KSO培训系统在泌尿外科住院医师腹腔镜技能培训中的应用

Application of KSO training system in laparoscopic skills training for urological residents

目的比较KSO培训系统和传统临床带教方式对住院医师手术操作的培训效果。方法本研究共纳入北京协和医院腹腔镜操作经验不足10台的泌尿外科住院医师12名,平均年龄31岁。将其平均分为两组,实验组除常规临床工作参与手术之外,额外进行为期6周、每周2次、每次3 h的KSO基础培训;对照组医师通过为期6周、每周2台的传统术中带教方法进行腹腔镜技能训练。比较两组医师在研究开始和结束时,精准夹豆、加难夹豆、梅花桩夹豆、双手套圈和仿肉缝合打结这5项基础手术操作能力的差异。结果培训后,KSO实验组在精准夹豆、加难夹豆、梅花桩夹豆、双手套圈4个训练项目上的操作用时明显少于传统带教对照组(P<0.05)。结论与传统临床带教相比,KSO培训系统对提高泌尿外科住院医师基础手术操作能力具有显著优势,是一套切实有效的培训系统。

Objective To compare the training effect of KSO(Knowledge,Skill,Operation)training system with traditional clinical teaching methods on urological residents'surgical operation skills.Methods Twelve urological residents(average age 31 years old)with less than 10 laparoscopic operation experience were included in this study and were divided into two groups.Besides routine clinical work,the experimental group received KSO basic training for 6 weeks,twice a week,3 hours each time,while the doctors in the control group received laparoscopic skills training by two operations every week for 6 weeks with traditional teaching methods.At the beginning and the end of the study,the differences of the basic operation ability of the two groups of doctors were compared,including basic clamping,advanced clamping,pile clamping,hooping,suture and knot tying.Results After the training,the operation time of KSO experimental group was significantly shorter than that of the traditional teaching control group in the four training items,including basic clamping,advanced clamping,pile clamping and hooping(P<0.05).Conclusions Compared with the traditional clinical teaching,KSO training system has significant advantages in improving the basic operationability of urological residents.It is a practical and effective training system.