3D打印技术高血压脑出血模型的建立及在神经内镜下手术训练中的应用价值

Establishment of Hypertensive Cerebral Hemorrhage Model by 3D Printing Technology and Its Application Value in Neuroendoscopic Surgery Training

目的探讨3D打印技术高血压脑出血模型的建立及其在神经内镜下手术训练中的应用价值。方法选取赣南医学院第一附属医院2022年9月至2023年6月的12名神经外科住院医师或研究生为研究对象,利用3D打印技术建立高血压脑出血模型,进行神经内镜下手术模拟训练,重复练习10次,比较初次练习和末次练习时12名研究对象的血肿穿刺成功率、单位时间血肿清除量、血肿清除率等。结果12名研究对象初次练习的血肿穿刺成功率为33.33%(4/12),低于末次练习的100.00%(12/12),差异有统计学意义(P<0.05)。12名研究对象初次练习的单位时间血肿清除量和血肿清除率分别低于末次练习,差异有统计学意义(P<0.05)。结论通过建立3D打印技术高血压脑出血模型对外科医生进行神经内镜下手术训练,有利于医生熟练掌握神经内镜下高血压脑出血的操作技巧。

Objective To explore the establishment of hypertensive cerebral hemorrhage model by 3D printing technology and its application value in neuroendoscopic surgery training.Methods From September 2022 to June 2023,12 neurosurgical residents or postgraduates as study subjects from the First Affiliated Hospital of Gannan Medical College were selected.The model of hypertensive intracerebral hemorrhage was established by 3D printing technology,and the simulation training of neuroendoscopic surgery was carried out,repeated 10 times.The success rate of hematoma puncture,hematoma clearance per unit time and hematoma clearance rate of 12 subjects were compared between the first practice and the last practice.Results The success rate of hematoma puncture was 33.33%(4/12)in the first practice,which was lower than 100.00%(12/12)in the last practice,the difference was statistically significant(P<0.05).The hematoma clearance per unit time and hematoma clearance rate of the 12 subjects in the first practice were lower than those in the last practice,the difference was statistically significant(P<0.05).Conclusion The establishment of hypertensive cerebral hemorrhage model by 3D printing technology and the training of neuroendoscopic surgery are helpful for neurosurgeons to master the operation skills of hypertensive cerebral hemorrhage under neuroendoscopy.