Chen Yigang, Qian Chunxiang, Shen Ruizhi, Wu Danping, Bian Linjie, Qu Huiheng, Fan Xinqi, Liu Zhequn, Li Yang, Xia Jiazeng
Department of General Surgery, The Affiliated Wuxi No. 2 People's Hospital of Nanjing Medical University, Jiangsu, PR China.
Department of Education and Researching, The Affiliated Wuxi No. 2 People's Hospital of Nanjing Medical University, Jiangsu, PR China.
J Surg Educ. 2020 Sep-Oct;77(5):1279-1284. doi: 10.1016/j.jsurg.2020.02.031. Epub 2020 Apr 6.
Complex vascular anatomy has always been a difficult point for medical students. Gastrocolic trunk (Henle trunk) has many branches and variations, involving the venous reflux of the stomach, right colon, and pancreas. This study investigated the effects of 3 dimensional (3D) printing technology on medical interns' understanding of Henle trunk's variation, by comparing 2 dimensional (2D) images.
Henle trunk modes were manufactured using 3D-CT angiography and 3D-printing technology.
Forty-seven interns from 2 medical schools (Nanjing Medical University and Medical College of Nantong University) participated in the study.
The interns were divided randomly allocated into 2 groups, where group 1 was the control group with a 2D image of Henle trunk plus surgical video (named 2D image group), and group 2 was the study group with a 3D printed model of Henle trunk plus surgical video (named 3D-printing group). Knowledge of interns on the Henle trunk was compared between 2 groups using a question test before and after the teaching intervention.
All interns had an improved overall assessment score as a result of attending the seminar, whether in the 2D image group or the 3D-printing group. The score of the 2D image group increased 32.57 ± 13.86, and the 3D-printing group increased 47.04 ± 12.99, showing significant difference (p = 0.001). There was no significant difference observed between postseminar scores between 2 medical schools (p = 0.975). There was a significant improvement in satisfaction among the 3D-printing group for education depth, novel and inspiring of teaching method, except for the interaction between teacher and interns (p = 0.215). Interns hope to have more teaching time for 3D printing, and not satisfied with the time of 3D printing teaching compared with those in the 2D image group (p = 0.021).
The 3-D printed Henle trunk model is a very effective teaching tool, which can help interns understand the anatomy of Henle trunk. The application of 3D printing technology in the teaching of interns of complex vascular anatomy is worth popularizing in teaching hospitals.
复杂的血管解剖结构一直是医学生学习的难点。胃结肠干(亨勒干)分支众多且存在变异,涉及胃、右结肠及胰腺的静脉回流。本研究通过比较二维(2D)图像,探讨三维(3D)打印技术对医学实习生理解亨勒干变异的影响。
利用3D-CT血管造影和3D打印技术制作亨勒干模型。
来自2所医学院校(南京医科大学和南通大学医学院)的47名实习生参与了本研究。
实习生被随机分为2组,其中第1组为对照组,观看亨勒干的二维图像加手术视频(命名为2D图像组),第2组为研究组,观看亨勒干的3D打印模型加手术视频(命名为3D打印组)。在教学干预前后,通过问题测试比较两组实习生对亨勒干的了解情况。
无论是2D图像组还是3D打印组,所有实习生参加研讨会后总体评估得分均有所提高。2D图像组得分提高了32.57±13.86,3D打印组得分提高了47.04±12.99,差异有统计学意义(p = 0.001)。两所医学院校研讨会后的得分之间未观察到显著差异(p = 0.975)。3D打印组在教育深度、教学方法的新颖性和启发性方面满意度有显著提高,除了师生互动方面(p = 0.215)。与2D图像组相比,实习生希望有更多时间用于3D打印教学,对3D打印教学时间不满意(p = 0.021)。
3D打印的亨勒干模型是一种非常有效的教学工具,可帮助实习生理解亨勒干的解剖结构。3D打印技术在复杂血管解剖学实习生教学中的应用值得在教学医院推广。