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空军军医大学第一附属医院甲乳血管外科,西安 710032
凌瑞,Email:lingrui0105@163.com
纸质出版日期:2023-05-20,
收稿日期:2022-04-02,
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王哲, 林静, 张聚良, 等. 生物材料仿真模型在乳腺微创旋切手术教学中的应用[J]. 中华医学教育探索杂志, 2023, 22(5): 712-715.
Wang Zhe, Lin Jing, Zhang Juliang, et al. Application of biomaterial model in breast minimally invasive surgery training[J]. Chinese Journal of Medical Education Research, 2023,22(5):712-715.
王哲, 林静, 张聚良, 等. 生物材料仿真模型在乳腺微创旋切手术教学中的应用[J]. 中华医学教育探索杂志, 2023, 22(5): 712-715. DOI: 10.3760/cma.j.cn116021-20220402-01279.
Wang Zhe, Lin Jing, Zhang Juliang, et al. Application of biomaterial model in breast minimally invasive surgery training[J]. Chinese Journal of Medical Education Research, 2023,22(5):712-715. DOI: 10.3760/cma.j.cn116021-20220402-01279.
目的
2
探讨生物材料仿真模型联合传统临床教学方式在乳腺微创旋切手术教学中的应用价值。
方法
2
选取2021年3月至12月于空军军医大学第一附属医院甲状腺乳腺外科进修学习乳腺微创旋切手术的50名医师作为研究对象。将其分为试验组及对照组,培训时长为1周。分3个模块,分别为多普勒超声系统及超声理论知识学习、乳腺微创旋切操作系统学习、乳腺微创旋切手术临床观摩及实践,试验组医师在第三模块学习的同时增加生物材料仿真乳腺模型练习。培训结束后进行乳腺微创旋切操作考核,分析两组医师微创操作水平及主观评价的差异。采用SPSS 22.0进行独立样本
t
检验和卡方检验。
结果
2
试验组医师乳腺包块定位用时、旋切刀定位用时及乳腺包块残留率分别为(4.12±1.05) min、(12.12±2.61) min及40%,对照组相应成绩为(6.68±1.97) min、(15.32±2.89) min及72%,两组间差异有统计学意义(
P
<
0.05)。试验组医师在操作熟练程度自评及临床操作信心方面优于对照组。
结论
2
生物材料仿真乳腺模型联合传统教学与单纯传统教学方式相比有显著的优势,是乳腺微创旋切手术教学中高效的辅助工具,在乳腺外科进修医师的培训中发挥着重要作用。
Objective
2
To explore the application value of biomaterial breast model combined with traditional clinical teaching methods in the training of minimally invasive breast surgery.
Methods
2
A total of 50 physicians who studied at the Thyroid and Breast Surgery Department of The First Affiliated Hospital of Air Force Medical University from March to December 2021 were selected as the research subjects and divided into the experimental group and the control group. The training time was one week
with three modules
namely
the study of Doppler ultrasound system and ultrasound theory
the study of the operating system for minimally invasive breast surgery
and the clinical observation and practice of minimally invasive breast surgery. Additionally
physicians in the experimental group practiced the surgical skills by using the biological material breast model. After the training
the assessment of breast minimally invasive surgery was performed
and the differences of minimally invasive operation and subjective evaluation of the two groups of physicians were analyzed. SPSS 22.0 was used to conduct independent-samples
t
-test and Chi-square test.
Results
2
The time spent on breast mass localization
rotary cutter localization and residual rates of breast mass in the experimental group were (4.12±1.05) min
(12.12±2.61) min and 40%
respectively
and the corresponding results of the control group were (6.68±1.97) min
(15.32±2.89) min and 72%
which showed statistically significant differences between the two groups (
P
<
0.05). At the same time
the physicians in the experimental group were better than the control group in terms of self-evaluation of operational proficiency and clinical operation confidence.
Conclusion
2
Compared with the traditional teaching method
the biomaterially simulated breast model combined with traditional teaching has significant advantages. It is an efficient teaching aid in the training and teaching of breast minimally invasive surgery
and plays an important role in the training of breast surgeons.
乳腺微创旋切生物材料仿真乳腺模型临床教学
Breast minimally invasive surgeryBiomaterial breast modelClinical teaching
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孔令建, 殷积彬, 周洋洋, 等. 适用于内镜黏膜下剥离术操作训练的人工血液灌注离体猪胃模型的制备[J]. 郑州大学学报(医学版), 2021, 56(4): 451-455. DOI: 10.13705/j.issn.1671-6825.2021.03.104http://dx.doi.org/10.13705/j.issn.1671-6825.2021.03.104.
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