CT仿真虚拟内镜在肺部疾病教学中的应用

doi:10.3760/cma.j.issn.1673-677X.2017.05.017

摘要/Abstract

摘要： 目的探讨CT仿真虚拟内镜技术在肺部疾病教学应用中的意义及可行性。方法将2015年1月至2016年12月期间在首都医科大学宣武医院胸外科工作的40名住院医师随机分为实验组和对照组,每组各20名医师。实验组采用常规肺部疾病教学讲解并结合CT仿真虚拟内镜影像教学的方法,对照组仅提供常规肺部疾病教学讲解。两组进行统一的肺部疾病部位及病变性质的出科考核和出科问卷调查。结果实验组医师肺部疾病部位及病变性质的考核成绩优于对照组。问卷调查结果显示,实验组医师在学习兴趣、理论联系实际能力、临床思维能力等方面优于对照组。结论 CT仿真虚拟内镜为胸外科教学提供了准确全面的影像学信息,开拓了医师的临床思维能力,在提高医师诊断水平及提高学习兴趣等方面具有较高的应用价值。

关键词: 仿真虚拟内镜, 肺部疾病, 教学方法

Abstract: Objective To discuss and illustrate the meaning and feasibility of CT virtual endoscope technique on Clinical Teaching of lung diseases.Methods Forty residencies who were in the Department of Thoracic Surgery of Xuanwu Hospital from Jan 2015 to Dec 2016 were randomly divided into 2 groups. The experimental group used conventional teaching methods on lung diseases and combined CT virtual endoscope technique. While the contrast group was only provided conventional teaching methods. Both groups had the test completion course and the feedback of the completion course questionnaire about the location and the characteristic of the lesions.Results The experimental group presented apparent advantage in the result of the tests with statistical differences. Meanwhile, the questionnaire presented that the result of the experimental group was much higher than the contrast group in learning interests, theory with practical ability, clinical thinking ability and other aspects.Conclusions CT virtual endoscope provides the accurate and comprehensive images information in the teaching of the department of thoracic surgery, enlarges the clinical thinking ability of the medical students. It has great application value in improving diagnostic capacity, learning interests, and other aspects of medical students.

Key words: Virtual endoscope, Lung diseases, Teaching methods

刘磊, 支修益, 张毅, 王若天. CT仿真虚拟内镜在肺部疾病教学中的应用[J]. 中华医学教育杂志, 2017, 37(5): 713-718.

Liu Lei, Zhi Xiuyi, Zhang Yi, Wang RT. Application of CT virtual endoscope technique on clinical teaching of lung diseases[J]. Chinese Journal of Medical Education, 2017, 37(5): 713-718.

参考文献

[1] Adaletli I, Kurugoglu S, Ulus S, et al. Utilization of low-dose multidetector CT and virtual bronchoscopy in children with suspected foreign body aspiration[J]. Pediatr Radiol, 2007, 37(1): 33-40. DOI: 10.1007/s00247-006-0331-y.
[2] Sun Z, Davidson R, Lin CH. Multi-detector row CT angiography in the assessment of coronary in-stent restenosis: a systematic review[J]. Eur J Radiol, 2009, 69(3): 489-495. DOI: 10.1016/j.ejrad.2007.11.030.
[3] Sun Z, Allen YB, Mwipatayi BP, et al. Multislice CT angiography in the follow-up of fenestrated endovascular grafts: effect of slice thickness on 2D and 3D visualization of the fenestration stents[J]. J Endovasc Ther, 2008, 15(4): 417-426. DOI: 10.1583/08-2432.1.
[4] Bauer TL, Steiner KV. Virtual bronchoscopy: clinical applications and limitations[J]. Surg Oncol Clin N Am, 2007, 16(2): 323-328. DOI: 10.1016/j.soc.2007.03.005.
[5] Walshe P, Hamilton S, McShane D, et al. The potential of virtual laryngoscopy in the assessment of vocal cord lesions[J]. Clin Otolaryngol Allied Sci, 2002, 27(2): 98-100.
[6] Hoppe H, Walder B, Sonnenschein M, et al. Multidetector CT virtual bronchoscopy to grade tracheobronchial stenosis[J]. AJR Am J Roentgenol, 2002, 178(5): 1195-1200. DOI: 10.2214/ajr.178.5.1781195.
[7] Rubin GD, Beaulieu CF, Argiro V, et al. Perspective volume rendering of CT and MR images: applications for endoscopic imaging[J]. Radiology, 1996, 199(2): 321-330. DOI: 10.1148/radiology.199.2.8668772.
[8] Satava RM. Accomplishments and challenges of surgical simulation[J]. Surg Endosc, 2001, 15(3): 232-241. DOI: 10.1007/s004640000369.
[9] Kamel EM, Goerres GW, Burger C, et al. Recurrent laryngeal nerve palsy in patients with lung cancer: detection with PET-CT image fusion--report of six cases[J]. Radiology, 2002, 224(1): 153-156. DOI: 10.1148/radiol.2241011254.
[10] Charron M, Beyer T, Bohnen NN, et al. Image analysis in patients with cancer studied with a combined PET and CT scanner[J]. Clin Nucl Med, 2000, 25(11): 905-910.

[1]	郑梓煜, 叶珈琳, 廖瑾莉. 基于SPOC的翻转课堂教学方法在急诊高级心血管生命支持教学中的应用[J]. 中华医学教育杂志, 2020, 40(8): 594-597.
[2]	张娟, 韩晓媛, 宋晋军. 基于微信平台的混合式教学方法在医学生网络公共选修课程中的应用[J]. 中华医学教育杂志, 2020, 40(4): 279-282.
[3]	章文博, 苏家增, 郭玉兴, 王佃灿, 单小峰, 刘树铭, 黄明伟, 郭传瑸, 彭歆. 网络PBL教学方法在口腔颌面肿瘤教学中的应用评价[J]. 中华医学教育杂志, 2020, 40(11): 905-908.
[4]	张熙洋, 周凌, 兰学立. 讨论式教学方法在检体诊断学异常体征实习教学中的应用[J]. 中华医学教育杂志, 2020, 40(10): 762-765.
[5]	董丹, 侯隽, 王小芳, 陈雪玲. 基于案例学习教学方法在医学微生物学实验教学中的应用[J]. 中华医学教育杂志, 2020, 40(10): 770-773.
[6]	杨闻, 李力, 季湘年, 舒晓刚, 阮满真, 龚洁, 彭妙, 杨光耀. 复盘教学方式在临床基本技能教学中的应用[J]. 中华医学教育杂志, 2020, 40(1): 30-33.
[7]	袁元, 邓莉萍, 唐鹤菡, 潘雪琳, 李玉明, 王紫薇, 钱玲玲, 李真林. 基于案例学习在医学影像技术专业实习教学中的应用[J]. 中华医学教育杂志, 2019, 39(8): 590-593.
[8]	姜兆权, 周诗雪, 张会君. 基于雨课堂的混合教学方法在健康评估理论教学中的应用[J]. 中华医学教育杂志, 2019, 39(8): 620-623.
[9]	张勉, 刘一帆, 张俊华, 刘晓东, 于世宾, 王美青. 3D打印模型牙在牙体形态学教学中的应用[J]. 中华医学教育杂志, 2019, 39(12): 914-917.
[10]	汪丽娜, 毛慧娟, 刘胜, 秦梦, 魏建子. 三种教学方法在实验针灸推拿学课程教学中的对比研究[J]. 中华医学教育杂志, 2019, 39(11): 827-830.
[11]	蔡宏, 郦忆, 张伟明, 倪兆慧, 邵莉. 基于团队学习教学方法在肾脏病学见习教学中的应用[J]. 中华医学教育杂志, 2019, 39(11): 839-842.
[12]	梅虹霞, 胡明品, 黄葱葱, 胡秀丹, 李军. 线上线下混合式教学方法在临床麻醉学教学中的应用研究[J]. 中华医学教育杂志, 2019, 39(11): 843-846.
[13]	张雅菲, 姜威, 张浩, 曹奕鸥, 张丽君, 杨彪, 苏畅, 冯莉. 视频反馈教学方法在基本操作技能课程教学中的应用研究[J]. 中华医学教育杂志, 2019, 39(10): 774-778.
[14]	凌聪, 陈川, 何海勇, 梁朝锋, 罗伦, 龚瑾, 叶卓鹏. “三明治”教学方法在神经外科学临床实习教学中的应用[J]. 中华医学教育杂志, 2019, 39(10): 779-783.
[15]	敖明昕, 王薇, 李学民, 冯学峰, 齐虹, 邱伟强, 侯志强, 孟璐. 案例教学方法在八年制临床医学专业眼科学教学中的应用效果分析[J]. 中华医学教育杂志, 2018, 38(2): 242-245.