探究三阶段培养模式在泌尿外科腔镜医师培养中的效果。

以40名参加泌尿外科腔镜培训班的泌尿外科医师作为研究对象，采用前后自身对照的设计方式。比较基础理论学习+模拟训练+临床实践的三阶段培养模式培训前后学员在腔镜下夹豆、剪纸、调针和缝合打结等基础操作技能和腔镜下猪肾切除术的合格率，以及完成手术自信心的差异。

培训后，学员在腔镜下夹豆、剪纸、调针和缝合打结等基本操作和腔镜下猪肾切除手术合格率均较培训前有明显提高（90.0% vs 55.0%，85.0% vs 57.5%，82.5% vs 42.5%，82.5% vs 35.0%，75.0% vs 22.5%），差异均有统计学意义（P<0.05）。培训后学员完成手术自信心评分较培训前明显提升[（4.2±0.9） vs （2.2±0.9），P<0.001]。

基础理论学习+模拟训练+临床实践的三阶段培养模式在泌尿外科腔镜医师培养中具有较大的应用价值，是一种值得被推广的教学模式。

To explore the effect of three-stage training mode on the training of urological endoscopic surgeons.

Forty surgeons who participated in the urological laparoscopic training course were selected as the research participants, and a before-after self-control design was used. The pass rates in basic operation skills, such as picking beans, paper cutting, threading needles, stitching and tying and laparoscopic porcine nephrectomy, as well as the confidence of completing the operation were compared before and after the training of the three-stage training model, which includes basic theory learning, simulation training and clinical practice.

After training, participants had obviously improved in the basic laparoscopic operation skills (picking beans, paper cutting, threading needles, stitching and tying) and laparoscopic porcine nephrectomy (90.0% vs 55.0%, 85.0% vs 57.5%, 82.5% vs 42.5%, 82.5% vs 35.0%, 75.0% vs 22.5%, respectively, P<0.05). After the training, the confidence score of completing the operation was significantly higher than that before the training [(4.2±0.9) vs (2.2±0.9), P<0.001].

The three-stage training model has great application value in the training of urological endoscopic surgeon, which is worthy of wider implementation.