腹腔镜操作模拟训练系统用于手术基本技能训练的研究

Effect of laparoscopic visual reality training on the basic technical skill of laparoscopic operation

目的探讨腹腔镜模拟训练系统对不同操作组腹腔镜手术基本技能的培训效果。方法临床培训医生组,本院进修医生无腹腔镜操作经验组,临床本科五年制的实习医生组,分别使用腹腔镜模拟训练系统练习镜下夹取药丸、剪纱布、缝合及器械打结技术,每天训练90分钟共2周,比较培训前后各组得分。结果培训前,本科实习生夹取药丸、剪纱布、缝合技术及器械打结技术明显不如临床培训医师及进修医师(P<0.05),经过2周培训,较简单的技能操作如夹药丸、剪纱布和临床培训医师及进修医师无统计学差异(P>0.05);3组人员训练后与训练前相比,腹腔镜的基本技能操作均显著提高(P<0.05)。讨论腹腔镜模拟训练系统可以提高不同临床经验参与者的腹腔镜操作技能,值得推广。

Objective To explore the outcome of laparoscopic visual reality training in participants with different chnical experiences. Methods Clinical training doctors, advanced study doctors,intern doctors practiced peg transfer,cutting and making saturation and instrumental tie by using laparoscopic visual reality training,then made statistical analysis. The participants were trained for 2 weeks, 90 min per day. The scores before and after the training in the 3 groups were recorded and compared. Results Before the training, the level of intern doctors on peg transfer.cutting and making saturation and instrumental tie was lower than the level of clinical training doctors and advanced study doctors（P〈0.05）.After two weeks training, the level of intern doctors on peg transfer and cutting was similar to that of clinical training and advanced study doctors （P〉0.05）. The level of three different operators after training was obviously higher than that of themselves before training （P〈0.05）. Conclusions Laparoscopic visual reality training can obviously improve the basic technical skill of the participants with different clinical experiences, and deserves to be expanded.