Lim Fabian, Brown Ian, McColl Ryan, Seligman Cory, Alsaraira Amer
Monash University, Australia.
Australas Phys Eng Sci Med. 2006 Mar;29(1):57-61.
Hysteroscopy is an extensively popular option in evaluating and treating women with infertility. The procedure utilises an endoscope, inserted through the vagina and cervix to examine the intra-uterine cavity via a monitor. The difficulty of hysteroscopy from the surgeon's perspective is the visual spatial perception of interpreting 3D images on a 2D monitor, and the associated psychomotor skills in overcoming the fulcrum-effect. Despite the widespread use of this procedure, current qualified hysteroscopy surgeons have not been trained the fundamentals through an organised curriculum. The emergence of virtual reality as an educational tool for this procedure, and for other endoscopic procedures, has undoubtedly raised interests. The ultimate objective is for the inclusion of virtual reality training as a mandatory component for gynaecologic endoscopy training. Part of this process involves the design of a simulator, encompassing the technical difficulties and complications associated with the procedure. The proposed research examines fundamental hysteroscopy factors, current training and accreditation, and proposes a hysteroscopic simulator design that is suitable for educating and training.
宫腔镜检查是评估和治疗不孕女性时广泛采用的一种方法。该手术使用内窥镜,通过阴道和宫颈插入,经显示器检查子宫腔。从外科医生的角度来看,宫腔镜检查的难点在于在二维显示器上解读三维图像的视觉空间感知,以及克服支点效应所需的相关心理运动技能。尽管该手术应用广泛,但目前合格的宫腔镜检查外科医生尚未通过有组织的课程接受基础培训。虚拟现实作为该手术及其他内窥镜手术的教育工具的出现,无疑引发了人们的兴趣。最终目标是将虚拟现实培训纳入妇科内窥镜培训的必修内容。这一过程的一部分涉及设计一种模拟器,涵盖与该手术相关的技术难题和并发症。拟开展的研究将考察宫腔镜检查的基本要素、当前的培训与认证情况,并提出一种适合教育和培训的宫腔镜模拟器设计方案。