【摘要】 目的 探索应用序贯化培训方法，以期提高低年资泌尿外科医师的腹腔镜缝合操作技术。方法 招收接受规范化培训的第二年和第三年泌尿外科住院医师11名。先利用干式模拟培训箱进行间断的长时间模拟缝合训练5周（每周2次、每次2个学时），之后在实验动物猪上做符合真实场景的湿式动物手术操作训练2周（每周2次、每次2个学时）。于培训开始时、干式培训结束后和湿式培训结束后进行缝合、打结考核分析。结果 干式培训结束后，学员的缝合成绩和总分均高于培训开始时，差异均有统计学意义（t分别=2.95、3.03,P均<0.05），打结成绩提高不明显，差异无统计学意义（t=1.88,P>0.05）。湿式培训结束后，学员的打结成绩和总分均高于干式培训结束后，差异均有统计学意义（t分别=2.85、3.09,P均<0.05），缝合成绩提高不明显，差异无统计学意义（t=1.38,P>0.05）。结论 采用这种先行干式模拟培训箱短程持续强化训练、之后序贯进行湿式动物手术操作练习的序贯化培训方法，有利于提高低年资泌尿外科医师的腹腔镜缝合操作技术。更多还原

【Abstract】 Objective To explore the application of sequential simulation training in improving laproscopic suturing skill for junior urology residents. Methods Eleven urology residents with PGY-1 and PGY-2 were encruited.First all the 11 urology residents had intermittent long time simulation suture training on the dry simulation training box for 5weeks(twice a week,2 class hours each time).Then they performed simulated surgery on wet animal operation training of the experimental pigs that fits the real scene for 2 weeks(twice a week,2 class hours each time).The suturing scores,knotting scores and total scores of the residents at the beginning of the dry simulation training box stage,at the end of the dry training box stage and at the end of the wet animal surgery operation stage were compared. Results At the end of the dry simulation training,the suturing score and total score of the residents were higher than those at the beginning of the dry simulation training,the differences were statistically significant(t=2.95,3.03,P<0.05),but the difference in knotting score was not statistically significant(t=1.88,P>0.05).At the end of the wet animal operation,the knotting score and total score of the residents were higher than those after the end of the dry simulation training,and the differences were statistically significant(t=2.85,3.09,P<0.05),but difference in suturing score was not statistically significant(t=1.38,P>0.05).Conclusion The method of short-term continuous intensive training in the dry simulation training box first,followed by wet animal surgery is very helpful to improve the laparoscopic suturing skill of junior urology residents.更多还原