虚拟现实技术在骨科住院医师规范化培训中的应用

doi:10.3760/cma.j.cn115259-20191216-01087

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (7): 557-560.DOI: 10.3760/cma.j.cn115259-20191216-01087

• 住院医师与专科医师培训 • 上一篇下一篇

虚拟现实技术在骨科住院医师规范化培训中的应用

王忠照¹, 孙璟川², 王元², 孙凯强², 朱健², 郭永飞², 史建刚², 徐锡明²

¹海军军医大学2016级五年制海军临床医学专业,上海 200433;
²海军军医大学第二附属长征医院骨科,上海 200003

收稿日期:2019-12-16 出版日期:2020-07-01 发布日期:2020-12-08
通讯作者: 徐锡明,Email:ming_89@126.com,电话:021-81885631
基金资助:
国家自然科学基金(81871828,81702141);海军军医大学大学生创新孵化基金(FH2019252)

Application of virtual reality technology in standardized training of orthopedic resident

Wang Zhongzhao¹, Sun Jingchuan², Wang Yuan², Sun Kaiqiang², Zhu Jian², Guo Yongfei², Shi Jian'gang², Xu Ximing²

¹Undergraduate, Naval Clinical Medicine Major, Five-year Program, Enrolled in 2016, Naval Medical University, Shanghai 200433, China;
²Department of Orthopedics, Changzheng Hospital, Second Affiliated Hospital of Naval Medical University, Shanghai 200003, China

Received:2019-12-16 Online:2020-07-01 Published:2020-12-08
Contact: Xu Ximing, Email: ming_89@126.com, Tel: 0086-21-81885631
Supported by:
National Natural Science Foundation of China (81871828, 81702141); Medical Student Innovation Project of Navy Military Medical University(FH2019252)

摘要/Abstract

摘要： 虚拟现实技术是以沉浸性、交互性为特点的、允许用户探索和操作计算机模拟的三维环境的新兴技术,近年来在骨科住院医师规范化培训中的应用已经相当广泛,涵盖了骨科教学从手术模拟、关节镜模拟、手术入路设计等各个方面。而其衍生技术主要包括了增强现实技术与混合现实技术,同样在骨科住院医师规范化培训的应用中显示出巨大的前景。本文主要针对虚拟现实技术、增强现实技术和混合现实技术在骨科住院医师规范化培训中的应用进行了总结和思考。

关键词: 虚拟现实, 骨科, 住院医师规范化培训, 增强现实, 混合现实

Abstract: Virtual reality is a rapidly developing technology characterized by immersive interaction that allows users to explore and manipulate computer-simulated three-dimensional environments. Its application in standardized training of orthopedist has been quite extensive, covering surgical simulation, arthroscopic simulation, surgical approach design and so on. Nowadays, its derivative technologies mainly included augmented reality and mixed reality technologies, which showed great prospects in the application of standardized training of orthopedist. This paper briefly summarized the application of virtual reality augmented reality and mixed reality in standardized training of orthopedist.

Key words: Virtual reality, Orthopedic, Standardized training for residents, Augmented reality, Mixed reality

中图分类号:

R0
R-05

王忠照, 孙璟川, 王元, 孙凯强, 朱健, 郭永飞, 史建刚, 徐锡明. 虚拟现实技术在骨科住院医师规范化培训中的应用[J]. 中华医学教育杂志, 2020, 40(7): 557-560.

Wang Zhongzhao, Sun Jingchuan, Wang Yuan, Sun Kaiqiang, Zhu Jian, Guo Yongfei, Shi Jian'gang, Xu Ximing. Application of virtual reality technology in standardized training of orthopedic resident[J]. Chinese Journal of Medical Education, 2020, 40(7): 557-560.

参考文献

[1] 李秋燕, 肖龙华, 刘华林, 等. 对当前住院医师规范化培训的问题分析与思考[J]. 中国卫生事业管理, 2016(5):374-376.
[2] Zheng G, Nolte LP. Computer-assisted orthopedic surgery: current state and future perspective[J]. Front Surg, 2015, 2:66. DOI:10.3389/fsurg.2015.00066.
[3] 任鹏鹏,张启栋,王卫国.虚拟现实技术在骨科领域的研究进展[J].中国矫形外科杂志,2018,26(21):1980-1983.
[4] Akhtar K, Sugand K, Sperrin M, et al. Training safer orthopedic surgeons construct validation of a virtual-reality simulator for hip fracture surgery[J]. Acta Orthopaedica, 2015, 86(5):616-621.DOI:10.3109/17453674.2015.1041083.
[5] Rahm S, Wieser K, Wicki I, et al. Performance of medical students on a virtual reality simulator for knee arthroscopy: an analysis of learning curves and predictors of performance[J]. BMC Surg, 2016,16:14.DOI: 10.1186/s12893-016-0129-2.
[6] Yoo JS, Patel DS, Hrynewycz NM, et al. The utility of virtual reality and augmented reality in spine surgery[J]. Ann Transl Med,2019,7(Suppl 5):S171. DOI: 10.21037/atm.2019.06.38.
[7] Condino S, Turini G, Parchi PD, et al. How to build a patient-specific hybrid simulator for orthopaedic open surgery: benefits and limits of mixed-reality using the Microsoft HoloLens[J].J Healthc Eng, 2018,2018:5435097. DOI:10.1155/2018/5435097.
[8] 蔡苏, 王沛文, 杨阳, 等. 增强现实(AR)技术的教育应用综述[J]. 远程教育杂志, 2016, 34(5):27-40.
[9] Chytas D, Malahias MA, Nikolaou VS. Augmented reality in orthopedics: current state and future directions [J]. Front Surgery,2019,6:38. DOI: 10.3389/fsurg.2019.00038.
[10] Van Duren BH, Sugand K, Wescott R, et al. Augmented reality fluoroscopy simulation of the guide-wire insertion in DHS surgery: a proof of concept study[J]. Med Eng Phys, 2018, 55:52-59. DOI: 10.1016/j.medengphy.2018.02.007.
[11] Logishetty K, Western L, Morgan R, et al. Can an augmented reality headset improve accuracy of acetabular cup orientation in simulated THA? a randomized trial[J]. Clin Orthop Relat Res, 2018,477(5):1190-1199. DOI: 10.1097/CORR.0000000000000542.
[12] Elmi-Terander A, Nachabe R, Skulason H, et al. Feasibility and accuracy of thoracolumbar minimally invasive pedicle screw placement with augmented reality navigation technology[J]. Spine, 2017, 43(14):1018-1023. DOI: 10.1097/BRS.0000000000002502.
[13] Kosterhon M, Gutenberg A, Kantelhardt SR, et al. Navigation and image injection for control of bone removal and osteotomy planes in spine surgery[J]. Oper Neurosurg, 2017, 13(2):297-304.DOI: 10.1093/ons/opw017.
[14] Chytas D, Malahias MA, Nikolaou VS. Augmented reality in orthopedics: current state and future directions[J].Front Surg, 2019, 6:38. DOI: 10.3389/fsurg.2019.00038.
[15] 叶哲伟,吴星火.混合现实技术在骨科的最新应用进展[J].临床外科杂志,2018,26(1):13-14. DOI:10.3969/j.issn.1005-6483.2018.01.004.
[16] Verhey, JT, Haglin, JM, Verhey, EM, et al.Virtual, augmented, and mixed reality applications in orthopedic surgery[J]. Int J Med Robot, 2020,6(2):e2067. DOI: 10.1002/rcs.2067.
[17] 马小军,林艳萍,黄亚磊, 等.混合现实技术对脊柱经皮后突成形术的探索与应用[J].上海交通大学学报(医学版),2019,39(6):636-641. DOI:10.3969/j.issn.1674-8115.2019.06.012.
[18] Wu X,Liu R, Yu J, et al. Mixed reality technology launches in orthopedic surgery for comprehensive preoperative management of complicated cervical fractures[J].Surg Innov, 2018, 25(4):421-422.DOI: 10.1177/1553350618761758.
[19] Stefan P, Habert S, Winkler A, et al. A radiation-free mixed-reality training environment and assessment concept for C-arm-based surgery[J].Int J Comput Assist Radiol Surg, 2018, 13(9):1335-1344. DOI: 10.1007/s11548-018-1807-6.
[20] Condino S, Turini G, Parchi PD, et al. How to build a patient-specific hybrid simulator for orthopaedic open surgery: benefits and limits of mixed-reality using the Microsoft HoloLens[J].J Healthc Eng, 2018,2018:5435097. DOI: 10.1155/2018/5435097.
[21] Singh P, Madanipour S, Fontalis A, et al. A systematic review and meta-analysis of trainee- versus consultant surgeon-performed elective total hip arthroplasty[J]. EFORT Open Rev, 2019,4(2):44-55. DOI: 10.1302/2058-5241.4.180034.
[22] Kononowicz AA, Woodham LA, Edelbring S, et al. Virtual patient simulations in health professions education: systematic review and meta-analysis by the digital health education collaboration[J]. J Med Internet Res,2019, 21(7): e14676. DOI:10.2196/14676.

虚拟现实技术在骨科住院医师规范化培训中的应用

Application of virtual reality technology in standardized training of orthopedic resident

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	侯国进, 周方, 田耘, 周非非, 田华. 经典教材晨读汇报对骨科住院医师规范化培训的影响[J]. 中华医学教育杂志, 2020, 40(7): 561-564.
[2]	余姣, 刘亚允, 尹伟, 范文翰, 薛建亚, 梁雪松. “互联网+”时代任务导向式翻转课堂在住院医师规范化培训中的应用[J]. 中华医学教育杂志, 2020, 40(6): 458-462.
[3]	刘婧, 曾庆奇, 高杰, 朱凤雪, 王思源, 郭鹏, 高鹏骥, 赵彦, 李清, 王建六. 外科住院医师手术技能培训的探索与实践[J]. 中华医学教育杂志, 2020, 40(6): 463-466.
[4]	朱锋, 吴丽, 杨洁, 谢思静, 孙卫斌, 聂蓉蓉. 客观结构化临床考试在口腔住院医师规范化培训阶段考核中的实施与评价[J]. 中华医学教育杂志, 2020, 40(6): 467-470.
[5]	王敏, 宋鑫, 柯松, 徐源. 3D打印技术辅助教学方式提高骨科学教育目标层次的效果[J]. 中华医学教育杂志, 2020, 40(5): 358-361.
[6]	杨森, 赵华新, 石建伟, 葛许华, 陈晨, 牛晓敏, 张含之, 于德华. 上海市全科专业住院医师规范化培训学员对培训效果的评价[J]. 中华医学教育杂志, 2020, 40(5): 382-386.
[7]	阮侠, 裴丽坚, 李旭, 张砡, 于春华, 易杰, 黄宇光. 多样化评价体系在麻醉学住院医师规范化培训中的应用[J]. 中华医学教育杂志, 2020, 40(4): 301-305.
[8]	丁晶, 刘京, 肖一涵, 曾超美. 虚拟现实腰椎穿刺培训系统在八年制医学生儿科技能培训中的应用[J]. 中华医学教育杂志, 2020, 40(11): 913-916.
[9]	陈丽芬, 王亚军, 李越, 王樵砚, 雷丽萍, 罗林枝, 王培忠, 王颖, 芦宁. 专业学位硕士研究生和住院医师并轨培养模式下工作学习状态调查研究[J]. 中华医学教育杂志, 2020, 40(11): 931-935.
[10]	柳叶, 董漪, 陈嬿, 董强. 中澳神经内科专科医师培训比较及启示[J]. 中华医学教育杂志, 2020, 40(11): 936-939.
[11]	陈韬, 黄馨, 何晓川, 苏子杨, 袁健瑜, 胡雯珺. 计算机三维可视化技术在医学教育中的应用价值[J]. 中华医学教育杂志, 2020, 40(10): 788-791.
[12]	马姣姣, 李颖, 陈洁, 孙脉, 王琳萍, 刘晓清, 卢清君, 张波. 基于NTCHC的教学模式在住院医师科研能力培训中的应用[J]. 中华医学教育杂志, 2020, 40(10): 808-811.
[13]	王娜, 熊秦, 宋清坤, 常岩芹, 关雷. 北京某医院住院医师规范化培训学员的满意度调查[J]. 中华医学教育杂志, 2020, 40(10): 812-816.
[14]	谷立杰, 王玲, 朱楠, 戎殳, 张维莉, 杨满, 周栩, 袁伟杰. 医患沟通技能培训在肾内科住院医师规范化培训中的应用[J]. 中华医学教育杂志, 2020, 40(10): 817-820.
[15]	曾庆奇, 刘婧, 高杰, 陈哲, 赵彦, 王建六. 妇产科住院医师在其规范化培训期间临床实践参与情况的调查[J]. 中华医学教育杂志, 2020, 40(10): 821-824.