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应用 3D 打印和 2D 插图国际额窦解剖分类解剖模型进行住院医师教育。

Use of 3D-Printed and 2D-Illustrated International Frontal Sinus Anatomy Classification Anatomic Models for Resident Education.

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Division of Neuroradiology, Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

出版信息

Otolaryngol Head Neck Surg. 2019 Oct;161(4):705-713. doi: 10.1177/0194599819860832. Epub 2019 Jul 9.

DOI:10.1177/0194599819860832
PMID:31284833
Abstract

OBJECTIVE

To examine the impact of 2-dimensional (2D) illustrations and 3-dimensonal (3D)-printed anatomic models of the frontal sinuses according to the International Frontal Sinus Anatomy Classification in the education of otolaryngology and radiology residents.

STUDY DESIGN

A crossover study design with half of the study participants randomized to the 2D illustration intervention first and the other half randomized to the 3D-printed model first.

SETTING

Regularly scheduled resident didactic lectures at a tertiary care center.

SUBJECTS AND METHODS

Forty-one otolaryngology and radiology residents were assessed with pre- and postintervention questionnaires that included subjective and objective methods of assessment.

RESULTS

Overall, there was a statistically significant improvement in total number of answers correct and in confidence score between the pre- and postintervention assessments ( < .0001). The primary outcome of order of intervention (ie, 2D → 3D vs 3D → 2D) did not result in statistically significant differences in postevaluation scores. In regard to the secondary outcome of learner preference for educational modality, radiology residents favored the 2D illustrations to understand anatomic relationships, while otolaryngology residents preferred the 3D model to be more helpful in surgical planning ( = .0075).

CONCLUSION

There is no difference between 2D-illustrated and 3D-printed International Frontal Sinus Anatomy Classification anatomic models in overall educational outcome, despite the preference of learners. Together, these models can be used as helpful tools in frontal sinus education for otolaryngology and radiology trainees.

摘要

目的

根据国际额窦解剖分类,研究二维(2D)插图和 3 维(3D)打印额窦解剖模型对耳鼻喉科和放射科住院医师教育的影响。

研究设计

一项交叉研究设计,一半研究参与者随机接受 2D 插图干预,另一半随机接受 3D 打印模型干预。

设置

在三级护理中心定期举行住院医师讲座。

受试者和方法

41 名耳鼻喉科和放射科住院医师接受了预干预和后干预问卷调查,包括主观和客观评估方法。

结果

总体而言,干预前后评估的总正确答案数和置信度评分均有统计学显著提高(<0.0001)。干预顺序(即 2D→3D 与 3D→2D)的主要结果并未导致后评估分数存在统计学显著差异。关于学习者对教育模式偏好的次要结果,放射科住院医师更喜欢使用 2D 插图来理解解剖关系,而耳鼻喉科住院医师则更喜欢 3D 模型更有助于手术计划(=0.0075)。

结论

尽管学习者有偏好,但 2D 插图和 3D 打印国际额窦解剖分类解剖模型在总体教育效果方面没有差异。这些模型可以一起作为耳鼻喉科和放射科住院医师额窦教育的有用工具。

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