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3D 打印的患者个体化模型与尸体模型在口腔颌面外科学本科课程中的应用:学生认知的比较。

3D-printed patient individualised models vs cadaveric models in an undergraduate oral and maxillofacial surgery curriculum: Comparison of student's perceptions.

机构信息

Department of Oral, Cranio-Maxillofacial, and Facial Plastic Surgery, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.

Polyclinic for Dental Surgery and Implantology, Carolinum Dentistry University Institute gGmbH of the Goethe University Frankfurt am Main, Frankfurt am Main, Germany.

出版信息

Eur J Dent Educ. 2020 Nov;24(4):799-806. doi: 10.1111/eje.12522. Epub 2020 Mar 14.

DOI:10.1111/eje.12522
PMID:32133720
Abstract

BACKGROUND

Recent advances in 3D printing technology have enabled the emergence of new educational and clinical tools for medical professionals. This study provides an exemplary description of the fabrication of 3D-printed individualised patient models and assesses their educational value compared to cadaveric models in oral and maxillofacial surgery.

METHODS

A single-stage, controlled cohort study was conducted within the context of a curricular course. A patient's CT scan was segmented into a stereolithographic model and then printed using a fused filament 3D printer. These individualised patient models were implemented and compared against cadaveric models in a curricular oral surgery hands-on course. Students evaluated both models using a validated questionnaire. Additionally, a cost analysis for both models was carried out. P-values were calculated using the Mann-Whitney U test.

RESULTS

Thirty-eight fourth-year dental students participated in the study. Overall, significant differences between the two models were found in the student assessment. Whilst the cadaveric models achieved better results in the haptic feedback of the soft tissue, the 3D-printed individualised patient models were regarded significantly more realistic with regard to the anatomical correctness, the degree of freedom of movement and the operative simulation. At 3.46 € (compared to 6.51 €), the 3D-printed patient individualised models were exceptionally cost-efficient.

CONCLUSIONS

3D-printed patient individualised models presented a realistic alternative to cadaveric models in the undergraduate training of operational skills in oral and maxillofacial surgery. Whilst the 3D-printed individualised patient models received positive feedback from students, some aspects of the model leave room for improvement.

摘要

背景

3D 打印技术的最新进展使得医学专业人员能够获得新的教育和临床工具。本研究提供了 3D 打印个体化患者模型的制作示例描述,并评估了它们在口腔颌面外科中的教育价值与尸体模型相比。

方法

在课程背景下进行了单阶段、对照队列研究。患者的 CT 扫描被分割成立体光刻模型,然后使用熔丝制造 3D 打印机进行打印。这些个体化患者模型在口腔手术实践课程中与尸体模型一起实施并进行比较。学生使用经过验证的问卷评估这两种模型。此外,还对两种模型进行了成本分析。使用曼-惠特尼 U 检验计算 P 值。

结果

38 名四年级牙科学生参与了这项研究。总的来说,学生评估发现两种模型之间存在显著差异。虽然尸体模型在软组织的触觉反馈方面取得了更好的结果,但 3D 打印个体化患者模型在解剖正确性、自由度和手术模拟方面被认为更具现实性。3D 打印个体化患者模型的成本为 3.46 欧元(相比之下,6.51 欧元),具有极高的成本效益。

结论

3D 打印个体化患者模型在口腔颌面外科操作技能的本科培训中为尸体模型提供了现实的替代方案。虽然 3D 打印个体化患者模型受到了学生的积极反馈,但模型的某些方面还有改进的空间。

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