泌尿外科腹腔镜技术阶梯式教学模式的建立与应用

Establishment of stepped teaching model of laparoscopic techniques and its application in urinary surgery

目的探讨针对进修医生的泌尿外科腹腔镜手术技能教学新模式。方法选取2010-2012年间在我院学习的117名进修医生,评估其腹腔镜掌握程度,针对不同程度的学生采用不同的多媒体教学、模拟器训练、活体动物模拟手术、观看手术录像及协助完成真实病例等项目进行阶梯式训练。结果所有进修医生均能熟悉腹腔镜及配套设备的结构和性能,熟悉腹腔镜下的解剖标志及其在临床应用中的价值,掌握腹腔镜基本操作技能,并可在上级医生指导下完成后腹腔镜肾切除术或肾上腺腺瘤切除术等常规手术。结论针对泌尿外科进修学员的具体情况,开展腹腔镜技术阶梯式教学,学习效果显著。

Objective To study the novel teaching model of laparoscopy urinary surgical skills according to the specific conditions of urologists for advanced studies. Methods One hundred and seventeen urologists for advanced studies in our hospital from 2010 to 2012 were included in this study. Their master of laparoscopic techniques was assessed after they completed the stepped training course by teaching with different multimedia, training with simulators, simulating surgery for live animals, watching surgery videos and completing operations as an assistant. Results All the urologists for advanced studies could master the laparoscopy urinary surgical skills, the structure and performance of laparoscope and its ancillary equipments, the laparoscopy anatomic landmarks, the application of laparoscopy in clinical practice, and could thus perform the common operations such as laparoscopic nephrectomy and adrenal adenoma resection under the guidance of senior surgeons. Conclusion Stepped teaching of laparoscopic techniques according to the specific conditions of urologists for advanced studies can significantly improve their laparoscopy urinary surgical skills.