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外科医生上肢动力学在错误和无错误的逆流体托卡车通道期间
Gary Sutkin1, Md A Arif2, An-Lin Cheng3
1Urogynecology and Reconstructive Pelvic Surgery, University of Missouri Kansas City School of Medicine, 2411 Holmes Street, Kansas City, MO, 64108, USA. sutking@umkc.edu.
International urogynecology journal
|April 15, 2024
概括
外科医生在中尿道吊带 (MUS) 程序期间的手腕和肘部运动与膀损伤有关. 特定的手腕背部曲和肘部曲模式表明风险更高,为外科训练提供信息.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技术手术技术的使用
- 生物力学 生物力学
背景情况:
- 外科医生动力学对于在手术过程中防止患者受伤至关重要.
- 中泌尿道吊带 (MUS) 程序带有阴性膀损伤的风险.
研究的目的:
- 在模拟的MUS手术过程中调查特定的外科医生关节动力学和膀损伤之间的关联.
- 为了测试肘部延伸和肘部手腕偏差与膀穿透相关的假设.
主要方法:
- 运动捕捉技术记录了外科医生的肩膀,肘部和手腕关节运动.
- 分析包括开始/结束的角度,最小/最大的角度和运动范围 (ROM).
- 线性混合建模比较了与膀穿透和没有穿透的试验之间的动力学,以及主治和住院外科医生之间的动力学.
主要成果:
- 膀穿透与较大的初始手腕背部曲和较少的最终肘部曲有关.
- 增加的手腕和肘部ROM观察到与膀透的试验.
- 与临床医生相比,住院外科医生表现出更多的肘部曲ROM,但手腕背部曲和手臂伸展ROM较少.
结论:
- 手腕背部屈曲和肘部屈曲与MUS手术期间的膀损伤有关.
- 关手腕偏差和手臂伸展与膀透没有显著关联.
- 研究结果表明,在主治和住院外科医生之间,动力控制策略存在差异,这对MUS外科教育有影响.
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