医学生腹腔镜扶镜技能的培训教学

Laparoscopic camera navigation training for medical students

目的探讨对医学生进行腹腔镜扶镜技能虚拟培训的效果。方法随机抽取临床见习生(A组)、外科实习生(B组)和第1年外科轮转住院医(C组)各10名作为培训对象,10名腹腔镜技术熟练的高年资主治医作为对照(D组),比较进行腹腔镜扶镜技能虚拟培训前后的操作成绩。结果培训后各组考核成绩有显著提高,各培训组培训后的操作水平均较培训前有提高(P<0.05),但是均差于对照组(P<0.05),另外实习生(B组)的培训后的成绩与外科住院医(C组)相近。结论通过腹腔镜的模拟训练能够提高医学生腹腔镜扶镜的操作技能,有一定临床经验和手术操作技能基础的受训者操作水平提升更为明显。

Objective To investigate the performance of laparoscopic camera navigation training for medical students using the virtual reality simulator. Methods Ten medical clerks（ group A）,10 medical interns（ group B） and 10 first year surgical residents（ group C） are randomly enrolled in this study,and 10 surgical attendings（ group D） are enrolled as control group. The performance of pre-training and post-training is analyzed. Results The performance of pre-training and post-training in the same group was significant improved（ P〈0. 05） and there was significant difference among group A,B and C,also there was significant difference between the training group and the surgical attendings（ control group）（ P 0. 05）,respectively. Conclusions The laparoscopic camera navigation skills can be improved by laparoscopic virtual reality simulator especially for the medical interns and surgical residents.