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使用离体猪模型进行肠道手术原则和技术的住院医师培训。

Resident education in principles and technique of bowel surgery using an ex-vivo porcine model.

作者信息

Thomas M Bijoy, Dandolu V, Caputo P, Milner R, Hernandez E

机构信息

Department of Obstetrics and Gynecology, Temple University School of Medicine, Philadelphia, 19104 PA, USA.

出版信息

Obstet Gynecol Int. 2010;2010:852647. doi: 10.1155/2010/852647. Epub 2010 Mar 22.

DOI:10.1155/2010/852647
PMID:20339473
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2843901/
Abstract

Objective. improve competency of residents with lysis of adhesion (LOA) and bowel surgery using a porcine model. Study Design. Pig bowel was removed at time of an anatomy laboratory, cleansed, and used to demonstrate surgical techniques and principles of LOA, repair of enterotomy, bowel resection, and anastomosis. Participants were surveyed pre- and posttraining session using 10 point Likert scale. Results. Thirty one residents at varying levels of training participated. After the training session, there was a significant improvement noted in mean scores for comfort level with LOA (6.3 versus 7.7, P = .007), comfort level with enterotomy repair (2.8 versus 6.4, P < .0001), understanding principles of LOA (5.0 versus 7.7, P < .0001), understanding principles of enterotomy repair (3.5 versus 7.0, P < .0001), and familiarity with instruments used (5.8 versus 7.3, P = .01). Conclusion. Training sessions using ex-vivo porcine model improve resident perception of knowledge and comfort with LOA and enterotomy repair.

摘要

目的。使用猪模型提高住院医师进行粘连松解术（LOA）和肠道手术的能力。研究设计。在解剖实验室取出猪的肠道，进行清洗，用于演示LOA的手术技术和原则、肠切开术修复、肠切除和吻合术。使用10分制李克特量表对参与者在培训前后进行调查。结果。31名不同培训水平的住院医师参与了研究。培训后，在LOA舒适度平均得分（6.3对7.7，P = .007）、肠切开术修复舒适度平均得分（2.8对6.4，P < .0001）、对LOA原则的理解（5.0对7.7，P < .0001）、对肠切开术修复原则的理解（3.5对7.0，P < .0001）以及对所用器械的熟悉程度（5.8对7.3，P = .01）方面均有显著改善。结论。使用离体猪模型进行的培训课程可提高住院医师对知识的认知以及对LOA和肠切开术修复的操作舒适度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/2843901/93e187c4100a/OGI2010-852647.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/2843901/247e7de416a4/OGI2010-852647.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/2843901/93e187c4100a/OGI2010-852647.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/2843901/247e7de416a4/OGI2010-852647.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/2843901/93e187c4100a/OGI2010-852647.002.jpg

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To the point: medical education review of the role of simulators in surgical training.要点：医学教育对模拟器在外科手术培训中作用的综述。
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Surgical education: what role should gynecologic oncologists play?外科教育：妇科肿瘤学家应扮演何种角色？
使用剖宫产模拟器在产科教学手术技能——让模拟变得生动起来。
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The pig as an experimental model for elucidating the mechanisms governing dietary influence on mineral absorption.猪作为一种实验模型，用于阐明饮食对矿物质吸收影响的调控机制。
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Does a surgical simulator improve resident operative performance of laparoscopic tubal ligation?手术模拟器能否提高住院医师腹腔镜输卵管结扎术的手术操作水平？
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Surgical simulation: a systematic review.手术模拟：一项系统综述。
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A six-year study of surgical teaching and skills evaluation for obstetric/gynecologic residents in porcine and inanimate surgical models.一项针对猪和无生命手术模型中妇产科住院医师外科教学与技能评估的六年研究。
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