腹腔镜虚拟模拟培训系统在腹腔镜手术缝合技能训练中的应用  

Application value of laparoscopic virtual simulation training system in laparoscopic surgery suture skill training

作　　者：张超[1] 蒲丹[1] 何霄[1] 曾多[1] 韩英[1] 熊茂琦 ZHANG Chao;PU Dan;HE Xiao;ZENG Duo;HAN Ying;XIONG Mao-qi(Clinical Skill Center,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China)

机构地区：[1]四川大学华西医院临床技能中心,四川成都610041

出　　处：《蚌埠医学院学报》2021年第3期332-335,共4页Journal of Bengbu Medical College

基　　金：四川省科技厅科研课题(2014JY0189)。

摘　　要：目的:研究腹腔镜虚拟模拟培训系统在腹腔镜手术缝合技能训练中的应用。方法:回顾性分析2015年7月至2019年1月96例腹腔镜学员培训资料,根据培训方法,将48例直接进行腹腔镜手术缝合技能训练的学员作为对照组;48例使用腹腔镜虚拟模拟培训系统进行高级缝合技能培养后,再进行腹腔镜手术缝合技能训练的学员作为研究组。比较2组操作时间、吻合质量、缝合熟练程度、考核结果、操作失误。结果:对照组的操作时间明显高于研究组(P<0.01)。对照组吻合质量总分和缝合熟练程度总分明显低于研究组(P<0.01),研究组考核结果明显优于对照组(P<0.01)。对照组操作失误率高于研究组(P<0.05)。结论:腹腔镜虚拟模拟培训系统可显著提高腹腔镜学员腹腔镜手术缝合技能,减少操作失误率。Objective:To study the application value of laparoscopic virtual simulation training system in laparoscopic surgery suture skill training.Methods:The training data of 96 laparoscopic students from July 2015 to January 2019 were retrospectively analyzed.According to the training method,the training students were divided into the control group and research group(48 cases in each group).The control group was trained with laparoscopic suture skills training,and the research group was trained with advanced suturing skills training using laparoscopic virtual simulation training system combined with laparoscopic surgery suture skills.The operation time,quality of anastomosis,proficiency of suture,ssessment results and operational error between two groups were compared.Results:The operation time in control group was significantly higher than that in research group(P<0.01),the total scores of anastomotic quality and suture proficiency in control group were significantly lower than those in research group(P<0.01),the evaluation results in research group was significantly better than that in control group(P<0.01),and the operation error rate in control group was higher than that in research group(P<0.05).Conclusions:The laparoscopic virtual simulation training system can significantly improve the laparoscopic surgery suture skills,and reduce the operational error rate.

关 键 词：腹腔镜 虚拟模拟培训系统 缝合技能 吻合质量 

分 类 号：R572[医药卫生—消化系统]