泌尿内镜虚拟模拟培训系统对初学者软性输尿管镜检查训练作用的研究  

Effectiveness of Uromentor virtual reality simulator in flexible ureteroscopy training for catechumen

作　　者：蔡建良[1,2] 张弋[1] 孙国锋[1] 李宁忱[1] 那彦群[1] 

机构地区：[1]北京大学首钢医院北京大学吴阶平泌尿外科医学中心,100144 [2]首都医科大学附属北京世纪坛医院泌尿外科

出　　处：《中华泌尿外科杂志》2015年第6期436-438,共3页Chinese Journal of Urology

摘　　要：目的：探讨泌尿内镜虚拟模拟培训系统对初学者软性输尿管镜检查操作的训练作用。方法软性输尿管镜初学者51名，先进行Uromentor泌尿内镜虚拟模拟培训系统基本操作训练1 h，然后进行软性输尿管镜肾内探查专项训练3h。在专项训练前、后，运用软性输尿管镜右肾内探查项目对学员进行初评、复评各一次，分别记录操作总时间、组织损伤次数（软性输尿管镜镜体＋器械）、肾盂肾盏被完整检查面积并进行GRS评分，然后进行比较分析。结果经过软性输尿管镜肾内探查专项训练后，51名学员软性输尿管镜操作水平均显著提高。操作总时间、组织损伤次数、肾盂肾盏被完整检查面积和 GRS 评分在初评时分别为（14．63±1．01） min、（8．62±2．67）次、（51．05±20．79）％、（10．31±2．53）分，复评时分别为（7．71±1．13） min、（1．67±1．23）次、（98．04±5．42）％、（29．14±3．01）分，训练前后各项指标差异均有统计学意义（P＜0．01）。结论泌尿内镜虚拟模拟培训系统是初学者进行软性输尿管镜检查操作训练的良好工具，能在较短时间内迅速提高训练者的软性输尿管镜操作水平。Objective To investigate the effectiveness of Uromentor virtual reality simulator in flexible ureteroscopy training for catechumen.Methods Fifty-one catechumen were selected.After 1 hour training of basic operation in Uromentor virtual reality simulator, all trainees performed special-purpose exercise （ kidney inspection with flexible ureteroscopy ） for 3 hours. Using right kidney inspection, a preliminary assessment for each trainee was made before the special-purpose exercise and data such as total time, number of trauma from the scopes and tools, percentage of kidney surface examined and global rating scale （ GRS ） were recorded.The same assessment was performed once again after the special-purpose exercise （ secondary assessment ） , and data were recorded and compared to the preliminary assessment. Results Each trainee made a significant improvement in flexible ureteroscopic skill after the special-purpose training.The parameters such as total time, number of trauma from the scopes and tools, percentage of kidney surface examined and GRS of all trainees in preliminary assessment were 14.63 ±1.01 min, 8.62 ± 2.67, 51.05%±20.79%and 10.31 ±2.53, respectively;while in secondary assessment, parameters were 7.71 ±1.13 min, 1.67 ±1.23, 98.04% ±5.42% and 29.14 ±3.01, respectively.The differences between the preliminary assessment and the secondary assessment of each parameter were significant （ P＆lt;0.01）.Conclusions The Uromentor virtual reality simulator can improve the trainee′s skills of flexible ureteroscopy.It is a good instrument of the flexible ureteroscopic training for catechumen.

关 键 词：虚拟模拟培训 软性输尿管镜 技能训练 计算机模拟 

分 类 号：R699[医药卫生—泌尿科学]