中国全科医学2011，Vol.14Issue(33)：3820-3822,3.
腹腔镜阑尾切除术难易程度评分系统应用于腹腔镜技术培训的可行性研究
Feasibility Study of Scoring System for Predicting the Difficulty Level of Laparoscopic Appendectomy in Laparoscopic Technique Training
摘要
Abstract
Objective To explore the feasibility of scoring system for predicting the difficulty level of laparoscopic appendectomy in laparoscopic technique training. Methods Clinical data of 1 276 cases ( Group A ) underwent LA in our hospital from July 2001 to August 2009 were analyzed retrospectively and a scoring system for predicting the difficulty of LA was established. Meanwhile 250 cases ( Group B ) underwent LA in our hospital from September 2009 to December 2010 were studied. All patients in group B were scored preoperatively, Patients with scores below 5. 0 were operated only by surgeons who had performed LA for 20 times or less previously. Surgeons who had performed LA for at least 21 times only treated patients with scores above 5. 0. Conversion rates, complication rates and operation durations were compared between the two groups. Results Conversion rate among inexperienced surgeons was remarkably lower in group B compared with group A ( P < 0. 05 ) . Operation durations a-mong inexperienced surgeons were remarkably shorter in group B compared with group A ( P <0. 01 ) . Operation durations of patients with scores above 5. 0 were remarkably shorter in group B than in group A ( P <0. 01 ) . Conclusion The scoring system for the prediction of laparoscopic appendectomy difficulty is simple and applicable. Training surgeons with lower scored patients might decrease conversion rates, complication rates and reduce operation time. The scoring system applied for laparoscopic technique training is feasible.关键词
腹腔镜检查/阑尾切除术/在职培训Key words
Laparoscopy/ Appendectomy/ Inservice training分类
医药卫生引用本文复制引用
于爱军,张学军,赵鲁文,刘金龙,李巍,程利民..腹腔镜阑尾切除术难易程度评分系统应用于腹腔镜技术培训的可行性研究[J].中国全科医学,2011,14(33):3820-3822,3.基金项目
河北省承德市科学技术研究与发展指导计划项目(200922100) （200922100）
