CAJ | 학술논문

目的：探寻腹腔镜规范化培训对不同优势手医师腔镜学习的影响。方法：通过建立腹腔镜模拟培训中心，对参与培训的人员分为甲组(左优势手)20人和乙组(右优势手)20人。对甲、乙组进行相同的培训内容，分阶段进行拾豆和缝合打结训练。评估不同优势手医师腔镜学习的差异性及规范化培训对腔镜学习的影响。结果：组间比较显示，甲、乙组两组训练前与训练后每分钟拾豆数和15分钟内缝合打结数差异性无统计学意义(P＞0.05)。组内比较显示，训练后甲组、乙组在每分钟拾豆数和15分钟内缝合打结数明显高于训练前，差异有统计学意义(P＜0.05)；结论：腹腔镜模拟器训练能使临床医生较快适应腹腔镜视野转换，熟练使用腹腔镜基本器械，提高腹腔镜基本技术，有助于缩短腹腔镜学习曲线。优势手的差异不能成为培养腔镜医师的选择标准，但对于更复杂、精细的腹腔镜操作是否存在差异性，需要更多样本量及更全面的试验方案进行进一步研究。
목적：탐심복강경규범화배훈대불동우세수의사강경학습적영향。방법：통과건립복강경모의배훈중심，대삼여배훈적인원분위갑조(좌우세수)20인화을조(우우세수)20인。대갑、을조진행상동적배훈내용，분계단진행습두화봉합타결훈련。평고불동우세수의사강경학습적차이성급규범화배훈대강경학습적영향。결과：조간비교현시，갑、을조량조훈련전여훈련후매분종습두수화15분종내봉합타결수차이성무통계학의의(P＞0.05)。조내비교현시，훈련후갑조、을조재매분종습두수화15분종내봉합타결수명현고우훈련전，차이유통계학의의(P＜0.05)；결론：복강경모의기훈련능사림상의생교쾌괄응복강경시야전환，숙련사용복강경기본기계，제고복강경기본기술，유조우축단복강경학습곡선。우세수적차이불능성위배양강경의사적선택표준，단대우경복잡、정세적복강경조작시부존재차이성，수요경다양본량급경전면적시험방안진행진일보연구。
Objective:To investigate the effects of laparoscopic standardized training on the different dominant hand physician. Methods:By established the laparoscopic simulation training center,we grouped the participant into the group A with 20 physicians(left handedness)and the group B with 20 physicians(right handedness).Physicians in two groups were given the same training content,letting them to pick beans and suture and knot in stages. Assess the differences in endoscopic learning of different dominant hand surgeons and the effects of standardized training of endoscopic study.Results:The comparison between groups:before and after the training,the number of picking beans per minute and the suture knotting number of 15 minutes in A and B group have no statistically significant difference(P>0.05).Comparisons within group:the number of picking beans per minute and the suture knotting number of 15 minutes after the training were significantly higher than before in A and B group,and the difference was statistically significant(P<0.05).Conclusion:The training of laparoscopic simulator make the clinicians adapt to the conversion of laparoscopic vision quickly,use of laparoscopic basic equipment skilled,and improve the laparoscopic technique. It is helpful to shorten the learning curve of laparoscopic.The difference of dominant hand can not become the criteria of endoscopic doctor selection.We need further study with more sample size and more comprehensive experimental scheme,to make sure that if it is difference for more complex and sophisticated laparoscopic operation.