腹腔镜手术虚拟现实系统在外科医师培训中的应用  

Application of VR system for laparoscopic surgery in surgeon training

作　　者：李金朋 高荣芬[2] 陈良冬[1] 吴高松 王波涌[1] LI Jinpeng;GAO Rongfen;CHEN Liangdong;WU Gaosong;WANG Boyong(Department of Thyroid and Breast Surgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Rheumatology and Immunology,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430023,China)

机构地区：[1]武汉大学中南医院甲状腺乳腺外科,湖北武汉430071 [2]华中科技大学同济医学院附属同济医院风湿免疫科,湖北武汉430023

出　　处：《机器人外科学杂志(中英文)》2025年第1期118-121,127,共5页Chinese Journal of Robotic Surgery

基　　金：湖北省自然科学基金面上项目(2021CFB427)。

摘　　要：目的:探究腹腔镜手术虚拟现实(VR)系统在外科医师培训中的应用价值。方法:以2021年9月—2022年12月武汉大学中南医院的20名未接触过腹腔镜手术的规培医师为研究对象,按随机数表法将其分为对照组(接受传统腹腔镜手术培训,n=10)和VR组(接受腹腔镜手术VR系统培训,n=10),通过考试(理论和操作)和问卷调查的方式对两组成绩及教学满意度进行分析。结果:VR组理论和操作成绩显著高于对照组,差异有统计学意义(P<0.05);VR组对教学的新颖性、提高学习效率能力、助于掌握腹腔镜手术和整体满意度方面的认可度均高于对照组,差异有统计学意义(P<0.05);但两组在培训后是否有信心进行真实手术方面的问卷评分分别为(4.00±0.73)分和(3.85±0.75)分,差异无统计学意义(P>0.05)。结论:在进行腹腔镜外科规培医师培训过程中引进VR系统,可以显著提高医师的技能水平,为腹腔镜外科规培医师的培养提供强大的武器,是一种值得大力推广和应用的外科培训策略。Objective:To explore the application value of virtual reality(VR)system for laparoscopic surgery in surgeon training.Methods:20 surgical residents undergoing standardized training with no exposure to laparoscopic surgery in Zhongnan Hospital of Wuhan University from September 2021 to December 2022 were selected and divided into the control group(trained with conventional laparoscopic surgery,n=10)and the VR group(trained with VR systems,n=10)using a random number table.Performance and teaching satisfaction of the two groups were analyzed through examinations(theoretical and practical)and questionnaires.Results:The VR group outperformed the control group in both theoretical and practical ratings(P<0.05).In addition,the VR group showed greater recognition on the novelty,learning efficiency improvement,assistance in mastering laparoscopic techniques,and overall satisfaction of the teaching method,and the differences were all statistically significant(P<0.05).However,there was no statistically significant difference in performing real surgeries confidently for trainees between the two groups,with scores of(4.00±0.73)and(3.85±0.75),respectively.(P>0.05).Conclusion:The introduction of a VR system during laparoscopic surgery training can notably enhance the skills of trainees.It provides a powerful tool for the development of laparoscopic surgical trainees,which is worth promotion and application to be highly promoted and applied.

关 键 词：腹腔镜手术 虚拟手术训练系统 智慧外科 

分 类 号：R615[医药卫生—外科学]