主髂动脉病变开放血管手术技术培训课程的评估——5年经验
Evaluation of a training course on open vascular surgical techniques in aortoiliac pathology - 5 years of experience.
作者信息
Stancu Bogdan, Beteg Florin, Mironiuc Aurel, Muste Aurel, Gherman Claudia
机构信息
2nd Department of General Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
4th Clinical Department, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania.
出版信息
Clujul Med. 2015;88(2):196-202. doi: 10.15386/cjmed-415. Epub 2015 Apr 15.
INTRODUCTION
The aim of this prospective study was to assess the efficacy of a vascular surgery course (2008-2012), and to verify the viability and the feasibility of vascular anastomoses.
MATERIAL AND METHOD
The vascular surgical techniques performed simultaneously on pigs were: enlargement prosthetic angioplasty, abdominal aortic interposition graft and aortoiliac bypass. The endpoints of the study were the surgical skills and the technical quality, assessed on a scale ranging from 1 (satisfactory) to 3 (very good) for our participants.
RESULTS
A significant improvement in vascular surgical skills tasks was observed during the study years and we also found a significant statistical association between the quality of the suture and the surgical technique used (Kendall coefficient=0.71, p=0.001<0.05).
CONCLUSIONS
Our course contributed to the improvement of the technical vascular surgical skills of the operator teams, reproducing in vivo, in pigs, the intraoperative environment of human patients.
引言
本前瞻性研究的目的是评估一门血管外科课程（2008 - 2012年）的效果，并验证血管吻合术的可行性和可操作性。
材料与方法
在猪身上同时进行的血管外科技术有：扩大人工血管血管成形术、腹主动脉置入移植术和主动脉髂动脉旁路移植术。研究的终点是手术技能和技术质量，对我们的参与者按1（满意）至3（非常好）的量表进行评估。
结果
在研究期间观察到血管手术技能任务有显著改善，并且我们还发现缝合质量与所使用的手术技术之间存在显著的统计学关联（肯德尔系数 = 0.71，p = 0.001 < 0.05）。
结论
我们的课程有助于提高手术团队的血管外科技术水平，在猪身上在体内再现了人类患者的术中环境。
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