应用离体猪肾行输尿管软镜培训的方法与研究  

Development and summary of flexible ureteroscopy training using isolated porcine kidneys

作　　者：胡东亮[1] 刘同族[1] 胡万里[1] 倪栋[1] 王行环[1] 

机构地区：[1]武汉大学中南医院泌尿外科,武汉430071

出　　处：《微创泌尿外科杂志》2014年第3期129-131,共3页Journal of Minimally Invasive Urology

基　　金：国家自然科学基金资助项目(81200579)

摘　　要：目的：应用离体猪肾和输尿管进行输尿管软镜培训,评估其可行性和教学价值。方法：选取4对新鲜离体猪肾(含输尿管),在操作台网格中固定,插入输尿管镜鞘建立工作通道,对5名有输尿管硬镜技术基础的学员进行培训,4对肾脏分左右侧轮流操作,每人有8次手术机会,学员在导师指导下完成指定任务。培训结束后导师记录学员手术时间评估学习曲线,判断熟练程度和掌握能力。结果：学员按导师要求完成了培训内容,平均手术时间由最初的54 mi n (42~71 mi n )降到完成第8次手术时的15 mi n (8~26 mi n ),差异有统计学意义(P ＜0??05),在第6次手术后就进入相对稳定的水平。结论：离体猪肾具有价格便宜、操作方便的优点,行输尿管软镜培训直观明了,有利于提高学员临床技能。To-eval-uate-the-feasi-bility-and-teachi-ng-val-ue-of-flexi-ble-ureteroscopy-trai-ni-ng-usi-ng-isolated-porci-ne-ki-dneys-and-ureters-in-vitro-.Methods-:Four-pairs-of-isolated-porci-ne-ki-dneys-and-ureters-were-placed-on-the-net-bar-of-operati-on-platfor-m-and-fi-xed-.Ureteroscope-access-sheath-was-i-nserted-i-nto-ureteral-orifice-to-establish-worki-ng-channel-for-washi-ng-.Fi-ve-trai-nees-who-had-ri-gi-d-ureteroscopy-experience-began-to-trai-n-fro-m-left-to-ri-ght-ki-dneys-i-n-turn-and-fi-nished-all-the-required-contents-usi-ng-modular-flexi-ble-ureteroscope-under-the-supervisi-on-of-tu-tor-.Each-trai-nee-had-operati-on-opportunities-of-8-ti-mes-.The-learni-ng-curve-was-assessed-by-recordi-ng-trai-nees'opera-ti-on-ti-me-after-trai-ni-ng-.Based-on-these-results-,we-eval-uated-theirs-co-mprehensi-bility-and-proficiency-i-n-flexi-ble-uret-eroscopy-i-ndirectl-y-.Results-:All-trai-nees-fi-nished-the-trai-ni-ng-contents-of-flexi-ble-ureteroscopy-accordi-ng-to-tutor's-as-si-gn-ment-.The-average-operati-on-ti-me-was-shortened-fro-mthe-i-nitial-54-mi-n-(42-71-mi-n-)to-1-5-mi-n-(8-26-mi-n-)(P-<0??05-).Trai-nees-achieved-a-relati-vel-y-stable-level-after-the-si-xth-operati-on-.Conclusions-:The-isolated-porci-ne-ki-dney-was-cheaper-and-convenient-for-young-urol-ogists-to-practise-flexi-ble-ureteroscopy-.This-trai-ni-ng-model-was-hel-pful-i-n-i-mprovi-ng-cli-nical-skills-because-of-its-i-ntuiti-ve-and-realistic-features-.

关 键 词：输尿管软镜 培训 猪肾 

分 类 号：R69[医药卫生—泌尿科学]