CAJ | 학술논문

目的：探讨腹腔镜技术在普外科生产实习中的价值和意义。方法收集在首都医科大学附属北京同仁医院普外科实习的40名学生的实习资料；所有学生参与普外科常见病的传统手术及腹腔镜手术，手术结束后以专业知识考核及问卷的方式评估生产实习效果。结果参与到胆囊切除术、直肠癌根治术等腹腔镜手术的学生对组织解剖关系、手术步骤等专业知识理解程度高于传统手术组；但腹腔镜手术学生的参与感评分及基本操作评分低于传统手术的学生，这些差异均存在统计学意义。结论将腹腔镜技术应用到普外科的临床实习中，可为学生提供真实、形象的图像信息，增强对解剖学及手术步骤的理解，提高学习兴趣，改善实习效率，但同时有诸如手术参与感不强、动手操作能力较差等不足存在，需采取措施加以改进。
목적：탐토복강경기술재보외과생산실습중적개치화의의。방법수집재수도의과대학부속북경동인의원보외과실습적40명학생적실습자료；소유학생삼여보외과상견병적전통수술급복강경수술，수술결속후이전업지식고핵급문권적방식평고생산실습효과。결과삼여도담낭절제술、직장암근치술등복강경수술적학생대조직해부관계、수술보취등전업지식리해정도고우전통수술조；단복강경수술학생적삼여감평분급기본조작평분저우전통수술적학생，저사차이균존재통계학의의。결론장복강경기술응용도보외과적림상실습중，가위학생제공진실、형상적도상신식，증강대해부학급수술보취적리해，제고학습흥취，개선실습효솔，단동시유제여수술삼여감불강、동수조작능력교차등불족존재，수채취조시가이개진。
Objective To discuss the application value of laparoscopy in the clinical teaching of general surgery. Methods The data of 40 medical students practiced in the Department of General Surgery,Beijing Tongren Hospital,Capital Medical University were collected. The students respectively participated in traditional operation and laparoscopic operation of some common general surgical diseases. After the intern-ship,assessment of practice effect was performed in the form of questionnaire consisting of professional knowledge and other aspects such as opera-tional capacity. Results The scores of students,who participated in laparoscopic operation such as laparoscopic cholecystectomy,colorectal canc-er radical surgery,were higher than the scores of the ones who participated in the traditional surgery,but the scores of participation - sense and op-erational capacity in the laparoscopic operation group were less than traditional surgery group. Differences were statistically significant. Conclusion The laparoscopic teaching method can provide real vivid image information. The understanding in anatomy and operation steps of students was enhanced,the learning interest of students was improved,the efficiency of internship was increased,and this method can set up the concept of minimally invasive surgery. But at the same time,there are some deficiencies such as lower participation - sense and operational capacity,what we need is to take measures to improve.