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智能手机作为显微外科手术训练放大设备的实用性评估

An Assesment of Usefulness of Smartphone as a Magnifying Device for Microsurgery Training.

作者信息

Leśniewski Kamil, Czernikiewicz Konrad, Żyluk Andrzej

机构信息

Studenckie Koło Naukowe przy Klinice Chirurgii Ogólnej i Chirurgii Ręki, Pomorski Uniwersytet Medyczny w Szczecinie, Polska / Student's Scientific Circle at the Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland.

Klinika Chirurgii Ogólnej i Chirurgii Ręki, Pomorski Uniwersytet Medyczny w Szczecinie, Polska / Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland.

出版信息

Ortop Traumatol Rehabil. 2019 Dec 31;21(6):457-466. doi: 10.5604/01.3001.0013.7404.

Abstract

BACKGROUND

Currently available smartphones are equipped with optic systems allowing even 10x magnifi-ca-tion, which makes it possible to use them as magnifying devices for microsurgery training. The objective of this study was to assess the usefulness of smartphones for basic microsurgery training.

MATERIAL AND METHODS

Two students began experimental microsurgical training using a smartphone as a magni-fy-ing device. Both students had acquired microsurgical skills following training under the microscope. For the expe-riment, the time of completion of a "6 stitches" test was measured and compared for each student using a smartphone and a microscope, after 1 and 6 hours of training using only a smartphone.

RESULTS

After one hour of training, the first student completed the "6 stitches" test within 7:52 min. under the mi-croscope and within 16:35 min. using a smartphone, while the respective scores of the second student were 12:31 and 20:12 min.. In both cases the time required to complete the test was longer when working with a smartphone. The test was repeated after 6 hours of practice with a telephone, and the results now were as follows: first student 7:10 min. with the microscope and 12:50 min. with a smartphone, second student 8:54 min. with the microscope and 12:01 min. with a smartphone.

CONCLUSIONS

  1. The microsurgical skills of both trainees improved gradually when they were using a smartphone (by 3:8 min. and 8:1 min) and the microscope (by 0:4 min. and 3:8 min). 2. Two drawbacks of the smartphone were noticed: lack of three-dimensional vision, deteriorating vertical orientation in the operating field and worse vision quality compared to the microscope. 3. Advantages of this tool include the availability of training at home, low cost and possibility of analysis of images recorded in the smartphone memory.
摘要

背景

目前市面上的智能手机都配备了光学系统,甚至具备10倍放大功能,这使得它们能够用作显微外科手术训练的放大设备。本研究的目的是评估智能手机在基础显微外科手术训练中的实用性。

材料与方法

两名学生开始使用智能手机作为放大设备进行实验性显微外科手术训练。两名学生在显微镜下接受训练后都掌握了显微外科手术技能。在仅使用智能手机进行1小时和6小时训练后,对每名学生使用智能手机和显微镜完成“6针缝合”测试的时间进行测量和比较。

结果

训练1小时后,第一名学生在显微镜下7分52秒内完成“6针缝合”测试,使用智能手机则用时16分35秒,而第二名学生的相应成绩分别为12分31秒和20分12秒。在这两种情况下,使用智能手机完成测试所需的时间都更长。在使用手机练习6小时后重复该测试,结果如下:第一名学生使用显微镜用时7分10秒,使用智能手机用时12分50秒;第二名学生使用显微镜用时8分54秒,使用智能手机用时12分01秒。

结论

  1. 两名受训者在使用智能手机(分别提高3分8秒和8分1秒)和显微镜(分别提高0分4秒和3分8秒)时,显微外科手术技能都逐渐提高。2. 注意到智能手机的两个缺点:缺乏三维视觉,手术视野中的垂直方向变差,以及与显微镜相比视觉质量更差。3. 该工具的优点包括可在家中进行训练、成本低以及能够分析智能手机内存中记录的图像。

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