关于子粘膜道内镜切除术的学习曲线的全面评估
Jiawei Wang1, Zhen Xu2, Cenyi Qi1
1Department of Gastroenterology, The First Affiliated Hospital of Ningbo University, Haishu District, No. 59, Liuting Street, Ningbo, 315020, China.
Surgical endoscopy
|January 6, 2026
概括
学习粘膜下道内切除术 (STER) 需要大约20例未经验的内镜师才能达到熟练程度. 这项分析显示,在此学习期后,手术速度和切除的病变直径显著改善.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 外科教育的外科教育
背景情况:
- 粘膜下道内切除 (STER) 是一种先进的内切除技术,用于治疗粘膜下瘤 (SMT).
- 了解学习曲线对于安全有效地采用新的内镜手术至关重要.
研究的目的:
- 分析没有先前经验的内镜医生下粘膜道内切除 (STER) 的学习曲线.
- 确定需要达到STER.熟练程度的病例数.
主要方法:
- 对接受STER.患者的2018-2024年临床数据的回顾性分析.
- 三名没有先前STER经验的内镜医生进行了手术.
- 累积和 (CUSUM) 曲线分析了不同阶段的手术速度,病变直径,切除率和并发症.
主要成果:
- 通过CUSUM分析定义的学习曲线表明,熟练程度约在16-19个案例中达到.
- 与第一阶段 (P < 0.001) 相比,在第二阶段 (后熟练) 的程序速度显著增加 (P < 0.001).
- 在第二阶段的两个内镜医生中,切除的病变直径也显著增加 (P < 0.05),并没有增加并发症.
结论:
- 对于内镜师来说,需要大约20个病例才能获得STER的基本熟练程度.
- STER展示了一个可行的学习曲线,随着时间的推移,效率和技术的显著改善.
- 在整个学习过程中保持了高的块状和完全切除率.
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