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投稿时间：2020-06-09 网络发布日期：2020-10-20
投稿时间：2020-06-09 网络发布日期：2020-10-20
中文摘要: 目的 探讨三维重建可视化技术在精准肝脏外科研究生教学和规范化培训中应用的可行性。
方法 2015年至2018年南京医科大学附属淮安第一医院肝胆胰外科将三维重建可视化技术应用于精准肝脏外科临床工作和研究生规范化培训和教学中,共培训研究生15人(试验组);2012年至2015年采用传统二维影像为指导的教学方法,共培训研究生15人(对照组)。两组培训和考核内容:(1)肝脏的解剖分段和肝脏的断层解剖;(2)肝脏常见疾病的临床表现和影像学鉴别要点;(3)以Glisson蒂为导向的规则肝切除的实施;(4)肝脏手术后常见并发症及其产生的原因和处理措施;(5)精准肝脏外科和加速康复外科理念。比较两组研究生的出科考试(相同标准)成绩,同时对其规培过程中的心得体会进行不记名评分式问卷调查。
结果 试验组考试成绩(84.70±4.40)分高于对照组的(79.50±6.20)分(P<0.05)。问卷调查显示，试验组研究生对学习的兴趣性、工作的积极性、处理病人的能力、医患沟通能力、团队协作能力等五个方面的评分均高于对照组(P均<0.05)；同时其认为,该科的规培学习与其他科室的传统方法相比，生动有趣,易于理解,在工作中能体现自我价值,对今后工作帮助较大。
结论 三维重建可视化技术可有效运用于肝脏外科研究生培训和教学中,对研究生的成长有较好的帮助。
Abstract:Objective To explore the feasibility of three-dimensional(3D) reconstruction and visualization technique in medical postgraduate education and standardized residency training of precision liver surgery.
Methods
From 2015 to 2018, the 3D reconstruction visualization technique was applied to the clinical work of precision liver surgery and standardized training in the affiliated Huaian No.1 People′s Hospital and teaching of 15 postgraduates(experimental group); from 2012 to 2015, the teaching method guided by traditional two-dimensional images was used to train 15 postgraduates (control group);
Training and assessment contents were as follows:(1)hepatic segment and the anatomy of the liver;(2)clinical manifestations of common liver diseases and the imaging differential diagnosis;(3)hepatectomy with Glisson pedicle transection method;(4) complications after hepatectomy,and causes and treatment measures;(5) the concept of precision liver surgery and enhanced recovery after surgery.The results of graduation examination with the same standard were compared between two groups,and the experiences in the process of standardized training were investigated by anonymous questionnaire．
Results The average test scores were (84.70±4.40) in experimental and (79.50±6.20) in control group(P<0.05).The questionnaire survey showed that the scores of interest in learning, work enthusiasm, ability to deal with patients, doctor-patient communication ability and teamwork ability of postgraduates in the experimental group were higher than those in the control group (all P<0.05).The postgraduates in experimental group believed that the standardized training learning was more vivid,interesting and easy to understand compared to the traditional method and helped them to realize self-value and to work better in the future.
Conclusion The visualization technique of 3D reconstruction can be effectively used in the standardized training and teaching of postgraduates in precision liver surgery and is help to the growth of graduate students.
keywords: Three-dimensional reconstruction Precision liver surgery Postgraduate standardized training Teaching method
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引用文本：
宋研,张建淮,禹亚彬,祁付珍.三维重建可视化技术在精准肝脏外科研究生教学和规范化培训中的应用[J].中国临床研究,2020,33(10):1403-1,406.
宋研,张建淮,禹亚彬,祁付珍.三维重建可视化技术在精准肝脏外科研究生教学和规范化培训中的应用[J].中国临床研究,2020,33(10):1403-1,406.