腹腔镜手术视频在急性阑尾炎CT诊断教学中的应用  

Application of laparoscopic surgical videos in CT diagnosis teaching of acute appendicitis

作　　者：吕星儿 李龙龙 郑斯鑫 孔文成 单毓强 刘信春 LYU Xinger;LI Longlong;ZHENG Sixin;KONG Wencheng;SHAN Yuqiang;LIU Xinchun(Department of Gastrointestinal and Anal Surgery,Hangzhou First People’s Hospital Affiliated to School of Medicine,Westlake University,Hangzhou 310006,China;Department of Emergency Surgery,Hangzhou First People’s Hospital Affiliated to School of Medicine,Westlake University,Hangzhou 310006,China)

机构地区：[1]西湖大学医学院附属杭州市第一人民医院胃肠肛外科,杭州310006 [2]西湖大学医学院附属杭州市第一人民医院急诊外科,杭州310006

出　　处：《浙江医学教育》2025年第2期83-86,106,共5页Zhejiang Medical Education

基　　金：南京医科大学2023年度教育研究课题一般项目:“脚本一致性测试在急腹症教学评价中的应用研究”(2023LX117)。

摘　　要：目的探讨腹腔镜手术视频在急性阑尾炎CT影像诊断教学中的应用效果。方法选择2023年9月至2024年2月在西湖大学医学院附属杭州市第一人民医院(浙江中医药大学第四临床医学院)进行住院医师规范化培训(以下简称住培)的浙江中医药大学临床医学硕士专业学位外科学方向的40名一年级研究生(以下简称学生)为研究对象,将其随机分为试验组和对照组,每组20名学生。试验组学生采用手术视频辅助教学方式,对照组学生采用传统讲授教学方式。培训前后,对两组学生进行CT读片考核和问卷调查,比较不同教学方法的应用效果。结果CT读片考核结果显示,培训后,试验组学生急性阑尾炎CT读片考核成绩[(81.0±9.8)分]高于对照组学生[(64.5±12.1)分],其差异具有统计学意义(P<0.001)。问卷调查结果显示,试验组学生在激发学习兴趣[(4.75±0.44)分]、增强诊断信心[(3.65±0.67)分]、教学满意度[(4.40±0.50)分]等3方面的评分均高于对照组学生[(2.95±0.89)分、(2.35±0.86)分、(3.75±0.64)分],其差异均具有统计学意义(均P<0.05)。结论腹腔镜手术视频应用于急性阑尾炎的CT影像诊断教学中,可以激发学生学习兴趣、增强学生诊断信心、提高学生教学满意度,值得推广应用。Objective To explore the application effect of laparoscopic surgery videos in CT imaging diagnosis teaching of acute appendicitis.Methods A total of 40 first-year graduate students majoring in clinical medicine with a masters degree in surgical direction from Zhejiang Chinese Medical University,who were undergoing standardized training for resident physicians at Hangzhou First Peoples Hospital Affiliated to School of Medicine,Westlake University(The Fourth School of Clinical Medcine,Zhejiang Chinese Medical University)from September 2023 to February 2024,were selected as the research subjects and randomly divided into an experimental group and a control group,with 20 students in each group.The experimental group students were taught with the assistance of surgical videos,while the control group students were taught using traditional lecture methods.Before and after the training,CT reading assessments and questionnaires were conducted for students in both groups to compare the application effects of different teaching methods.Results The CT reading assessment results showed that the scores of the students in the experimental group(81.0±9.8)were higher than those of the students in the control group(64.5±12.1)after training,and the difference was statistically significant(P<0.001).The questionnaire survey results showed that the scores of the students in the experimental group in stimulating learning interest(4.75±0.44),enhancing diagnostic confidence(3.65±0.67),and teaching satisfaction(4.40±0.50)were all higher than those of the students in the control group(2.95±0.89,2.35±0.86,3.75±0.64),and the differences were all statistically significant(all P<0.05).Conclusions The application of laparoscopic surgery videos in CT imaging diagnosis teaching of acute appendicitis can stimulate studentsinterest in learning,enhance their diagnostic confidence,and improve their satisfaction with teaching,and is worth promoting and applying.

关 键 词：手术视频 CT影像 急性阑尾炎 住院医师规范化培训 研究生 

分 类 号：G642[文化科学—高等教育学] R-05[文化科学—教育学]