影像导航技术在鼻内镜手术教学中的应用  

The application of the image-guidance system in the sinus endoscopic surgery teaching

作　　者：董怿[1] 周兵[1] 李云川[1] 宋晓红[1] Dong Yi;Zhou Bing;Li Yunchuan;Song Xiaohong(Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Belling 100730, China)

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科/教育部耳鼻咽喉头颈科学重点实验室,100730

出　　处：《中华医学教育探索杂志》2018年第6期571-576,共6页Chinese Journal of Medical Education Research

摘　　要：解剖和手术教学一直是临床医学教育中的难点，特别是鼻内镜下的解剖和手术教学，由于与直视下所见存在视觉差异，更加难以领会和掌握。一旦对镜下解剖理解有误，可能导致严重的手术并发症。本研究试将影像导航技术应用于鼻科内镜手术的解剖和技术的教学，能够在影像导航的指引下讲授内镜下鼻腔鼻窦的解剖结构，精确讲解手术操作步骤。根据问卷调查，认为该方法效果清楚和比较清楚的学员占96．23％（51／53），认为该方法优于传统单纯使用鼻内镜教学的学员占98．11％（52／53）。应用该方法进行教学，可以使学员对正常的鼻窦解剖加深了解，尤其适用于对鼻腔鼻窦占位病变的丰术讲行学习．Anatomy and surgery teaching has always been a difficulty in clinical medical education. In particular, the anatomy and surgery teaching under the endoscope is more difficult to learn and under- stand because of the visual differences with the direct vision. If the students misunderstand, it may lead to the severe surgical complications. We applied the image-guidance technology in the teaching of rhinology endoscope surgery, which can help teachers to teach the sinonasal anatomical structure and give an accurate explanation of surgical procedures. According to the questionnaire survey, 96.23% （51/53） of the students thought the method was effective and clear, and 98.11% （52/53） of them thought the method was better than the traditional teaching method of nasal endoscope. By this technology, the students can acquire a deeper understanding of the anatomy and surgery procedure. It especially fits the surgery teaching of the sinonasal occupying lesion.

关 键 词：临床医学教育 解剖和手术教学 影像导航技术 

分 类 号：R7[医药卫生—临床医学]