术中肺叶切除标本解剖学习在胸外科专科医师培训中的临床应用  

The clinical application of intraoperative anatomy study of lobectomy specimens in the training of thoracic sur⁃geons

作　　者：周家瑜[1] 何正富[1] ZHOU Jiayu;HE Zhengfu(Department of Thoracic Surgery,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院胸外科,浙江杭州310016

出　　处：《全科医学临床与教育》2023年第10期910-911,933,共3页Clinical Education of General Practice

基　　金：浙江省自然科学基金(LQ22H160012);浙江省医药卫生科技项目(2022511193)。

摘　　要：目的探讨术中肺叶切除标本解剖学习在胸外科专科医师培训中的临床应用价值。方法选择参加胸外科专科培训的医师40名,随机平均分为实验组与对照组。实验组在胸腔镜下肺叶切除术中进行肺叶切除标本解剖学习,对照组术中无相关学习;完成3个月培训后比较两组学员胸部CT读片解剖辨识率,肺结节良恶性判断准确率,剪辑手术视频评分(3名胸外科主任医师批判)的考核结果。结果培训后实验组学员的胸部CT读片解剖辨识成绩,肺结节良恶性判断准确率及剪辑手术视频评分的成绩均明显高于对照组学员(t=2.77,χ^(2)分别=7.43、6.87,P均<0.05)。结论术中肺叶切除标本解剖学习是提高胸外科专科医师培训效果的有效途径。Objective To investigate the clinical application value of intraoperative anatomical learning of pulmonary lobectomy specimens in the training of thoracic surgeons.Methods Totally 40 surgeons who participated in the training of thoracic surgery were randomly divided into experimental group and control group.The surgeons in experimental group received anatomical learning of lobectomy specimens during thoracoscopic lobectomy,while surgeons in the control group did not.After the completion of the 3-month training,the anatomical identification rate of chest CT reading,the accuracy rate of diagnosis of benign and malignant pulmonary nodules,and the assessment scores of the surgical video editing(by 3 senior doctor of thoracic surgery)were compared between the two groups.Results After training,the anatomical iden⁃tification rate of chest CT reading,the accuracy rate of diagnosis of benign and malignant pulmonary nodules,and the as⁃sessment scores of the surgical video editing of the surgeons in experimental group were significantly higher than those of the control group(t=2.77,χ^(2)=7.43,6.87,P<0.05).Conclusion The anatomical study of pulmonary lobectomy speci⁃mens during operation could be an effective way to improve the training effect of thoracic surgeons.

关 键 词：肺叶标本 专科培训 肺段切除 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]