干预内镜超声波的培训和质量指标
1Department of Gastroenterology and Hepatology, "Victor Babeş" University of Medicine and Pharmacy, Timisoara, Romania.
概括
这项研究评估了干预性内镜超声波 (iEUS) 培训,揭示了胰腺排水和胃肠解剖等手术的不同学习曲线和成功率. 结果支持标准化,程序特定的培训,以确保iEUS能力.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 最少侵入性的手术
背景情况:
- 内镜超声波 (EUS) 已经推进了微创性胃肠道手术.
- 专业培训对于干预性EUS (iEUS) 的熟练程度至关重要.
研究的目的:
- 通过分析学习曲线,成功率和风险来评估iEUS培训的有效性.
- 为标准化iEUS培训和确保能力推实践.
主要方法:
- 分析关键指标,包括程序类型,熟练度学习曲线,成功率和不良事件风险.
- 在各种iEUS干预措施中对培训计划的有效性进行比较.
主要成果:
- 技能的基准有所不同:胰腺液收集排水 (20-30个程序,100%成功),胆囊排水 (19个案例,86%成功),胆固醇管口术 (大约20~30个程序,100%成功). 100例),肝胃口切除 (33例,93%成功),肝肠口切除 (>40例,100%成功),胰腺管道排水 (27例,89%技术成功) 和胃肠解剖 (25例为熟练).
- 不良事件发生率从1.5%到80%不等,取决于程序.
结论:
- 根据具体的程序,iEUS培训结果会有很大的差异.
- 结构化,程序特定的培训计划对于实现iEUS熟练度至关重要.
- 调查结果可以为全球iEUS培训制定通用能力基准.
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