{"title":"使用明胶模型模拟头颈部超声引导手术的培训课程。","authors":"Ping-Chia Cheng, Wu-Chia Lo, Chih-Ming Chang, Ming-Hsun Wen, Li-Jen Liao","doi":"10.1177/00034894241262113","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Ultrasound (US)-guided procedures can be used in the evaluation and treatment of neck masses. However, these procedures need to be practiced before being executed on humans. The aim of this study is to evaluate the efficacy of a training program using a gelatin phantom to practice US-guided procedures.</p><p><strong>Methods: </strong>This program included a lecture and practice with a gelatin phantom. We recruited doctors from different hospitals to practice US-guided procedures, including fine-needle aspiration (FNA), core needle biopsy (CNB), percutaneous ethanol injection (PEI), and radiofrequency ablation (RFA). We used a questionnaire with a 5-point scale to evaluate the effectiveness of practicing US-guided procedures under a gelatin phantom.</p><p><strong>Results: </strong>Forty-four doctors participated, and 37 of them completed the questionnaires. After training, the mean (SD) scores of the doctors were 4.68 (0.47) for \"Satisfaction with this course,\" 4.54 (0.61) for \"Ease in practicing FNA&CNB using the phantom,\" 4.49 (0.61) for \"Ease in practicing PEI using the phantom,\" 4.49 (0.65) for \"Ease in practicing RFA using the phantom,\" and 4.57 (0.55) for \"The course effectively familiarizing participants with US-guided procedures.\" Participants without experience in US examination had higher scores than those with previous US experience, but the difference was not statistically significant.</p><p><strong>Conclusion: </strong>A combination of lectures and hands-on practice of US-guided procedures using a gelatin phantom is an effective educational method for doctors interested in head and neck US. After the training program, doctors gained a better understanding of the necessary steps and skills required for these procedures. They can correctly insert the instruments into the target lesion and perform different US-guided procedures.</p>","PeriodicalId":50975,"journal":{"name":"Annals of Otology Rhinology and Laryngology","volume":" ","pages":"792-799"},"PeriodicalIF":1.3000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Training Course for Simulating Head and Neck Ultrasound-Guided Procedures Using a Gelatin Phantom Model.\",\"authors\":\"Ping-Chia Cheng, Wu-Chia Lo, Chih-Ming Chang, Ming-Hsun Wen, Li-Jen Liao\",\"doi\":\"10.1177/00034894241262113\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Ultrasound (US)-guided procedures can be used in the evaluation and treatment of neck masses. However, these procedures need to be practiced before being executed on humans. The aim of this study is to evaluate the efficacy of a training program using a gelatin phantom to practice US-guided procedures.</p><p><strong>Methods: </strong>This program included a lecture and practice with a gelatin phantom. We recruited doctors from different hospitals to practice US-guided procedures, including fine-needle aspiration (FNA), core needle biopsy (CNB), percutaneous ethanol injection (PEI), and radiofrequency ablation (RFA). We used a questionnaire with a 5-point scale to evaluate the effectiveness of practicing US-guided procedures under a gelatin phantom.</p><p><strong>Results: </strong>Forty-four doctors participated, and 37 of them completed the questionnaires. After training, the mean (SD) scores of the doctors were 4.68 (0.47) for \\\"Satisfaction with this course,\\\" 4.54 (0.61) for \\\"Ease in practicing FNA&CNB using the phantom,\\\" 4.49 (0.61) for \\\"Ease in practicing PEI using the phantom,\\\" 4.49 (0.65) for \\\"Ease in practicing RFA using the phantom,\\\" and 4.57 (0.55) for \\\"The course effectively familiarizing participants with US-guided procedures.\\\" Participants without experience in US examination had higher scores than those with previous US experience, but the difference was not statistically significant.</p><p><strong>Conclusion: </strong>A combination of lectures and hands-on practice of US-guided procedures using a gelatin phantom is an effective educational method for doctors interested in head and neck US. After the training program, doctors gained a better understanding of the necessary steps and skills required for these procedures. They can correctly insert the instruments into the target lesion and perform different US-guided procedures.</p>\",\"PeriodicalId\":50975,\"journal\":{\"name\":\"Annals of Otology Rhinology and Laryngology\",\"volume\":\" \",\"pages\":\"792-799\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Otology Rhinology and Laryngology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00034894241262113\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/20 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Otology Rhinology and Laryngology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00034894241262113","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/20 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的:超声(US)引导程序可用于评估和治疗颈部肿块。然而,在人体上执行这些程序之前需要进行练习。本研究旨在评估使用明胶模型练习 US 引导手术的培训计划的效果:该项目包括讲座和使用明胶模型进行练习。我们招募了来自不同医院的医生来练习 US 引导手术,包括细针穿刺术 (FNA)、核心针活检术 (CNB)、经皮乙醇注射术 (PEI) 和射频消融术 (RFA)。我们采用了一份 5 分制的调查问卷来评估在明胶模型下进行 US 引导手术的效果:结果:44 名医生参加了培训,其中 37 人完成了问卷调查。培训结束后,医生们对 "本课程满意度 "的平均分(SD)为 4.68(0.47),对 "使用模型进行 FNA&CNB 操作的轻松程度 "的平均分(SD)为 4.54(0.61),对 "使用模型进行 FNA&CNB 操作的轻松程度 "的平均分(SD)为 4.49(0.61),"使用模型练习 PEI 的难易程度 "为 4.49(0.65),"使用模型练习 RFA 的难易程度 "为 4.49(0.65),"课程有效地使学员熟悉了 US 引导程序 "为 4.57(0.55)。没有 US 检查经验的学员得分高于有 US 经验的学员,但差异无统计学意义:结论:对于对头颈部 US 有兴趣的医生来说,使用明胶模型进行 US 引导手术的讲座和实践操作相结合是一种有效的教育方法。培训计划结束后,医生们对这些手术所需的必要步骤和技能有了更好的了解。他们可以正确地将器械插入目标病灶,并进行不同的 US 引导手术。
A Training Course for Simulating Head and Neck Ultrasound-Guided Procedures Using a Gelatin Phantom Model.
Objectives: Ultrasound (US)-guided procedures can be used in the evaluation and treatment of neck masses. However, these procedures need to be practiced before being executed on humans. The aim of this study is to evaluate the efficacy of a training program using a gelatin phantom to practice US-guided procedures.
Methods: This program included a lecture and practice with a gelatin phantom. We recruited doctors from different hospitals to practice US-guided procedures, including fine-needle aspiration (FNA), core needle biopsy (CNB), percutaneous ethanol injection (PEI), and radiofrequency ablation (RFA). We used a questionnaire with a 5-point scale to evaluate the effectiveness of practicing US-guided procedures under a gelatin phantom.
Results: Forty-four doctors participated, and 37 of them completed the questionnaires. After training, the mean (SD) scores of the doctors were 4.68 (0.47) for "Satisfaction with this course," 4.54 (0.61) for "Ease in practicing FNA&CNB using the phantom," 4.49 (0.61) for "Ease in practicing PEI using the phantom," 4.49 (0.65) for "Ease in practicing RFA using the phantom," and 4.57 (0.55) for "The course effectively familiarizing participants with US-guided procedures." Participants without experience in US examination had higher scores than those with previous US experience, but the difference was not statistically significant.
Conclusion: A combination of lectures and hands-on practice of US-guided procedures using a gelatin phantom is an effective educational method for doctors interested in head and neck US. After the training program, doctors gained a better understanding of the necessary steps and skills required for these procedures. They can correctly insert the instruments into the target lesion and perform different US-guided procedures.
期刊介绍:
The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.