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3D打印结合混合现实技术在超声引导下椎管内穿刺教学中的应用研究
Study on the application of 3D printing and mixed reality technology in teaching ultrasound-guided spinal puncture
- 中华医学教育探索杂志 2024年23卷第12期 页码：1631-1635
- 作者机构：
中国医学科学院 北京协和医学院 北京协和医院麻醉科，北京 100730
- 作者简介：
崔旭蕾，Email：cuixulei10685@pumch.cn
- 基金信息：北京协和医学院研究生教学改革项目(2024yjsjg015);国家高水平医院临床研究基金(2022-PUMCH-B-007)
DOI：10.3760/cma.j.cn116021-20240401-01916
中图分类号： R614.4纸质出版日期：2024-12-20，
收稿日期：2024-04-01，
- 稿件说明：
移动端阅览
袁青, 夏迪, 崔旭蕾, 等. 3D打印结合混合现实技术在超声引导下椎管内穿刺教学中的应用研究[J]. 中华医学教育探索杂志, 2024, 23(12): 1631-1635.
YUAN QING, XIA DI, CUI XULEI, et al. Study on the application of 3D printing and mixed reality technology in teaching ultrasound-guided spinal puncture. [J]. Chinese journal of medical education research, 2024, 23(12): 1631-1635.
袁青, 夏迪, 崔旭蕾, 等. 3D打印结合混合现实技术在超声引导下椎管内穿刺教学中的应用研究[J]. 中华医学教育探索杂志, 2024, 23(12): 1631-1635. DOI： 10.3760/cma.j.cn116021-20240401-01916.
YUAN QING, XIA DI, CUI XULEI, et al. Study on the application of 3D printing and mixed reality technology in teaching ultrasound-guided spinal puncture. [J]. Chinese journal of medical education research, 2024, 23(12): 1631-1635. DOI： 10.3760/cma.j.cn116021-20240401-01916.
摘要
目的
2
研究3D打印与MR技术在超声引导下脊柱侧弯椎管穿刺教学中的应用效果，旨在为提高该领域的教学效果提供新思路。
方法
2
在北京协和医院麻醉科选择没有脊柱超声相关经验的麻醉医师20人，于2024年3月接受超声引导下椎管内穿刺的培训。这些医
师被分为两组：MR眼镜+3D打印组和3D打印组，每组各10名学员。在MR眼镜+3D打印组中，学员首先佩戴HoloLens 2眼镜学习脊柱模型，随后在3D打印的脊柱实体模型上进行超声引导下椎管内穿刺的实践。而3D打印组的学员则直接在3D打印的脊柱实体模型上进行超声引导下椎管内穿刺的实践。 教学效果通过客观穿刺指标（包括穿刺成功率和穿刺时间）及问卷调查方法进行评价。数据采用SPSS 27.0软件进行独立样本
t
检验和卡方检验分析。
结果
2
MR眼镜+3D打印组的穿刺时间[（165.90±69.91） s
]
相较于3D打印组[（239.30±80.30） s
]
更短（
t
=2.18，
P
=0.043）。MR眼镜+3D打印组的穿刺成功率为90.00%（9/10），而3D打印组的穿刺成功率为80.00%（8/10），两组之间的差异没有统计学意义（
P
>
0.999）。在培训的满意度和推荐度方面，MR眼镜+3D打印组的学员分别为（4.70±0.48）和（4.80±0.42），而3D打印组的学员则分别为（4.80±0.42）和（4.90±0.32）。经统计检验，两组在满意度上的差异无统计学意义（
t
=0.49，
P
=0.628），在推荐度上的差异也无统计学意义（
t
=0.60，
P
=0.556）。
结论
2
3D打印与MR技术相结合，可以为初学者提供安全、可重复训练的高仿真超声引导下椎管内穿刺培训系统。该系统能够提升学员对超声引导下椎管内穿刺技术的信心，并增强培训的趣味性，提高培训效率。在脊柱超声及超声引导下椎管内穿刺技术的培训方面，这一结合展示出了明显的优势与潜力。
Abstract
Objective
2
To evaluate the effects of 3D printing and mixed reality (MR) in teaching ultrasound-guided spinal puncture for scoliosis and to provide new approaches for enhancing educational outcomes in this field.
Methods
2
Twenty anesthesiologists with no experience of spine ultrasound were selected from the Department of Anesthesiology at Peking Union Medical College Hospital and received training in ultrasound-guided spinal puncture in March 2024. They were assigned to the MR glasses+3D printing group or 3D printing group
with 10 participants in each group. The trainees in the MR glasses+3D printing group observed the spine model with the HoloLens 2 glasses and then conducted ultrasound-guided spinal puncture on the 3D-printed spine model. The trainees in the 3D printing group directly conducted ultrasound-guided spinal puncture on the 3D-printed spine model. The teaching effects were evaluated with objective puncture indicators (success rate and puncture time) and questionnaire survey. Data were analyzed using the independent
samples
t
-test or chi-square test in SPSS 27.0.
Results
2
The puncture time was shorter in the MR glasses+3D printing group compared with the 3D printing group [(165.90±69.91) s vs. (239.30±80.30) s
t
=2.18
P
=0.043
]
. The success rate of spinal puncture was 90.00% (9/10) in the MR glasses+3D printing group and 80.00% (8/10) in the 3D printing group
with no statistically significant difference (
P
>
0.999). The satisfaction [(4.70±0.48) vs. (4.80±0.42)
t
=0.49
P
=0.628
]
and recommendation [(4.80±0.42) vs. (4.90±0.32)
t
=0.60
P
=0.556
]
of the training method showed insignificant differences between the MR glasses+3D printing group and the 3D printing group.
Conclusions
2
The combination of 3D printing with MR technology can provide trainees with a safe and repeatable high-fidelity simulation training system for ultrasound-guided spinal puncture. The system can improve the confidence and interest of trainees in ultrasound-guided spinal puncture techniques and enhance training efficiency. This combination demonstrates advantages and potential in training for spinal ultrasound and ultrasound-guided spinal puncture.
关键词
3D打印混合现实椎管内穿刺超声引导医学教育
Keywords
3D printingMixed realitySpinal punctureUltrasound guidanceMedical education
references
Perlas A, Chaparro LE, Chin KJ. Lumbar neuraxial ultrasound for spinal and epidural anesthesia: a systematic review and meta-analysis [J]. Reg Anesth Pain Med, 2016, 41(2): 251-260. DOI: 10.1097/AAP.0000000000000184http://dx.doi.org/10.1097/AAP.0000000000000184.
Ramlogan R, Niazi AU, Jin R, et al. A virtual reality simulation model of spinal ultrasound: role in teaching spinal sonoanatomy [J]. Reg Anesth Pain Med, 2017, 42(2): 217-222. DOI: 10.1097/AAP.0000000000000537http://dx.doi.org/10.1097/AAP.0000000000000537.
Brumpt E, Bertin E, Tatu L, et al. 3D printing as a pedagogical tool for teaching normal human anatomy: a systematic review [J]. BMC Med Educ, 2023, 23(1): 783. DOI: 10.1186/s12909-023-04744-whttp://dx.doi.org/10.1186/s12909-023-04744-w.
Hojo D, Murono K, Nozawa H, et al. Utility of a three-dimensional printed pelvic model for lateral pelvic lymph node dissection education: a randomized controlled trial [J]. J Am Coll Surg, 2019, 229(6): 552-559.e3. DOI: 10.1016/j.jamcollsurg.2019.08.1443http://dx.doi.org/10.1016/j.jamcollsurg.2019.08.1443.
Li A, Tang R, Rong Z, et al. The use of three-dimensional printing model in the training of choledochoscopy techniques [J]. World J Surg, 2018, 42(12): 4033-4038. DOI: 10.1007/s00268-018-4731-6http://dx.doi.org/10.1007/s00268-018-4731-6.
Moro C, Štromberga Z, Raikos A, et al. The effectiveness of virtual and augmented reality in health sciences and medical anatomy [J]. Anat Sci Educ, 2017, 10(6): 549-559. DOI: 10.1002/ase.1696http://dx.doi.org/10.1002/ase.1696.
Gao B, Zhao H, Peng L, et al. A review of research progress in selective laser melting (SLM) [J]. Micromachines, 2022, 14(1): 57. DOI: 10.3390/mi14010057http://dx.doi.org/10.3390/mi14010057.
Maresky HS, Oikonomou A, Ali I, et al. Virtual reality and cardiac anatomy: exploring immersive three-dimensional cardiac imaging, a pilot study in undergraduate medical anatomy education [J]. Clin Anat, 2019, 32(2): 238-243. DOI: 10.1002/ca.23292http://dx.doi.org/10.1002/ca.23292.
马胜铃， 杨文博， 叶哲伟， 等. 混合现实技术在医学教育中的应用进展[J]. 中华医学教育探索杂志， 2021， 20（3）： 254-259. DOI: 10.3760/cma.j.cn116021-20191222-00417http://dx.doi.org/10.3760/cma.j.cn116021-20191222-00417.
朱刘洋， 杨龙， 侯建存， 等. 混合现实技术辅助原发性肝癌肝切除术研究进展[J].中华肝胆外科杂志， 2021， 27（12）： 950-953. DOI: 10.3760/cma.j.cn113884-20210225-00072http://dx.doi.org/10.3760/cma.j.cn113884-20210225-00072.
杨子桧， 李欢， 许立志， 等. 混合现实技术在口腔颌面-头颈肿瘤规范化培训教学中的应用[J]. 中华医学教育探索杂志， 2023， 22（7）： 1042-1046. DOI: 10.3760/cma.j.cn116021-20210425-01351http://dx.doi.org/10.3760/cma.j.cn116021-20210425-01351.
吴若兰， 李润昌， 叶霖， 等. 混合现实技术在支气管镜下气道解剖教学中的应用[J]. 中华医学教育探索杂志， 2022， 21（8）： 1038-1041. DOI: 10.3760/cma.j.cn116021-20200320-00961http://dx.doi.org/10.3760/cma.j.cn116021-20200320-00961.
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