模块化进阶式手术培训模式在儿童泌尿外科微创技术教学中的应用

doi:10.19558/j.cnki.10-1020/r.2022.04.001

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摘要 目的：总结单中心利用模块化进阶式手术培训模式开展小儿泌尿外科微创技术培训教学经验。方法：回顾性分析我院开展小儿泌尿外科微创技术培训班学员参训数据。以腹腔镜培训学员为例,将参训学员以模块化进阶式手术培训模式开展前后分为模块培训组和传统培训组,比较两组学员基线数据及回到各自中心后开展腹腔镜肾盂成形术的学习曲线数据。结果：两组学员的年龄、职称、微创技术基础、参训时长、培训后至独立开展肾盂成形术时间无显著差异,模块化进阶式手术培训可显著缩短学员独立开展肾盂成形术时的手术时长,并可将学习曲线例数稳定在17 ~25例,短于传统培训组的24~31例。结论：利用模块化进阶式教学法进行儿童泌尿外科微创技术培训具有较强的临床意义,值得推广。

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	李品
	周辉霞
	张诗屿
	陶元东
	赵扬
	周晓光
	马立飞
	陶天
	曹华林
	朱炜玮
	郭涛
	韩策
	吕雪雪
	卓然

关键词 ：腹腔镜, 机器人手术, 教学

Abstract：Objective： To review the experience of single-center teaching on minimally invasive techniques in pediatric urology using a modularized step-up surgical training model. Methods： Data were retrospectively analyzed for participants attending the Pediatric Urological Surgical Microinvasive Technology Program at our institution.For example, the trainees were divided into a modular training group and a conventional training group before and after training in a modular step-up approach. The baseline data of the trainees and the learning curves of the trainees who underwent laparoscopic pyeloplasty after returning to their respective centers were compared. Results： There were no significant differences in age, title, minimally invasive technique skills, length of training, or time to perform pyeloplasty independently between the two groups. Modular progressive surgery training significantly shortened the length of surgery when trainees performed pyeloplasty independently, and the learning curve was stabilized at 17-25 cases, which was shorter than the traditional training group at 24-31 cases. Conclusion： The use of modularized progressive teaching method for minimally invasive urological techniques training in children can significantly improve their laparoscopy urinary surgical skills.

Key words： laparoscopy robotic procedure teaching

收稿日期: 2022-03-02

基金资助:首都卫生发展科研专项（2022-2-5083）; 军事医学创新工程-军队计生专项（18JS001）; 首都临床特色应用研究（Z181100001718008）

通讯作者: 周辉霞, huixia99999@163.com

引用本文:

李品, 周辉霞, 张诗屿, 陶元东, 赵扬, 周晓光, 马立飞, 陶天, 曹华林, 朱炜玮, 郭涛, 韩策, 吕雪雪, 卓然. 模块化进阶式手术培训模式在儿童泌尿外科微创技术教学中的应用[J]. 微创泌尿外科杂志, 2022, 11(4): 217-220.
Li Pin, Zhou Huixia, Zhang Shiyu, Tao Yuandong, Zhao Yang, Zhou Xiaoguang, Ma Lifei, Tao Tian, Cao Hualin, Zhu Weiwei, Guo Tao, Han Ce, Lyu Xuexue, Zhuo Ran. Application of modular progressive training in pediatric urological minimally invasive surgery practise. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2022, 11(4): 217-220.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1779.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2022/V11/I4/217

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