【镜·界】中国之声 NO.4 | 夏恩兰教授：宫腔镜手培训课程的意义

Q】How important are courses and training “hands on” in hysteroscopy? 

A】Learning hysteroscopy is completely different with laparoscopy. 1) Hysteroscopy surgery is completely different from the traditional laparotomy, vaginal operation  or laparoscopic surgery. 2) As long as there is the basis of the laparotomy, understand the usage of laparoscopic equipment and instrument, watching video of simple laparoscopic surgery, operator can be performing the same surgery independently. But studying hysteroscopy cannot, because of the operator can’t understand the parameters of the video such as light wattage, depth of field (DOF), fluid pressure and velocity, electrical current intensity and the electric cutting model. 3) Complication is different. Complications of laparoscopy are similar with laparotomy and complications of hysteroscopy are similar with transurethral resection of prostate, such as TURP Syndrome, venous air embolism.  Therefore, learning hysteroscopy must go through professional training. “hands on”is the best way to learn. Since 1992, my Center had held 66 classes of Hysteroscopic "hand-on" Training Workshops to practice hysteroscopic skill on the model. In 2000 the Centre was honored named International Hysteroscopic Training Center of Asia by International Training School Netherlands, more than 3000 Doctors were training in total. In China most Hystroscopist were cultivated from my center.

【译文】

问：在宫腔镜手术中，课程和培训有何重要性？

答：宫、腹腔镜的学习是完全不同的。1)宫腔镜手术与传统剖腹手术，阴式手术或腹腔镜手术是完全不相同手术。2)只要有剖腹手术的基础，了解腹腔镜设备和仪器的使用，看简单的腹腔镜手术的视频,，医生就可以独立进行相同的腹腔镜手术。但是这样学习宫腔镜就不行了。因为在画面上看不到视频判断不了光源的瓦数、景深、膨宫压力和流速、电切模式和功率。3)并发症不同，腹腔镜手术的并发症与开腹手术相似，宫腔镜的并发症与经尿道前列腺电切术相似，如TURP综合征、静脉空气栓塞等。因此，学习宫腔镜检查必须经过专业培训。“手把手”教学是最好的培训方式。自1992年以来，我中心举办了66期宫腔镜“手把手”培训班，在模型上练习宫腔镜技术。2000年，我们中心荣幸地被荷兰国际宫腔镜培训学校任命为国际宫腔镜培训中心亚洲分中心。培训医生3000余名。在中国大多数宫腔镜医生是从我中心培养出来的。

△手把手教学

△亚洲宫腔镜培训中心签约仪式