医学教育管理 ›› 2015, Vol. 1 ›› Issue (4): 303-306.doi: 10.3969/j.issn.2096-045X.2015.04.016

• 医学继续教育 • 上一篇    下一篇

腹腔镜模拟器在住院医师腹腔镜技能培训中的应用

纪智礼,邱 枫,孙海涛,韩 威   

  1. 首都医科大学附属北京潞河医院普外科
  • 收稿日期:2015-11-16 出版日期:2015-12-20
  • 通讯作者: 韩 威

The application of laparoscopic simulators in residents’ laparoscopic skill training

Ji Zhili, Qiu Feng, Sun Haitao, Han Wei   

  1. General Surgery, Beijing LuHe Hospital, Capital Medical University
  • Received:2015-11-16 Online:2015-12-20
  • Contact: Han Wei

摘要: 目的 探讨腹腔镜模拟器在外科住院医师培训中的效果。方法 对 10 名具有 3 年临床工作经验且无腹腔镜操作基础的住院医师,进行为期4 周的腹腔镜模拟器培训,对夹豆传递、剪纸、缝合打结等操作进行训练,分别在培训前、培训 2 周后以及培训 4 周后进行考核,对考核结果进行统计分析。结果 培训 2 周及 4 周后夹豆传递、剪纸、缝合打结成绩均较培训前有显著提高 ( P < 0.05),而培训4 周后剪纸成绩较培训2 周后比较结果有统计学意义 ( P < 0.05),夹豆传递、缝合打结成绩较培训 2 周后比较无统计学意义 ( P > 0.05)。结论 应用腹腔镜模拟器对初学者进行培训可行、有效,可迅速提高腹腔镜操作技能,为腹腔镜手术打下牢固基础。

Abstract: Objective To investigate the effect of laparoscopic simulators in surgical residency training. Methods 10 residents who have 3 years clinical working experiences without Laparoscopic experience were selected and trained for 4 weeks in laparoscopic simulator, practicing clipping beans, cutting paper, suturing and knotting, respectively examined at the time of pre-training, training after 2 weeks and after 4 weeks. The exam results were statistically analyzed. Results The scores in clipping bean, cutting paper, suturing and knotting both 2 weeks of training and 4 weeks of training were signifi cantly higher than that of pre-training (P < 0. 05). The score of cutting paper after 4 weeks of training was signifi cantly increased more than that of 2 weeks of training (P < 0. 05), but there were no statistical differences of clipping bean and suturing and knotting between 2 weeks of training and 4 weeks of training (P > 0. 05). Conclusion The laparoscopic training simulator for beginners is feasible and effective which can rapidly improve their laparoscopic operation skills and also lay a foundation for laparoscopic surgery.