摘要
目的:介绍解剖性后腹腔镜肾上腺切除术的阶梯式手术培训模式,比较该模式和传统教学模式的教学效果。方法:回顾性分析接受阶梯式手术培训模式培训的12名学员(教学组)以及同期接受传统教学模式培训的12名学员(对照组)的资料,对两组学员首例手术资料、手术培训时间、手术培训例数、学员评分、导师评分等进行比较。结果:两组学员首例手术切除肿瘤的位置、大小、内分泌功能以及首例手术出血量无显著差异。教学组的手术培训时间为(5.39±0.65)月,显著短于对照组的(7.02±0.53)月;教学组手术培训例数为(5.17±1.12)例,显著少于对照组的(6.42±1.17)例;教学组首例手术时间为(81.67±9.45)min,显著短于对照组的(103.50±17.03)min。教学组的学员、导师评分为(8.08±1.00)和(7.67±0.89)分,均显著高于对照组的(6.83±0.94)和(6.75±0.87)分。结论:阶梯式手术培训模式安全、有效、可行,教学效果优于传统教学模式,适合在其他培训中心普遍推广。
Objective:To introduce a stepped training mode for anatomical retroperitoneoscopic adrenalectomy and to compare its teaching effect with that of traditional teaching mode.Methods:The data of 12 urologists trained by stepped training mode(training group)and 12 urologists trained by traditional teaching mode(control group)during the same period were analyzed retrospectively.The clinical data of initial operation,operative training time,operative case number and rating scores of urologists and mentors were compared between two groups.Results:No significant differences were found between two groups in the aspect of tumor location,tumor diameter,tumor endocrine function and estimated blood loss of initial operation.The operative training time was significantly shorter(5.39±0.65months),operative case number was significantly less(5.17±1.12)and initial operating time was significantly shorter(81.67±9.45 min)in the training group compared with that in the control group(7.02±0.53 months,6.42±1.17,and 103.50±17.03 min respectively).The rating scores of both urologists and mentors in the training group(8.08±1.00 and 7.67±0.89)were significantly higher than those in the control group(6.83±0.94 and 6.75±0.87).Conclusions:The stepped training mode is a safe,efficacious and feasible method for the training of anatomical retroperitoneoscopic adrenalectomy.This mode is superior to the traditional teaching mode in the aspect of teaching effect,and can be widely applied in others training center.
出处
《微创泌尿外科杂志》
2017年第3期168-171,共4页
Journal of Minimally Invasive Urology
