经会阴前列腺穿刺活组织检查的阶梯式培训模式

doi:10.16352/j.issn.1001-6325.2022.07.1160

基础医学与临床 ›› 2022, Vol. 42 ›› Issue (7): 1160-1163.doi: 10.16352/j.issn.1001-6325.2022.07.1160

经会阴前列腺穿刺活组织检查的阶梯式培训模式

周智恩, 梁震, 严维刚^*, 周毅, 左宇志, 石冰冰

中国医学科学院北京协和医学院北京协和医院泌尿外科, 北京 100730

收稿日期:2022-03-04 修回日期:2022-05-06 出版日期:2022-07-05 发布日期:2022-06-29
通讯作者: * pumchywg@sina.com

Stepped teaching model in the training of transperineal prostate biopsy

ZHOU Zhi-en, LIANG Zhen, YAN Wei-gang^*, ZHOU Yi, ZUO Yu-zhi, SHI Bing-bing

Department of Urology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China

Received:2022-03-04 Revised:2022-05-06 Online:2022-07-05 Published:2022-06-29
Contact: * pumchywg@sina.com

摘要/Abstract

摘要： 目的评价阶梯式培训模式下经直肠超声引导经会阴前列腺穿刺活组织检查(活检术)(PB)的教学成效。方法选取在北京协和医院泌尿外科接受培训的40名医师学员随机分为实验组和对照组,每组20名。实验组采取阶梯式培训模式;对照组采取传统培训模式。两组均参加经直肠超声引导下经会阴PB培训。1周后,对两组学员分别进行操作测试和教学满意度调查。结果实验组18名学员能独立地完成经会阴PB,而对照组只有12名。实验组的操作时间明显低于对照组(P＜0.01)。问卷调查显示实验组学员各项教学满意度均显著高于对照组(P＜0.01)。结论经直肠超声引导下经会阴PB阶梯式培训模式成效良好,值得推广应用。

关键词: 阶梯式培训模式, 经直肠超声, 前列腺活组织检查

Abstract: Objective To evaluate the teaching effect of stepped training model in transrectal ultrasound-guided transperineal prostate biopsy(PB). Methods Forty doctor trainees in the department of urology of Peking Union Medical College Hospital were randomly divided into two groups: experimental group and control group, with 20 trainees in each group. The experimental group received the stepped teaching model; The control group received the traditional training model. Both groups participated in the training of transperineal PB guided by transrectal ultrasound. One week later, all the members were tested for manipulation and surveyed by the teaching satisfaction questionnaires. Results Eighteen trainees in the experimental group could successfully perform transperineal PB independently, while only twelve trainees in the control group could operate independently, and the completion time of the experimental group was less than that of the control group(P＜0.01). The questionnaire survey showed that the teaching satisfaction score of trainees in the experimental group was higher than that in the control group(P＜0.01). Conclusions The stepped teaching model of transperineal PB guided by transrectal ultrasound is effective in clinical training.

Key words: stepped teaching model, transrectal ultrasound, prostate biopsy

中图分类号:

R697.3

周智恩, 梁震, 严维刚, 周毅, 左宇志, 石冰冰. 经会阴前列腺穿刺活组织检查的阶梯式培训模式[J]. 基础医学与临床, 2022, 42(7): 1160-1163.

ZHOU Zhi-en, LIANG Zhen, YAN Wei-gang, ZHOU Yi, ZUO Yu-zhi, SHI Bing-bing. Stepped teaching model in the training of transperineal prostate biopsy[J]. Basic & Clinical Medicine, 2022, 42(7): 1160-1163.

参考文献 13

[1]	Siegel RL, Miller KD, Jemal A. Cancer statistics 2020[J]. CA Cancer J Clin, 2020, 70: 7-30.
[2]	Liu X,Yu C,Bi Y,et al. Trends and age-period-cohort effect on incidence and mortality of prostate cancer from 1990 to 2017 in China[J]. Public Health, 2019, 172:70-80.
[3]	Xiang J, Yan H, Li J, et al. Transperineal versus transrectal prostate biopsy in the diagnosis of prostate cancer: a systematic review and meta-analysis[J]. World J Surg Oncol, 2019, 17: 31(page1-11).
[4]	Nam RK, Saskin R, Lee Y, et al. Increasing hospital admission rates for urological complications after transrectal ultrasound guided prostate biopsy[J]. J Urol, 2013, 189: S12-S17.
[5]	Mai Z, Yan W, Zhou Y, et al. Transperineal template-guided prostate biopsy: 10 years of experience[J]. BJU Int, 2016, 117:424-429.
[6]	Mottet N, Cornford P, van den Bergh RCN, et al. EAU guidelines on prostate cancer(2022).part4: CLASSIFICATION AND STAGING SYSTEMS[EB/OL]. (2022-3-1) [2022-4-1].https://uroweb.org/guideline/prostate-cancer/#4.
[7]	Chen R, Ren S, Chinese prostate cancer consortium, et al. Prostate cancer in Asia: a collaborative report[J]. Asian J Urol, 2014, 1: 15-29.
[8]	Applewhite JC, Matlaga BR, McCullough DL, et al. Transrectal ultrasound and biopsy in the early diagnosis of prostate cancer[J]. Cancer Control, 2001,8:141-150.
[9]	Richards JC, Rodgers TS. Approaches and methods in language teaching[M]. Cambridge: Cambridge University Press,2000:90-95.
[10]	齐岩,张名霞,刘俊其,等.阶梯式教学模式在耳鼻喉科专科医师鼻内镜培训中的应用[J].中国病案,2021,22:80-82.
[11]	陈倩倩,黄启阳,李明阳,等.阶梯式培训模式在消化内科规培生教学中的应用研究[J].中华胃肠内镜电子杂志,2021,8:115-118.
[12]	阮敏,刘剑楠,季彤,等.上海第九人民医院口腔颌面外科“四段阶梯式”显微技能培训的课程组织与教学实践[J].中华整形外科杂志,2021,37:234-238.
[13]	张晖辉,曹友汉,许韩峰,等.阶梯式教学法在泌尿外科住院医师培养中的应用[J]. 医学理论与实践,2017,30:2334-2336.

经会阴前列腺穿刺活组织检查的阶梯式培训模式

Stepped teaching model in the training of transperineal prostate biopsy

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 13

相关文章 0

编辑推荐

Metrics

本文评价