咽后皮瓣咽成形术高精度模拟器的疗效评估

Yulang Xu BDS, Hanyao Huang MD, Chao Yang MSc, Yang Li MD, Chenghao Li MD, Bing Shi MD, Jingtao Li MD, Yan Wang MD, Qian Zheng MD, Ni Zeng MD
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摘要

为了提高医学生的临床前技能,使他们能够快速理解咽后皮瓣手术的过程,我们的教学团队专门开发了咽后皮瓣手术模拟器。2023 年 3 月至 5 月,接受培训的 13 名本科生和 8 名一年级住院医师参加了模拟手术培训。最初,我们使用多媒体向他们讲解和演示相关的解剖结构、手术原理和手术步骤。随后,学生们独立进行了模拟手术,最后完成了问卷调查。统计分析采用独立样本检验。与本科生相比,住院医师在模拟手术前对手术设计有了更深的理解。模拟手术后,与本科生相比,住院医师不仅对手术设计的理解程度明显提高,而且对手术过程的熟悉程度也有所提高,并增强了独立手术的信心。模拟手术后,两组学生对手术过程的熟悉程度和独立完成手术的信心都有明显提高。手术模拟器表现出高度的临床逼真性,提供的触觉反馈与现实非常相似。它大大增强了年轻医生对手术技巧的理解和掌握,最终提高了他们的手术技能。
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Efficacy evaluation of a high-precision simulator of posterior pharyngeal flap pharyngoplasty
To improve medical students’ preclinical skills and enable them to quickly comprehend the procedure of posterior pharyngeal flap surgery, our teaching team developed a surgical simulator specifically for pharyngeal flap surgery. Thirteen undergraduate students and 8 first-year residents trained from March to May 2023 participated in simulated surgical training. Initially, multimedia were used to explain and demonstrate to them relevant anatomy, surgical principles, and procedural steps. This was followed by independent simulated surgeries by the students, culminating in the completion of a questionnaire. Independent samples test was used for statistical analysis. Before the simulated surgery, the residents had a greater understanding of the surgical design compared with the undergraduate students. After the simulated surgery, the residents showed not only significantly greater levels of understanding of the surgical design but also increased familiarity with the surgical process and enhanced confidence in independent surgery compared with the undergraduate students. Both groups showed a notable increase in familiarity with the surgical process and confidence in performing surgery independently after the simulated surgery. The surgical simulator demonstrates high clinical fidelity and provides tactile feedback that closely resembles reality. It significantly enhances the understanding and mastery of surgical techniques for young doctors, ultimately improving their surgical skills.
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