神经影像解剖联合三维模拟重建教学法在本科实习生神经外科教学中的应用  

Application of the teaching method of neuroimaging anatomy combined with 3D simulation and reconstruction in neurosurgery teaching for undergraduate interns

作　　者：王宝 施维[2] 张倩 陈慧芸 王丹 高国栋 高立 WANG Bao;SHI Wei;ZHANG Qian;CHEN Hui-Yun;WANG Dan;GAO Guo-Dong;GAO Li(Department of Neurosurgery,Tangdu Hospital affiliated to Air Force Medical University,Xi'an,Shaanxi 710032,China;Department of Neurosurgery,960th Hospital of PLA,Jinan,Shandong 250031,China;Department of Educational Administration,Tangdu Hospital,Air Force Military Medical University,Xi'an,Shaanxi 710032,China)

机构地区：[1]空军军医大学附属唐都医院神经外科,陕西西安710032 [2]中国人民解放军第960医院神经外科,山东济南250031 [3]空军军医大学附属唐都医院教务科,陕西西安710032

出　　处：《国际神经病学神经外科学杂志》2022年第5期23-26,共4页Journal of International Neurology and Neurosurgery

基　　金：第四军医大学教学改革研究项目面上课题(No.ZH201609);国家自然科学基金(No.81801256);陕西省高校科协青年人才托举计划(No.20190302);空军军医大学凌云人才工程(No.cyjhwb)。

摘　　要：目的 探究神经影像解剖联合三维模拟重建教学法在神经外科实习生带教中的应用。方法 选取2020年9月—2021年6月在空军军医大学(原第四军医大学)附属唐都医院实习生110名,随机分为对照组(n=55)和实验组(n=55)。对照组采用传统实习带教模式,实验组采用神经影像解剖联合三维模拟重建教学法。主要观察指标为出科理论考试成绩。次要观察指标为学员课程满意度打分及病例分析临床能力考核评价。结果 经过不同的教学方法后,实验组的出科考试成绩(86.4±7.3)高于对照组(82.5±6.4)(P=0.004)。对照组和实验组在基础知识得分,差异无统计学意义(P=0.190),在综合应用得分上,实验组成绩(32.3±2.1)高于对照组(29.3±2.8)(P=0.000)。实验组学员课程满意度打分(95.4±3.8)高于对照组(93.2±3.6)(P=0.002)。实验组优秀和良好的学员比例(93%)高于对照组(80%)(P=0.040)。结论 神经影像解剖联合三维模拟重建教学法使本科学员对神经外科相关疾病的诊断、术前评估、手术设计、治疗措施以及预后评估有更为深入的了解,大大增强学员的临床思维和知识应用能力,有效提高实习生临床教学授课质量。Objective To investigate the application of the teaching method of neuroimaging anatomy combined with 3D simulation and reconstruction in the teaching of neurosurgery interns. Methods A total of 110 interns in Tangdu Hospital Affiliated to Air Force Military Medical University(the former Fourth Military Medical University) from September 2020 to June 2021 were selected and randomly divided into control group and experimental group, with 55 interns in each group.The traditional clinical teaching mode was adopted for the control group, and the teaching method of neuroimaging anatomy combined with 3D simulation and reconstruction was adopted for the experimental group. The primary observation indicator was theoretical test score, and the secondary observation indicators were the degree of satisfaction with the course and the assessment of clinical case analysis ability among interns. Results After different teaching methods were adopted, the experimental group had a significantly higher test score than the control group(86.4±7.3 vs 82.5±6.4, P = 0.004). There was no significant difference between the control group and the experimental group in the score of basic knowledge(P = 0.190), while the experimental group had a significantly higher score of comprehensive application than the control group(32.3±2.1vs 29.3±2.8, P =0.000). The experimental group had a significantly higher degree of satisfaction with the course than the control group(95.4±3.8 vs 93.2±3.6, P = 0.002). Compared with the control group, the experimental group had a significantly higher proportion of excellent and good trainees(93% vs 80%, P = 0.040). Conclusions The teaching method of neuroimaging anatomy combined with 3D simulation and reconstruction can help undergraduate students to have a deeper understanding of the diagnosis, preoperative assessment, surgical design, treatment measures, and prognostic evaluation of neurosurgery diseases, enhance their clinical thinking and knowledge application abilities, and effectively improve the qualit

关 键 词：神经影像解剖 3D-slicer软件 三维模拟重建 临床教学 神经外科 

分 类 号：R651[医药卫生—外科学]