3D数字化技术在泌尿外科腹腔镜操作培训中的初步应用

Preliminary application of 3D digital technology in laparoscopic operation training in urology

目的评估三维(3D)数字化技术在泌尿外科腹腔镜操作技能带教中的应用效果。方法选取2023年7月至2024年3月在北京协和医院泌尿外科小组轮转的临床实习医生18人,随机分为研究组9名和对照组9名。研究组借助3D数字化技术进行腹腔镜操作技能培训,对照组采用常规教学法进行腹腔镜操作技能培训。两组实习医师经过1个月轮转学习后,进行腹腔镜操作技能考核,同时采用调查问卷的方式评价临床带教效果。结果研究组和对照组两组实习医师的腹腔镜操作技能考核成绩分别为操作技能考核成绩分别为(94.33±2.12)分和(88.11±2.93)分,两者比较差异明显(P<0.01),在临床技能方面,研究组成绩提升明显。调查问卷结果反馈,研究组在学生满意度和教师满意度均优于对照组。结论将3D数字化技术应用于腹腔镜操作技能培训,可以明显提高实习医生的腹腔镜操作技能成绩,带教老师和学生均对该教学模式的满意度较高,适合在泌尿外科教学中进行临床推广应用。

Objective To evaluate the application effect of the three-dimensions(3D)technology in teaching laparoscopic surgical skills in urology.Methods Eighteen clinical interns who rotated in the urology department of Peking Union Medical College Hospital from July 2023 to March 2024 were randomly divided into a test group and a control group with 9 in each.The test group received laparoscopic operation skill training using 3D reconstruction and 3D printing technology,while the control group received laparoscopic operation skill training using conventional methods.After one month of rotating training,two groups of interns underwent laparoscopic operation skill assessment,and the training outcomes were evaluated using a survey questionnaire.Results The laparoscopic operation skill assessment scores of the test group and the control group were(94.33±2.12)and(88.11±2.39)points,respectively(P<0.01).In terms of clinical skills,the test group showed a significant improvement in skill of clinical performance.According to the feedback from the survey questionnaire,the test group showed satisfaction from trainees and trainers as compared to the control group.Conclusions The 3D digital technology in laparoscopic operation skill training can significantly improve the outcomes of laparoscopic operation skill of interns.The satisfaction of the teaching mode is high among both trainers and trainees,so it is a potential and effective teaching method for the training of interns in department of urology.