系统阶梯式颌骨重建教学培训的探索与实践  

Exploration and practice of systematic stepped training in jaw reconstruction

作　　者：张士剑 王磊[1] 杨溪[1,2] 胡龙威 章臻[1] 李思毅 张陈平[1] ZHANG Shi-jian;WANG Lei;YANG Xi;HU Long-wei;ZHANG Zhen;LI Si-yi;ZHANG Chen-ping(Department of Oral Maxillofacial Head and Neck Oncology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine&National Center of Stomatology&National Clinical Research Center for Oral Diseases&Shanghai Key Laboratory of Stomatology&Shanghai Research Institute of Stomatology,Shanghai 20001l,China;Department of Oral and Maxillofacial Surgery,Hainan Province Stomatological Clinical Medical Center(preparatory),Zhang Zhiyuan Academician Workstation,Hainan Western Central Hospital,Danzhou 571700,China;不详)

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面-头颈肿瘤科,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海200011 [2]海南西部中心医院口腔颌面外科,海南省口腔临床医学中心(筹),张志愿院士工作站,海南詹州571700

出　　处：《中国实用口腔科杂志》2023年第5期604-608,共5页Chinese Journal of Practical Stomatology

基　　金：国家自然科学基金面上项目(81970907,81771046);上海交通大学“交大之星”计划医工交叉研究基金项目(YG2022QN061);上海交通大学医学院附属第九人民医院临床研究助推计划项目(JYLJ201817);海南省自然科学基金面上项目(823MS158)。

摘　　要：颌骨缺损重建一直是口腔颌面外科面临的重要课题之一,因其对手术精度要求高,且具有一定的复杂性及挑战性,普通临床医生掌握颌骨重建技术往往需要接受长期且规范的培训。上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科作为国内大型口腔颌面-头颈肿瘤诊疗中心,在颌骨重建培训中积累了丰富经验,经过不断探索实践,逐渐形成由“综合理论、数字化设计、模型操作、临床观摩”4个阶段组成的“系统阶梯式”颌骨重建培训体系,面向口腔外科、头颈外科及整形外科临床医生开展系统培训。“系统阶梯式”培训体系既提高了临床医生颌骨重建的理论及操作水平,又缩短了医生学习曲线。文章详细介绍该培训体系,总结颌骨重建培训中要点与注意事项,为广大从事颌骨重建的同仁提供参考。The reconstruction of jaw defect has always been one of the important topics in oral and maxillofacial surgery.Because of its high requirements on surgical precision,and its complexity and challenge,inexperienced clinicians often need to accept long-term and standardized training to master this technology. The Oral and Maxillofacial-Head and Neck Oncology Department of the Ninth People′s Hospital Affiliated to Shanghai Jiaotong University School of Medicine,as the largest oral and maxillofacial-head and neck tumor diagnosis and treatment center in China,has accumulated rich experience in jaw reconstruction training. After continuous exploration and practice,a "systematic stepped" jaw reconstruction training system consisting of four stages of "comprehensive theory,digital design,model operation and clinical observation" has been gradually formed.This system is developed for clinicians in oral surgery,head and neck surgery and plastic surgery training,which not only improves the clinician′ s theoretical and operational level of jaw reconstruction,but also shortens the clinicians′ learning curve. The aim of this article is to introduce the training system in detail summarize the main points and precautions in jaw reconstruction training,in order to provide reference for the colleagues engaged in jaw reconstruction.

关 键 词：颌骨重建 口腔颌面外科 阶梯式培训 医学教育 继续教育 教学模式 

分 类 号：R78[医药卫生—口腔医学]