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Stepwise training program: A novel practice schedule for laparoscopic suturing.逐步训练计划:一种用于腹腔镜缝合的新型练习方案。
Heliyon. 2023 Nov 28;9(12):e22563. doi: 10.1016/j.heliyon.2023.e22563. eCollection 2023 Dec.
2
Factors Influencing Performance in Laparoscopic Suturing and Knot Tying: A Cohort Study.影响腹腔镜缝合与打结操作表现的因素:一项队列研究。
Eur J Pediatr Surg. 2023 Apr;33(2):144-151. doi: 10.1055/s-0042-1742302. Epub 2022 Dec 14.
3
Simulation training of laparoscopic pancreaticojejunostomy and stepwise training program on a 3D-printed model.腹腔镜胰肠吻合术模拟训练和 3D 打印模型的分步训练方案。
Int J Surg. 2022 Nov;107:106958. doi: 10.1016/j.ijsu.2022.106958. Epub 2022 Oct 22.
4
Baseline Assessments of Psychomotor Aptitude Are Associated With the Future Operative Performance of Surgical Trainees: A Prospective Observational Cohort Study.心理运动能力的基线评估与外科学员未来手术操作表现相关:一项前瞻性观察队列研究。
Ann Surg. 2023 Jul 1;278(1):148-152. doi: 10.1097/SLA.0000000000005565. Epub 2022 Jul 15.
5
Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis.使运动想象训练方案适用于外科教育:一项系统评价与荟萃分析。
Surg Innov. 2021 Jun;28(3):329-351. doi: 10.1177/1553350621990480. Epub 2021 Mar 12.
6
The new General Surgical Curriculum and ISCP.新的普通外科课程与国际外科课程计划
Surgery (Oxf). 2020 Oct;38(10):601-606. doi: 10.1016/j.mpsur.2020.07.005. Epub 2020 Sep 1.
7
Competency assessment tool for laparoscopic suturing: development and reliability evaluation.腹腔镜缝合操作能力评估工具:开发与可靠性评估
Surg Endosc. 2020 Jul;34(7):2947-2953. doi: 10.1007/s00464-019-07077-2. Epub 2019 Aug 26.
8
Effects of motor imagery and action observation on hand grip strength, electromyographic activity and intramuscular oxygenation in the hand gripping gesture: A randomized controlled trial.运动想象和动作观察对手握力、肌电图活动及手握动作时肌肉内氧合的影响:一项随机对照试验。
Hum Mov Sci. 2018 Apr;58:119-131. doi: 10.1016/j.humov.2018.01.011. Epub 2018 Mar 12.
9
Step-by-step training in basic laparoscopic skills using two-way web conferencing software for remote coaching: A multicenter randomized controlled study.使用双向网络会议软件进行远程指导的基础腹腔镜技能分步培训:一项多中心随机对照研究。
Am J Surg. 2018 Jul;216(1):88-92. doi: 10.1016/j.amjsurg.2017.12.008. Epub 2017 Dec 14.
10
A Systematic Investigation of the Effect of Action Observation Training and Motor Imagery Training on the Development of Mental Representation Structure and Skill Performance.动作观察训练和运动想象训练对心理表象结构发展及技能表现影响的系统研究
Front Hum Neurosci. 2017 Oct 17;11:499. doi: 10.3389/fnhum.2017.00499. eCollection 2017.

渐进式训练法联合意象训练法在住院医师腹腔镜缝合技能培训中的应用研究

Study on the application of progressive training method combined with imagery training method in laparoscopic suturing skills training for resident physicians.

作者信息

Lin Wenxue, Yu Jian, Peng Xiaoping, Xia Jianfu, Huang Bingchen, Li Rizeng

机构信息

Department of oncology Surgery, The Dingli Clinical College of Wenzhou Medical University (Wenzhou Central Hospital), Wenzhou, China.

Department of General Surgery, The Dingli Clinical College of Wenzhou Medical University (Wenzhou Central Hospital), Wenzhou, China.

出版信息

BMC Med Educ. 2025 Mar 12;25(1):369. doi: 10.1186/s12909-025-06928-y.

DOI:10.1186/s12909-025-06928-y
PMID:40075362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11900567/
Abstract

OBJECTIVE

This study aims to explore an efficient teaching method to improve laparoscopic suturing skills in resident physicians by combining the progressive training method with the imagery training method.

METHODS

This study used a randomized controlled trial methodology. The experimental group received training utilizing a combination of the progressive training method and the imagery training method In contrast, the control group followed the traditional teaching method of practicing continuous complete actions. Both groups were trained in intracorporeal suturing and knot-tying under laparoscopy. The training effects of the two groups were compared and analyzed before and after the training, including LS-CAT scores and suturing time.

RESULTS

In the second test, the experimental group had much higher LS-CAT scores than the control group, as well as a considerably lower number of operation errors. In the experimental group, 88.9% of the trainees were proficient, compared to only 28.6% in the control group. There was no significant difference in suturing time between the two groups. The results of the third test indicated that, although there were no significant differences in LS-CAT total scores or suturing time between the two groups, the experimental group demonstrated a significantly lower number of operational errors compared to the control group. Additionally, the LS-CAT scores for tissue handling in the experimental group were significantly better than those in the control group.

CONCLUSION

The combination of the progressive training method and the imagery training method significantly improved resident physicians' laparoscopic suturing skills. This method greatly enhanced the efficiency and quality of learning laparoscopic suturing and knot-tying skills among surgical and gynecological resident doctors.

摘要

目的

本研究旨在探索一种高效的教学方法,通过将渐进式训练方法与意象训练方法相结合,提高住院医师的腹腔镜缝合技能。

方法

本研究采用随机对照试验方法。实验组采用渐进式训练方法和意象训练方法相结合的方式进行训练。相比之下,对照组采用传统的连续完整动作练习教学方法。两组均接受腹腔镜下体内缝合和打结训练。比较分析两组训练前后的训练效果,包括腹腔镜缝合能力评估测试(LS-CAT)得分和缝合时间。

结果

在第二次测试中,实验组的LS-CAT得分远高于对照组,手术失误次数也显著减少。实验组中88.9%的学员达到熟练水平,而对照组仅为28.6%。两组的缝合时间无显著差异。第三次测试结果表明,虽然两组的LS-CAT总分或缝合时间无显著差异,但实验组的手术失误次数明显低于对照组。此外,实验组在组织处理方面的LS-CAT得分显著优于对照组。

结论

渐进式训练方法与意象训练方法相结合显著提高了住院医师的腹腔镜缝合技能。该方法极大地提高了外科和妇产科住院医师学习腹腔镜缝合和打结技能的效率和质量。