临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
23期
1998-2000
,共3页
前列腺%穿刺活检%学习曲线
前列腺%穿刺活檢%學習麯線
전렬선%천자활검%학습곡선
Prostate%Transperineal biopsy%Learning curve
目的：探讨系统化培训泌尿外科住院医师经会阴径路前列腺穿刺活检技术的学习曲线规律。方法按照既定系统化培训流程，对2006年11月至2014年6月期间对11名泌尿外科住院/进修医师进行前列腺穿刺系统化理论培训，在上级医师指导下进行经会阴径路前列腺穿刺活检操作。记录每位学员在学习不同时间段的前列腺穿刺组织长度、操作时间及无效穿刺率等指标，并进行分析。结果所有学员均按照既定培训计划完成该项目培训，平均每人每月完成穿刺操作4~6例次。学习第1个月学员平均取材标本长度和无效穿刺率分别为1.14 cm和74.2﹪，第2个月为1.24 cm和56.4﹪。无效穿刺率自第2个月后显著降低，第3个月以后则维持较为稳定的水平。第3~6个月的无效穿刺率和取材组织长度均无统计学差异。穿刺操作时间自第2个月显著减少并维持稳定。结论系统化经会阴径路前列腺穿刺活检包括理论及实际操作学习，是保证高质量前列腺活检的必要途径。在上级医师指导下学员在3个月培训后能够熟悉并掌握经会阴径路前列腺穿刺活检操作。
目的：探討繫統化培訓泌尿外科住院醫師經會陰徑路前列腺穿刺活檢技術的學習麯線規律。方法按照既定繫統化培訓流程，對2006年11月至2014年6月期間對11名泌尿外科住院/進脩醫師進行前列腺穿刺繫統化理論培訓，在上級醫師指導下進行經會陰徑路前列腺穿刺活檢操作。記錄每位學員在學習不同時間段的前列腺穿刺組織長度、操作時間及無效穿刺率等指標，併進行分析。結果所有學員均按照既定培訓計劃完成該項目培訓，平均每人每月完成穿刺操作4~6例次。學習第1箇月學員平均取材標本長度和無效穿刺率分彆為1.14 cm和74.2﹪，第2箇月為1.24 cm和56.4﹪。無效穿刺率自第2箇月後顯著降低，第3箇月以後則維持較為穩定的水平。第3~6箇月的無效穿刺率和取材組織長度均無統計學差異。穿刺操作時間自第2箇月顯著減少併維持穩定。結論繫統化經會陰徑路前列腺穿刺活檢包括理論及實際操作學習，是保證高質量前列腺活檢的必要途徑。在上級醫師指導下學員在3箇月培訓後能夠熟悉併掌握經會陰徑路前列腺穿刺活檢操作。
목적：탐토계통화배훈비뇨외과주원의사경회음경로전렬선천자활검기술적학습곡선규률。방법안조기정계통화배훈류정，대2006년11월지2014년6월기간대11명비뇨외과주원/진수의사진행전렬선천자계통화이론배훈，재상급의사지도하진행경회음경로전렬선천자활검조작。기록매위학원재학습불동시간단적전렬선천자조직장도、조작시간급무효천자솔등지표，병진행분석。결과소유학원균안조기정배훈계화완성해항목배훈，평균매인매월완성천자조작4~6례차。학습제1개월학원평균취재표본장도화무효천자솔분별위1.14 cm화74.2﹪，제2개월위1.24 cm화56.4﹪。무효천자솔자제2개월후현저강저，제3개월이후칙유지교위은정적수평。제3~6개월적무효천자솔화취재조직장도균무통계학차이。천자조작시간자제2개월현저감소병유지은정。결론계통화경회음경로전렬선천자활검포괄이론급실제조작학습，시보증고질량전렬선활검적필요도경。재상급의사지도하학원재3개월배훈후능구숙실병장악경회음경로전렬선천자활검조작。
Objective To investigate the learning curve of transperineal ultrasound -guided prostate biopsy under training programs. Methods A total of 11 urology residents our academic centre completed the 6-month training program following certain training procedure be_tween November 2006 and June 2014. The average length of biopsy cores,negative biopsy rate and biopsy time were recorded and analyzed by re_gards learning stage. Results All residents finished this training program. The average 4~6 biopsy procedures were performed per month. The average length of biopsy cores and negative biopsy rate were 1. 14 cm and 74. 2﹪ respectively in the first training month comparing 1. 14 cm and 74. 2﹪ in the second month. The negative biopsy rate and the length of biopsy cores were significantly improved from the 2nd month and 3rd month respectively,which remain stable from the 3rd month. The average biopsy time was significantly decreased from the 2nd month. Conclusion Systematic training program is necessary to perform high-quality transperineal TRUS-guided prostate biopsy. In current training program,it is recommended that residents have supervision for at least 3 months training before they are allowed to perform transperineal prostate biopsy with indirect supervision.
