数字化组织芯片在胃炎和胃癌病理学实验教学中的应用  

Application of digital tissue microarray in the experiment course of gastritis and gastric cancer pathology

作　　者：曾智[1] 王绪明[2] 黄亚冰[1] 黄雯婷 詹娜[1] 吴昊[1] 阎红琳 祝桂花 袁静萍[1] Zeng Zhi;Wang Xuming;Huang Yabing;Huang Wenting;Zhan Na;Wu Hao;Yan Honglin;Zhu Guihua;Yuan Jingping(Department of Pathology,Renmin Hospital of Wuhan University,Wuhan 430060,China;Department of Pathology,Affiliated Hospital of Guilin Medical College,Guilin 541001,China)

机构地区：[1]武汉大学人民医院病理科,武汉430060 [2]桂林医学院附属医院病理科,桂林541001

出　　处：《中华医学教育杂志》2022年第6期536-540,共5页Chinese Journal of Medical Education

基　　金：武汉大学医学部教学改革研究项目(2020025,2020024,2021020);广西学位与研究生教改课题项目(JGY2021131);广西高等教育本科教学改革工程项目(2021JGB290)。

摘　　要：目的探讨数字化组织芯片在胃炎和胃癌病理学实验教学中的应用价值。方法将胃炎和胃癌的传统组织切片构建成数字化组织芯片。2020年9月,选择武汉大学第一临床学院2017级临床医学专业76名学生作为研究对象,采用随机数字表法将其分为试验组和对照组,每组各38名学生。在胃炎和胃癌病理学实验教学中,试验组学生采用数字化组织芯片进行教学,对照组学生采用传统组织切片进行教学。通过读片考试的方式评价两组学生教学效果的差异。对试验组学生进行教学改革满意度调查和访谈。采用t检验对两组学生的读片考试成绩进行统计学分析。结果试验组学生读片考试总成绩高于对照组学生[(91.05±8.63)分比(78.95±9.06)分],同时,试验组学生对肿瘤生物学行为掌握的单项评分高于对照组学生[(36.32±4.89)分比(27.37±4.46)分],其差异均具有统计学意义(均P<0.05)。试验组学生的教学改革满意度调查和访谈结果显示,本次教学改革促进了病理学相关临床知识和病理形态学的掌握,并且降低了实验操作难度。结论采用基于数字化组织芯片的教学方式,有助于提高胃炎和胃癌病理学实验课程的教学效果。Objective To explore the application of digital tissue microarray in the experimental course of gastritis and gastric cancer pathology.Methods In September 2020,76 students of clinical medicine enrolled in 2017 from the First Clinical College of Wuhan University were selected as the research objects and divided into experimental group and control group with 38 in each by random number table method.In the experimental course of gastritis and gastric cancer pathology,the experimental group was trained with digital tissue microarray assistant method,and the control group accepted classic method with tissue slice microscopy.The difference of teaching effects between the two groups was evaluated by film reading examination.The students in the experimental group were investigated and interviewed about the satisfaction from the new teaching method.The statistical significance of the total test scores between two groups was compared by the t-test.Results The total test scores of the students in the experimental group were higher than those in the control group[(91.05±8.63)vs.(78.95±9.06)]and the scores of students mastering tumor biological behavior were significantly improved in the former[(36.32±4.89)vs.(27.37±4.46)],all P<0.05.The results of satisfaction survey and interview showed that the new method significantly promoted the learning of pathology related clinical knowledge and patho-morphology and reduced the difficulty of students in laboratory operation of experimental course.Conclusions The teaching mode supported by digital tissue microarray can improve the teaching effect of pathological experiment course on gastritis and gastric cancer.

关 键 词：病理学 实验教学 数字化 组织芯片 胃炎 胃癌 医学生 

分 类 号：R-4[医药卫生] G642.423[文化科学—高等教育学]