髋关节镜手术入路建立的学习曲线分析
作者:
作者单位:

作者简介:

李海鹏,副主任医师,研究方向:运动医学,(电话)13811635940,(电子信箱)doctorlhp@163.com

通讯作者:

中图分类号:

R687.4

基金项目:

基础加强计划重点基础研究项目(编号:2020- JCJQ- ZD- 264- 1- 8);国家重点研发计划科技冬奥专项基金项目(编号:2018YFF0301100)


Learning curve analysis of portal establishment in hip arthroscopy
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    [目的]探讨髋关节镜手术入路的建立,总结学习曲线与经验,为初学者提供参考。[方法]2016 年 5 月—2019 年 2 月, 作者开展髋关节镜手术 50 例,采用前外侧入路(anterolateral approach, AL)和中前辅助入路(mid-anterolateral portal, MA)。[结果] 随手术病例的积累,20 例以后建立 AL 手术入路的时间显著下降 (P<0.05);学习曲线趋于平稳,差异无统计学意义 (P> 0.05)。MA 入口建立所需时间也显著下降(P<0.05);学习曲线在 35 例以后才趋于平稳(P>0.05)。[结论]手术入路的建立是髋关节镜学习的重要环节,前外侧入路的建立相对容易,中前辅助入路是髋关节镜手术入路的难点,需要>35 例手术方可完成学习曲线。

    Abstract:

    [Objective] To retrospectively analyze the author's initial cases of hip arthroscopy, and summarize the learning curve expe- rience for portal establishment, so as to provide a reference for the beginners. [Methods] From May 2016 to February 2019, 50 patients had hip arthroscopy performed consecutively, and the time consumed for establishment of anterolateral approach (AL) and mid- anterolateral portal (MA) were recorded. [Results] With the accumulation of cases, the time required for AL establishment decreased significantly (P< 0.05) , which in term of the learning curve tended to be stable after 20 initial cases, and became not statistically significant (P>0.05) . In ad- dition, the elapsed time for MA establishment decreased significantly as case number accumulation (P<0.05), however, the learning curve leveled off after the 35th case (P>0.05) . [Conclusion] The establishment of portals is one of the key points of hip arthroscopy learning, and the establishment of anterolateral portal is relatively easy, while the mid-anterolateral portal is difficulty, requiring 35 cases to complete the learning curve.

    参考文献
    相似文献
    引证文献
引用本文

李海鹏,辛培源,石丽军,等. 髋关节镜手术入路建立的学习曲线分析[J]. 中国矫形外科杂志, 2022, 30 (5): 464-466. DOI:10.3977/j. issn.1005-8478.2022.05.18.
LI Hai-peng, XIN Pei-yuan, SHI Li-jun, et al. Learning curve analysis of portal establishment in hip arthroscopy[J]. ORTHOPEDIC JOURNAL OF CHINA , 2022, 30 (5): 464-466. DOI:10.3977/j. issn.1005-8478.2022.05.18.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-11-01
  • 最后修改日期:2021-12-07
  • 录用日期:
  • 在线发布日期: 2023-06-10
  • 出版日期: