摘要
医学发展的趋势必然是由巨创走向微创,以腹腔镜手术为代表的微创外科是现代医学发展的里程碑,腹腔镜手术是器械和技术依赖性手术,手术质量直接影响患者的疗效。在传统开腹手术向腹腔镜手术全面快速转变的历史关键时期,更需要冷静、客观、科学、全面地认识腹腔镜技术的优势和缺陷。因此,建立相应的医疗质量评估体系,强化医疗质量控制,具有重大意义。通过对既有方法和措施进行评价并不断改进,总结医疗实践中的经验教训,上升到理论和管理制度,再回到实践中验证并逐步完善,是建立和完善质量评估体系的重要方法。文章归纳相关质量控制指标,对医疗硬件设施的结构性指标,医疗管理制度和流程的过程性指标,以及临床实践专业技术的结果性指标等方面分析探讨,综述腹腔镜下子宫肌瘤剔除术的手术质量控制标准。
The trend of medical development is inevitably shifting from tremendous to minimal invasiveness.Minimally invasive surgery represented by laparoscopy is a milestone in the development of modern medicine.Laparoscopic surgery is instrument-and technology-dependent surgery,and the surgical quality can directly affect the curative effect on patients.In the historical critical period of the wide-ranging and rapid transition from traditional open surgery to laparoscopy,it is necessary to have more objective,scientific and comprehensive understanding about the advantages and disadvantages of laparoscopy.Therefore,it is of great significance to establish a corresponding medical quality evaluation system and strengthen medical quality control.It is an important approach to establish and perfect the quality evaluation system to assess and continuously improve the existing methods and measures and sum up the experience and lessons of medical practice,which is risen to the level of theory and management system and then put into practice for verification and perfection.This article summarized the related quality control indexes,analyzed the structural indexes of medical hardware facilities,the procedural indexes of medical management system and procedures,and the outcome indexes of clinical practice techniques,and generalized the surgical quality control standards of laparoscopic myomectomy.
作者
梁静
凌斌
LIANG Jing;LING Bin(Department of Obstetrics and Gynecology,China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2022年第1期32-36,共5页
Chinese Journal of Practical Gynecology and Obstetrics
基金
国家重点研发计划(2018YFC1003900)。
关键词
微创无瘤防御体系
子宫肌瘤剔除术
腹腔镜
质量评估体系
minimally invasive procedures and tumor free strategy
myomectomy
laparoscopy
quality evaluation system
