可视化内镜颅底解剖训练对神经外科青年医师教学的价值研究

Research on the value of visualized endoscopic skull base anatomy training for young neurosurgery doctors

目的探讨可视化内镜颅底解剖训练对提高神经外科青年医师相关临床应用解剖水平的价值。方法对2020年8月至2021年4月于西安交通大学第一附属医院神经外科进修医师进行颅底内镜解剖教学评估。进修医师年龄范围26-32岁,神经外科专科工作1-4年,按随机数字表法分为试验组和对照组。试验组进行可视化内镜颅底解剖训练,对照组进行常规内镜颅底解剖训练,然后进入临床技能测试评分,测试按照设定的评分标准进行量化考核。结果22名男性神经外科进修医师纳入研究,试验组10人,对照组12人,2组医师的年龄和专科工作时间比较,差异无统计学意义(P>0.05)。病变影像学资料的阅读和手术计划能力,试验组高于对照组;关键重要解剖结构的认识和预判能力比较,试验组高于对照组;最后总体评分试验组优于对照组,差异均具有统计学意义(P<0.05)。结论可视化内镜颅底解剖训练比传统方法对神经外科青年医师的培养更加有效。

Objective To explore the value of visualized endoscopic skull base anatomy training for improving the level of relevant clinical anatomy of young neurosurgeons.Methods From August 2020 to April 2021,the refresher neurosurgery physicians(aged from 26-32 years old,working in Neurosurgery for 1-4 years)in Neurosurgery Department of First Affiliated Hospital of Xi’an Jiaotong University were trained in skull base endoscopic anatomy.They were divided into experimental and control groups by the random number table.The experimental group received visualized endoscopic skull base anatomy training,and the control group received conventional endoscopic skull base anatomy training.Then all of them underwent the clinical skill test.The test is quantitatively assessed in accordance with the scoring standards set by the department.Results Twenty-two male neurosurgery fellows were included in the study,with 10 in the experimental group and 12 in the control group.There was no statistical difference between the two groups in age and professional working time(P>0.05).The ability of imaging analysis and surgical planning was higher in the experimental group than that in the control group(P<0.05);the ability of understanding and predicting essential anatomical structures was better in the experimental group than that in the control group(P<0.05);the final overall score of the experimental group was better than the control group(P<0.05);the differences between the two groups were statistically significant(P<0.05).Conclusion Visualized endoscopic skull base anatomy training is more effective than traditional methods for young neurosurgeons.