跨皮心跳隔膜肌切除术学习曲线和未来外科医生的培训:一项观察性研究
Jiangtao Li1, Yue Chen1, Rui Li1
1Division of Cardiovascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
International journal of surgery (London, England)
|January 14, 2025
概括
在44个病例后,达到了跨脉动性心跳隔膜肌切除术 (TA-BSM) 能力,改善了超性阻塞性心肌病 (HOCM) 的结果. 这种培训模式可以帮助全球传播外科专业知识.
科学领域:
- 心血管外科心血管外科
- 外科教育的外科教育
- 压缩性阻塞性心肌病 (HOCM) 管理管理
背景情况:
- 了解心跳横断膜切除术 (TA-BSM) 的学习曲线对于其更广泛的采用至关重要.
- 开发基于能力的培训评估可以促进隔膜肌切除术专业知识的传播.
研究的目的:
- 评估学习曲线,并为TA-BSM建立基于能力的培训评估.
- 确定实现TA-BSM熟练程度所需的案例数.
主要方法:
- 从177名连续TA-BSM患者收集HOCM的前性数据.
- 累积总和分析以根据程序时间确定学习阶段.
- 基于能力的利克特级别评估外科医生在培训后的表现.
主要成果:
- 确定了两个学习阶段:初始 (1-44个案例) 和熟练程度 (45-177个案例).
- 在熟练阶段,程序时间显著减少 (P<0.001) 和程序成功率提高 (93.2%与79.5%,P=0.018).
- 降低并发症率和在手术表现上达成一致的外科医生间协议.
结论:
- 在大约44个案例后,可以实现TA-BSM的能力,保持指南推的结果.
- 结构化的培训方法可以加快TA-BSM的学习曲线.
- 这种技术为HOCM手术的更广泛传播和改善全球患者管理提供了潜力.
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