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