acute mastitis, carbuncle on the back, the pyogenic infection of buttock, snake-belly furuncle and ulcer on the shank on the simulation skin of buttocks, back, finger and shank.
8. human body model for surgical clinical skill teaching according to claim 1 is characterized in that: neck, chest, midriff are provided with sinus.
9. human body model for surgical clinical skill teaching according to claim 1 is characterized in that: the finger end is provided with the emulation nail of pullable.
CN 99114234 1999-05-28 1999-05-28 Human body model for surgical clinical skill teaching Expired - Fee Related CN1091914C (en)

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CN 99114234 CN1091914C (en) 1999-05-28 1999-05-28 Human body model for surgical clinical skill teaching

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Application Number Priority Date Filing Date Title
CN 99114234 CN1091914C (en) 1999-05-28 1999-05-28 Human body model for surgical clinical skill teaching

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CN1237749A true CN1237749A (en) 1999-12-08
CN1091914C CN1091914C (en) 2002-10-02

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014186853A1 (en) * 2013-05-23 2014-11-27 Varela Velho Átila Human torso and simulator system for training in surgical procedures
CN106205326A (en) * 2016-09-06 2016-12-07 南方医科大学南方医院 Liquid Circulated power system based on breath cycle parameter
CN106205327A (en) * 2016-09-06 2016-12-07 南方医科大学南方医院 The cranium brain model of liquid Circulated power system can be connected
CN107274769A (en) * 2017-07-17 2017-10-20 董统鹰扬 A kind of infrared thermal imaging manikin and its simulation teaching system
CN108269476A (en) * 2018-03-13 2018-07-10 医技通智能科技(珠海)有限公司 A kind of manikin of knee prosthesis simulation operation
EP3488435A4 (en) * 2016-07-25 2020-02-26 Rush University Medical Center Inanimate model for laparoscopic repair
CN112166463A (en) * 2018-03-12 2021-01-01 约翰·亚历山大 Abdominal hernia simulation model for surgical operation training
CN112634721A (en) * 2020-12-11 2021-04-09 北京博医时代教育科技有限公司 Appendectomy training model and manufacturing method thereof

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014186853A1 (en) * 2013-05-23 2014-11-27 Varela Velho Átila Human torso and simulator system for training in surgical procedures
EP3488435A4 (en) * 2016-07-25 2020-02-26 Rush University Medical Center Inanimate model for laparoscopic repair
US11348482B2 (en) 2016-07-25 2022-05-31 Rush University Medical Center Inanimate model for laparoscopic repair
CN106205326A (en) * 2016-09-06 2016-12-07 南方医科大学南方医院 Liquid Circulated power system based on breath cycle parameter
CN106205327A (en) * 2016-09-06 2016-12-07 南方医科大学南方医院 The cranium brain model of liquid Circulated power system can be connected
CN107274769A (en) * 2017-07-17 2017-10-20 董统鹰扬 A kind of infrared thermal imaging manikin and its simulation teaching system
CN112166463A (en) * 2018-03-12 2021-01-01 约翰·亚历山大 Abdominal hernia simulation model for surgical operation training
CN108269476A (en) * 2018-03-13 2018-07-10 医技通智能科技(珠海)有限公司 A kind of manikin of knee prosthesis simulation operation
CN112634721A (en) * 2020-12-11 2021-04-09 北京博医时代教育科技有限公司 Appendectomy training model and manufacturing method thereof

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