眼科医师鼻内镜泪道手术教学方法初探  

Preliminary exploration on the teaching methods in endoscopic endonasal lacrimal surgery training for ophthalmologists

作　　者：丁静文[1] 孙华[1] 李冬梅[1] DING Jingwen;SUN Hua;LI Dongmei(Dept.of Ophthalmology,Key Laboratory of Beijing Ophthalmology&Visual Science,Beijing Tongren Hospital, Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院眼科北京市眼科学与视觉科学重点实验室,北京100730

出　　处：《基础医学与临床》2018年第4期583-585,共3页Basic and Clinical Medicine

基　　金：北京同仁医院科研骨干基金(2017-YJJ-GGL-004)

摘　　要：随着鼻内镜外科技术在鼻眼相关疾病手术中的广泛应用,鼻内镜手术技能已经成为眼科医师提高泪道疾病诊疗水平的客观要求和发展趋势。与其他眼科手术不同,眼科医师对于鼻腔相关解剖和鼻内镜操作技术的学习曲线更长、难度更大。然而,目前国内眼科住院医师和专科医师培训中相关内容的教学较薄弱。用以层递式(SBS)模式为核心的综合教学法可有效提高鼻内镜手术技能、缩短学习曲线,一方面使眼科医师的鼻内镜手术操作规范化和程序化,同时有助于培养临床思维能力,为临床泪道疾病的微创精准治疗打好基础。The extensive application of transnasal endoscopy for the treatment of rhino-orbital related diseases requires ophthalmologists to master the skill in lacrimal surgery.Unlike other ocular surgeries,endoscopic endonasal procedures needs a well understanding of the anatomical structures inside the nose as well as the skilled use of endoscopes,which makes the training more specialized and difficult.The step-by-step mode combined with other learning methods is designed to enhance surgical skills and shorten the learning time during residency and fellowship training.It is anticipated to back up the minimally invasive and precise targeting therapy for lacrimal diseases.

关 键 词：泪道疾病 鼻内镜手术 层递式教学 

分 类 号：R777.2[医药卫生—眼科]