标准化阴道骶棘韧带固定术对住院医师而言是一种安全的教学手术吗？
Is standardised vaginal sacrospinous ligament fixation a safe teaching procedure for residents?
作者信息
Sauerwald Axel, Bruns Inke, Peveling Barbara, Brunke Hendrik, Wolff Friedrich
机构信息
Frauenklinik Holweide, Kliniken der Stadt Köln gGbmH, Neufelder Str 32, 51067 Cologne, Germany.
出版信息
Int Urogynecol J. 2011 Mar;22(3):293-8. doi: 10.1007/s00192-010-1341-8. Epub 2010 Dec 10.
INTRODUCTION AND HYPOTHESIS
Several modifications of sacrospinous ligament fixation (SLF) are described.
METHODS
This study presents a standardised SLF technique. Perioperative course and outcome are compared retrospectively after surgery is performed by experienced surgeons or by residents.
RESULTS
Two hundred three SLF were analysed. Eight residents (LO) operated on 41 patients (5.1 ± 2.2). Six experienced surgeons (SO) operated on 162 patients (27.0 ± 25.7). Mean operating time was 67 ± 33 min. (LO 99 ± 45 min vs. SO 59 ± 22 min, p < 0.05). The overall morbidity rate was 7.8%. There was no significant difference regarding complications and outcomes between SO and LO.
CONCLUSIONS
Operation time was longer but outcomes were identical, and morbidity rate was not increased in the group of resident surgeons. In comparison to literature, complication rate was low. SLF should be part of residency programmes.
引言与假设
已描述了几种骶棘韧带固定术（SLF）的改良方法。
方法
本研究介绍了一种标准化的SLF技术。由经验丰富的外科医生或住院医师进行手术后，对围手术期过程和结果进行回顾性比较。
结果
分析了203例SLF手术。8名住院医师（LO）为41例患者实施了手术（5.1±2.2）。6名经验丰富的外科医生（SO）为162例患者实施了手术（27.0±25.7）。平均手术时间为67±33分钟。（住院医师组99±45分钟，经验丰富的外科医生组59±22分钟，p<0.05）。总体发病率为7.8%。经验丰富的外科医生组和住院医师组在并发症和结果方面无显著差异。
结论
住院医师组的手术时间较长，但结果相同，且发病率未增加。与文献相比，并发症发生率较低。SLF应成为住院医师培训项目的一部分。
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