内镜医师内镜黏膜下剥离术教学的实践与思考

Practice and Reflection on the Teaching of Endoscopic Submucosal Dissection by Endoscopists

内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)是目前消化道早癌的首选微创治疗方法,其操作难度大,是国内内镜教学培训的热点和难点。本研究以重庆医科大学附属第一医院青年医师和进修ESD操作的内镜医师为教学对象,建立了ESD规范化培训流程。培训周期共3月,教学内容包括理论培训、临床观摩、简易离体猪胃模型操作、真实患者实践操作,以及结业考核。通过问卷调查,100%的学员认为重庆医科大学附属第一医院内镜中心ESD教学培训对于掌握ESD技术是非常必要的,且能明显提高学员的ESD操作水平。因此,重庆医科大学附属第一医院内镜中心ESD规范化培训流程总体设置合理,为我国内镜医师的教学与培训提供一定的借鉴与参考。

Endoscopic submucosal dissection(ESD)is the current preferred minimally invasive treatment for early gastrointestinal cancer,which is difficult to be operated and is a hot spot and difficulty in endoscopic teaching and training in China.In this study,a standardized ESD training program was set up for young endoscopic physicians who had mastered gastrointestinal endoscope techniques.The training period was 12 weeks,including theoretical training,clinical observation,simple isolated porcine stomach model training,real patient practice operation,and graduation examination.According to questionnaire survey,100%of trainees thought that standardized ESD training is very necessary to master ESD technology,and it could significantly improve the trainees'ESD operation level.Therefore,the overall ESD standardized training process of the Endoscopy Center of the First Affiliated Hospital of Chongqing Medical University is set reasonably,which provides certain reference for the teaching and training of endoscopists in China.