应用显微手术空间限制器于显微手术模拟训练中。
Application of a Microsurgical Space Restrictor in Microsurgical Simulation Training.
机构信息
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Neurospine Center, China International Neuroscience Institute, Beijing, People's Republic of China; Department of Neurosurgery, Education Department, Beijing Hospital, National Center of Gerontology, Beijing, People's Republic of China.
Department of Neurosurgery, Education Department, Beijing Hospital, National Center of Gerontology, Beijing, People's Republic of China.
出版信息
World Neurosurg. 2020 Aug;140:e289-e293. doi: 10.1016/j.wneu.2020.05.031. Epub 2020 May 11.
OBJECTIVE
To investigate the effect of the application of a microsurgical space restrictor in microsurgical simulation training.
METHODS
A microsurgical space restrictor that can restrict the operation space was designed and produced. Forty neurosurgery residents with standardized training were selected as the study subjects and were randomly divided into the experimental group (group A) and the control group (group B). Group A was trained using the space restrictor, and group B was trained using the traditional method. The skills and overall performance of the 2 groups of trainees were assessed by the Stanford Microsurgery and Resident Training (SMaRT) scale. The assessment was divided into 2 stages: the unobstructed microsurgery test, and the test with the microsurgical operation space restrictor.
RESULTS
In group A, the score for the first stage (A1) was 3.9 ± 0.6, the score for the second stage (A2) was 3.4 ± 0.6, and the score for A1 was better than that for A2 (P = 0.000); in group B, the score for the first stage (B1) was 3.57 ± 0.6, the score for the second stage (B2) was 3.0 ± 0.6, and the score for B1 was better than that for B2 (P = 0.000). Overall, the score for A1 was better than that for B1 (P = 0.046), and the score for A2 was better than that for B2 (P = 0.009).
CONCLUSIONS
Microsurgical space restrictor use can improve the effect of microsurgical simulation training and help trainees better master microsurgical operation skills.
目的
研究应用显微外科空间限制器对显微模拟训练的效果。
方法
设计并制作了一种可限制操作空间的显微外科空间限制器。选择 40 名接受标准化培训的神经外科住院医师作为研究对象，并将其随机分为实验组（A 组）和对照组（B 组）。A 组使用空间限制器进行训练，B 组使用传统方法进行训练。使用斯坦福显微外科和住院医师培训（SMaRT）量表评估两组受训者的技能和整体表现。评估分为两个阶段：无阻碍显微手术测试和带有显微手术操作空间限制器的测试。
结果
在 A 组中，第一阶段（A1）得分为 3.9 ± 0.6，第二阶段（A2）得分为 3.4 ± 0.6，A1 阶段的得分优于 A2 阶段（P = 0.000）；在 B 组中，第一阶段（B1）得分为 3.57 ± 0.6，第二阶段（B2）得分为 3.0 ± 0.6，B1 阶段的得分优于 B2 阶段（P = 0.000）。总体而言，A1 阶段的得分优于 B1 阶段（P = 0.046），A2 阶段的得分优于 B2 阶段（P = 0.009）。
结论
使用显微外科空间限制器可以提高显微模拟训练的效果，帮助受训者更好地掌握显微手术技能。
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