模拟教学在妇科TVT-O手术专科医师培训中的应用

The Application of Simulation Teaching in Gynecology Specialist Training in the Operation of TVT-O

本文对比研究传统教学培训和模拟教学培训在妇科盆底手术TVT-O专科医师培训中的教学效果。选择25名需要学习盆底重建手术的妇产科专科医师和进修医师为研究对象,随机分为两组,传统教学组12人,模拟教学组13人。前者按照既往传统教学方法进行手术培训;后者先进行理论授课,然后进行模型操作,最后进入临床。通过带教者对操作者评估打分对两者进行评价。研究发现,经培训后,无论是作为手术一助,还是手术主刀,除自信心和理论方面无差异外,模拟教学组分值均优于传统教学组(P<0.05)。需达到主刀水平和培训终点的训练次数,模拟教学组明显少于传统教学组(P<0.05)。本研究提示模拟教学在妇科盆底手术培训中具有明显优势,有利于受训者快速、准确、完整地掌握手术技巧。

To compare the teaching effect of traditional teaching and simulation teaching in the training of gynecological specialist in the pelvic floor reconstruction surgery of TVT-O. 25 gynecology specialists and refresher doctors who need to study pelvic reconstruction surgery were divided into 2 groups randomly,traditional teaching group（ n = 12） and simulation teaching group（ n = 13）. The traditional teaching group were trained by traditional methods of surgery,the simulation group studied theory first,then did model operation,and finally did the clinical operation. Teaching effects were evaluated by scoring evaluation of operators. After training of 3 months,simulation group scores were better than the traditional group in many aspects（ P 0. 05）,whether they were as first surgical assistant or as a surgeon,in addition to self-confidence and gynecological theory. The simulation group was significantly less than the traditional group（ P 0. 05） on the training times of reaching surgeon level and the training time to the end of the training level. Simulation teaching has obvious advantages in gynecological pelvic floor surgery training. It helps trainees quickly,accurately and completely to grasp the operation skills.