3D颞骨解剖导航模拟系统在颞骨解剖教学中的应用

张杰; 张丰珍; 郝津生; 陈敏; 郑军; 倪鑫

doi:10.13201/j.issn.1001-1781.2016.16.017

3D颞骨解剖导航模拟系统在颞骨解剖教学中的应用

- 1. 首都医科大学附属北京儿童医院耳鼻咽喉头颈外科儿童耳鼻咽喉头颈外科疾病北京市重点实验室(北京, 100045);
- 2. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科

详细信息

通讯作者: 张杰,E-mail:stzhangj@263.net

中图分类号: R764.9

收稿日期: 2016-03-29

The application of 3D simulationtemporal-bone-system for temporal bone anatomy training

- 1. Department of Otolaryngology Head and Neck Surgery, Beijing Children's Hospital, Captial Medical University, Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Heck Surgery, Beijing 100045, China;
- 2. Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University

More Information

Corresponding author: ZHANG Jie, E-mail: stzhangj@263.net

Received Date: 29 March 2016

摘要

摘要: 目的:探索高仿真3D颞骨解剖导航模拟系统在颞骨解剖技能训练及模拟手术中的应用。方法:2014-2015年我科在耳显微外科解剖学习班中引入3D颞骨解剖导航模拟系统,每位学员通过尸头解剖及3D颞骨解剖导航模拟系统训练,进行问卷调查及操作后的评价和体会,比较传统尸头解剖与3D颞骨解剖在教学训练中的差异。结果:①在乳突轮廓化阶段3D颞骨解剖结构损伤率高于尸头解剖(33.3%>22.2%),暴露比例二者无明显差别。开放上鼓室、面神经隐窝、面神经轮廓化阶段尸头解剖损伤率及未暴露比例高于3D颞骨解剖组。②学员在解剖结构及层次、污染、味道、费用、可重复性方面二者满意度无明显差异(P>0.05),在用时、与颞骨CT可比性及关联性、相似度、力反馈方面二者满意度有明显差异(均P<0.01)。结论:3D颞骨解剖在专科医生解剖训练中有较好的应用效果,可帮助临床专科医生更好地认识和了解颞骨及周围解剖结构,加深颞骨解剖的三维立体意识。
- 耳显微外科 /
- 颞骨解剖 /
- 培训 /
- 3D颞骨解剖导航模拟系统
Abstract: Objective:The aim of this study is to investigate the application of 3D simulation temporal-bone-system for temporal bone anatomy training.Method:3D simulation temporal-bone-system in the anatomy workshop was introduced in Beijing Children's Hospital from 2014 to 2015.Each participant was trained by cadaver dissection and 3D simulation temporal-bone-anatomy, and they also completed the questionnaires and evaluated the procedure.Then the difference was analyzed.Result:①In stage of mastoid outline, the damage of structure in 3D systemis higher than that in cadaver dissection(33.3%>22.2%), but there were no significant difference between them in the proportion of exposure. On the opening of attic, facial recess, facial nerve, the damage and the proportion of the non-exposed of cadaver dissection is higher. ②There were no significant difference between them in the anatomical structures, levels of pollution, taste, cost and reproducibility(P>0.05), but in the aspect of time, relevance of CT with temporal bone, the similarity, and the force feedback, they had significant differences(P<0.01).Conclusion:3D simulation temporal-bone-system had better training effect in specialized otolaryngologist.It not only to help clinicians better understanding the temporal bone and surrounding structures, but also to emphasize the knowledge of the anatomy in temporal bone.
- otomicrosurgery /
- temporal bone anatomy /
- training /
- three-dimensional printed temporal bone system

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参考文献(7)

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