摘要
目的探讨提升年轻住院医师美容缝合技术的训练方法。方法2017年1月至2019年12月,对在大坪医院整形美容科临床轮转学习的住院医师开展美容缝合技术培训,共32人。通过美容缝合基础知识的学习和微创概念的实践训练,系统掌握美容缝合技术。比较美容缝合训练前后不同组间(整形外科研究生、轮转整形外科研究生、整形外科住培生、轮转整形外科住培生)学员的操作水平,随访术后6个月手术切口愈合情况。结果经过培训和实践训练,32人缝合技术明显提高,且与临床训练时间呈明显正相关。轮转6个月学员缝合手术切口红肿(6.42%比21.67%)和术后瘢痕发生率明显低于轮转1个月学员(1.13%比5.56%)。结论美容缝合技术的培训对于提升整形美容外科住院医师的专科临床技能很重要,需要较长时间的实践训练。
Objective To explore the training methods to improve the cosmetic suture technique of junior surgeons.Methods The training course of cosmetic suture techniques was carried out for junior residents such as plastic surgery professional graduate students and standardized training residents,through the study of the basic knowledge of cosmetic suture and the practical training of minimally invasive principles,to help them master cosmetic suture techniques systematically for the need of future clinical practice.Compared with the level of operation skills before and after cosmetic suture training in different groups(graduate students of plastic surgery and other majors,standardized training residents of plastic surgery and other majors),the residents'performance had been significantly improved.The incisions healing after half a year follow-up in cases they sutured were observed.Results After cosmetic suture training,the suture skills of the students were significantly improved,and there was a significant correlation with the time of clinical practice.The incidence of incisions inflammation and postoperative scar formation in the cases sutured by the students with practice for 6 months was significantly lower than those for 1 month(6.42%vs 21.67%,1.13%vs 5.56%respectively).Conclusions The training of cosmetic suture techniques is very important to improve the professional ability of junior residents in plastic and cosmetic surgery,and it needs a long time practice to master the suture skills.
作者
鲁元刚
董立文
王元元
张军波
张幸存
Lu Yuangang;Dong Liwen;Wang Yuanyuan;Zhang Junbo;Zhang Xingcun(Department of Plastic and Cosmetic Surgery,Daping Hospital,Army Medical University,Chongqing 400042,China)
出处
《中华医学美学美容杂志》
2021年第3期187-190,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
基金
陆军军医大学研究生教育改革研究项目(2018yjgB001)。
关键词
美容技术
缝合技术
研究生教育
实践训练
规范化培训
Cosmetic techniques
Suture techniques
Postgraduate education
Practical training
Standardized training
