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[在逆行性内外科手术期间训练内导航的非生物模拟器]

G Guliev B^1,2, U Agagyulov M^1,2, E Talyshinsky A^1,2

¹Department of Urology, of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.

Urologiia (Moscow, Russia : 1999)

|May 16, 2025

概括

一个新的非生物模拟器有效地训练泌尿科医生进行逆行性内外科手术 (RIRS). 经验丰富和缺乏经验的外科医生都通过使用这种新的培训工具显著提高了他们的技能.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术模拟器手术模拟器
医学教育医学教育

背景情况:

逆行性内外科手术 (RIRS) 在收集系统中的导航带来了重大挑战.
现有的RIRS培训模拟器往往不足或无法使用.
开发了一种新的非生物模拟器,以解决RIRS培训中的这些局限性.

研究的目的:

描述一个新开发的非生物模拟器用于RIRS培训.
为了评估这个模拟器在教RIRS技术方面的有效性.
介绍与泌尿科医生进行模拟器测试的结果.

主要方法:

设计了一个非生物模拟器,其中包含一个收藏系统3D模型的盒子.
培训涉及15名泌尿科医生 (10名无经验,5名经验丰富) 进行内导航.
在直接可视化和仅监视条件下记录了导航时间.

主要成果:

总共完成了268次内航行,平均航行时间总体显著减少.
在训练后,导航时间从252.6+/-107.0s减少到94.5+/-34.0s (p<0.001).
经验丰富和缺乏经验的泌尿科医生都表现出显著的技能改进,最初的绩效差距在培训后被缩小.

结论:

开发的非生物模拟器增强了RIRS的外科技能.
该模拟器有效地改善了新手和经验丰富的泌尿科医生对内收集系统的导航.
该工具为RIRS程序培训提供了可行的解决方案.

关键词:

灵活的喷镜模拟器灵活的喷镜培训培训结石结石是指结石的发生.对收集系统进行逆行检查.逆向的内外科手术尿病是一种尿病.

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