NeuroTouch虚拟现实系统在神经外科青年医师培训中的应用

doi:10.3760/cma.j.issn.1673-677X.2018.03.011

中华医学教育杂志 ›› 2018, Vol. 38 ›› Issue (3): 364-367.DOI: 10.3760/cma.j.issn.1673-677X.2018.03.011

NeuroTouch虚拟现实系统在神经外科青年医师培训中的应用

葛培聪, 刘畅, 王亮, 王昊, 陈晓霖, 王硕, 曹勇, 张东, 王嵘, 张岩, 赵继宗, 赵元立, 叶迅

100050 首都医科大学附属北京天坛医院神经外科

收稿日期:2017-08-10 出版日期:2018-06-01 发布日期:2020-12-08
通讯作者: 叶迅,Email:yexun79@hotmail.com

NeuroTouch in the training of junior neurosurgeons

Ge Peicong, Liu Chang, Wang Liang, Wang Hao, Chen Xiaolin, Wang Shuo, Cao Yong, Zhang Dong, Wang Rong, Zhang Yan, Zhao Jizong, Zhao Yuanli, Ye Xun

Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing 100050, China

Received:2017-08-10 Online:2018-06-01 Published:2020-12-08
Contact: Ye Xun, Email: yexun79@hotmail.com

摘要/Abstract

摘要： 目的探讨NeuroTouch虚拟现实系统(手术模拟器)在神经外科青年医师培训中的应用效果。方法选择北京天坛医院8名右利手男性神经外科住院医师和16名右利手男性神经外科研究生为研究对象,其中博士研究生8名,硕士研究生8名。各自在NeuroTouch上行模拟肿瘤切除术,并记录术后显示的肿瘤切除率、正常脑组织切除量、总共用的力量、所用的最大的力、超声刀移动的总长度、踩踏板的次数。16名研究生行模拟肿瘤切除术训练7次后,再次在NeuroTouch上行模拟肿瘤切除术,并记录以上指标数据。采用SPSS 23.0软件进行记录数据的方差分析与配对t检验。结果住院医师与研究生相比,肿瘤切除率较高,正常脑组织切除量少,总共用的力小,所用的最大力小,超声刀移动的距离小,踩踏板的次数少。神经外科研究生使用虚拟现实系统训练后,手术技巧明显提升。结论 NeuroTouch能反映术者经验的多少,有助于提升青年医师的手术技巧。

关键词: Neuro Touch, 神经外科医师, 术者经验, 临床能力

Abstract: Objective To explore the effect of NeuroTouch using in the training of junior neurosurgeons.Methods Eight right-handed male neurosurgery residents and 16 male right-handed neurosurgery students were selected, in which 8 are master candidates and 8 are doctor candidates. Then each of the residents completed simulated Glioblastoma multiform resections using the NeuroTouch platform. The resectability of tumor, volume of healthy brain removed, sum of forces utilized, maximum force applied during tumor resection, instrument total tip path lengths and frequency of pedal activation, were observed. Other 16 neurosurgery novices performed the resection of 7 simulated brain tumor before using the NeuroTouch platform, recording all data above mentioned. A completely randomized analysis of variance and paired-samples t test were processed using SPSS 23.0.Results Compared with postgraduates, neurosurgery residents had higher resectability, resected less surrounding simulated normal brain tissue, less sum of forces utilized and maximum force applied, shorter ultrasonic aspirator total tip path lengths and activated the simulated ultrasonic pedal less frequently(P<0.05). Junior neurosurgeons could significantly improve the operation skill after training(P<0.05).Conclusions NeuroTouch can reflect the experience of operators and improve the operation skill of junior neurosurgeons.

Key words: NeuroTouch, Neurosurgeons, Operation skill, Clinical competence

葛培聪, 刘畅, 王亮, 王昊, 陈晓霖, 王硕, 曹勇, 张东, 王嵘, 张岩, 赵继宗, 赵元立, 叶迅. NeuroTouch虚拟现实系统在神经外科青年医师培训中的应用[J]. 中华医学教育杂志, 2018, 38(3): 364-367.

Ge Peicong, Liu Chang, Wang Liang, Wang Hao, Chen Xiaolin, Wang Shuo, Cao Yong, Zhang Dong, Wang Rong, Zhang Yan, Zhao Jizong, Zhao Yuanli, Ye Xun. NeuroTouch in the training of junior neurosurgeons[J]. Chinese Journal of Medical Education, 2018, 38(3): 364-367.

参考文献

[1] Choudhury N, Gélinas-Phaneuf N, Delorme S, et al.Fundamentals of neurosurgery: virtual reality tasks for training and evaluation of technical skills[J]. World Neurosurg, 2013,80(5):e9-e19. DOI: 10.1016/j.wneu.2012.08.022.
[2] Alotaibi FE, AlZhrani GA, Sabbagh AJ, et al.Neurosurgical assessment of metrics including judgment and dexterity using the virtual reality simulator NeuroTouch (NAJD Metrics)[J]. Surg Innov, 2015,22(6):636-642. DOI: 10.1177/1553350615579729.
[3] Alotaibi FE, AlZhrani GA, Mullah MA, et al.Assessing bimanual performance in brain tumor resection with NeuroTouch, a virtual reality simulator[J]. Neurosurgery, 2015,11 Suppl 2:89-98, discussion 98. DOI: 10.1227/NEU.0000000000000631.
[4] Gélinas-Phaneuf N, Choudhury N, Al-Habib AR, et al.Assessing performance in brain tumor resection using a novel virtual reality simulator[J]. Int J Comput Assist Radiol Surg, 2014,9(1):1-9. DOI:10.1007/s11548-013-0905-8.
[5] AlZhrani G, Alotaibi F, Azarnoush H, et al.Proficiency performance benchmarks for removal of simulated brain tumors using a virtual reality simulator NeuroTouch[J]. J Surg Educ, 2015,72(4):685-696. DOI: 10.1016/j.jsurg.2014.12.014.
[6] Rosseau G, Bailes J, del MR, et al.The development of a virtual simulator for training neurosurgeons to perform and perfect endoscopic endonasal transsphenoidal surgery[J]. Neurosurgery, 2013,73 Suppl 1:85-93. DOI: 10.1227/NEU.0000000000000112.
[7] Holloway T, Lorsch ZS, Chary MA, et al.Operator experience determines performance in a simulated computer-based brain tumor resection task[J]. Int J Comput Assist Radiol Surg, 2015,10(11):1853-1862. DOI: 10.1007/s11548-015-1160-y.
[8] Brunner WC, Korndorffer JR, Sierra R, et al.Determining standards for laparoscopic proficiency using virtual reality[J]. Am Surg, 2005,71(1):29-35.

NeuroTouch虚拟现实系统在神经外科青年医师培训中的应用

NeuroTouch in the training of junior neurosurgeons

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