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用于外科住院医师和学生培训的超声引导下甲状腺活检原始体模模型的开发与评估。

Development and evaluation of an original phantom model of ultrasonography-guided thyroid gland biopsy for the training of surgical residents and students.

作者信息

Baba Masayuki, Matsumoto Keitaro, Shindo Hisakazu, Matsumoto Megumi, Otsubo Ryota, Tanaka Aya, Oyama Shosaburo, Zhu Rui, Yamamoto Ikuo, Nagayasu Takeshi

机构信息

Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

Medical Engineering, Hybrid Professional Development Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

出版信息

Surg Today. 2023 Apr;53(4):443-450. doi: 10.1007/s00595-022-02582-9. Epub 2022 Oct 1.

Abstract

PURPOSES

Fine-needle aspiration cytology (FNAC) is a specific and important test used for the diagnosis of thyroid gland cancer. We developed a thyroid gland phantom using original manufacturing techniques and direct three-dimensional (3D) printing. The aim of this study was to confirm the effectiveness of this phantom by collecting data to evaluate puncture training.

METHODS

Data from 45 ultrasonography-guided thyroid nodule FNAC procedures performed on our thyroid phantom were evaluated in our department. The first group comprised qualified physicians who specialized in thyroid gland treatment (group A; n = 10). The second and third groups comprised senior and junior residents (group B; n = 8 and group C; n = 12; respectively). The fourth group comprised students (group D; n = 15). We measured the times taken by these groups to complete each task.

RESULTS

The skills of all participants in groups B, C, and D improved after using this phantom involving the major (parallel)- (0.47 ± 0.07) and short (orthogonal)-axes (0.52 ± 0.07) methods (P < 0.001). The number of erroneous punctures decreased from 53 to 3.

CONCLUSIONS

Our original phantom improved the puncture skills of students and junior doctors and was suitable as a tailored training model for practicing thyroid gland transfixion.

摘要

目的

细针穿刺细胞学检查(FNAC)是用于诊断甲状腺癌的一项特定且重要的检查。我们采用原始制造技术和直接三维(3D)打印技术制作了一个甲状腺模型。本研究的目的是通过收集数据来评估穿刺训练,以确认该模型的有效性。

方法

我们科室对在我们的甲状腺模型上进行的45例超声引导下甲状腺结节FNAC操作的数据进行了评估。第一组由专门从事甲状腺治疗的合格医生组成(A组;n = 10)。第二组和第三组分别由高年资住院医师和低年资住院医师组成(B组;n = 8和C组;n = 12)。第四组由学生组成(D组;n = 15)。我们测量了这些组完成各项任务所需的时间。

结果

使用该模型后,B组、C组和D组所有参与者在采用主要(平行)-(0.47±0.07)和短(正交)轴(0.52±0.07)方法时的技能均有提高(P < 0.001)。误穿次数从53次减少到3次。

结论

我们制作的原始模型提高了学生和低年资医生的穿刺技能,适合作为甲状腺穿刺练习的定制化训练模型。

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