腹腔镜手术技能评价工具的发展与现状  

Evolutions and current status of laparoscopic skill assessment tools

作　　者：张波 孙博 梁宗康 武少杰 何显力 Zhang Bo;Sun Bo;Liang Zongkang;Wu Shaojie;He Xianli(Gradate Studies,Xi'an Medical University,Shaanxi Xi'an 710021,China;Department of General Surgery,Second Affiliated Hospital,Air Force Medical University,Shaanxi Xi'an 710038,China)

机构地区：[1]西安医学院研究生工作部,陕西西安710021 [2]空军军医大学第二附属医院普通外科,陕西西安710038

出　　处：《腹部外科》2024年第5期384-391,395,共9页Journal of Abdominal Surgery

基　　金：陕西省重点产业创新链(群)-社会发展领域(2022ZDLSF04-05)。

摘　　要：如何客观衡量外科手术完成质量一直是困扰研究者的一大难题。外科医生技术能力是临床结果的一个重要影响因素,评价手术技能不仅对医生的教育、培训以及专业成长至关重要,而且对提高手术质量、保障病人安全和促进医学领域的发展具有深远的影响。多年来,外科手术技能评价逐渐由最初的外科专家组经验性评价模式发展到了数据化客观评估工具评价模式,如:整体评价量表、特定手术评价工具、基于错误的评价工具。近年来随着医工领域的交叉融合,一些具有自动识别功能的自动评价工具也初具雏形。此文结合文献对以上不同类型的腹腔镜手术技能评价工具的发展现状以及优缺点进行了综述。An objective measurement of surgical outcome quality has long been a daunting challenge for researchers.Technical skill of a surgeon is a crucial influencing factor of clinical outcomes.Assessing surgical skills is not only vital for education,training and professional growth of surgeons but also has profound implications for enhancing surgical quality,ensuring patient safety and advancing medicine.Gradually the assessment of surgical skills has evolved from an initial experiential evaluation model by panels of surgical experts to a data-based objective assessment tool model,including global rating scales,procedure-specific assessment tools and error-based evaluation instruments.In recent years,with a growing integration of medical and engineering fields,some automated assessment tools equipped with automatic recognition capabilities have started to emerge.This article summarized the development,current status,advantages and limitations of different types of laparoscopic skill assessment tools in conjunctions with a literature review.

关 键 词：质量控制 外科技能 腹腔镜手术 评价工具 人工智能 

分 类 号：R656[医药卫生—外科学] R615[医药卫生—临床医学]