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用于儿科外科医生培训的逼真新生儿空回肠闭锁模拟器的开发与验证

Development and Validation of a Realistic Neonatal Intestinal Jejunoileal Atresia Simulator for the Training of Pediatric Surgeons.

作者信息

Arredondo Montero Javier, Pérez Riveros Blanca Paola, Bueso Asfura Oscar Emilio, Martín Calvo Nerea, Pueyo Francisco Javier, López de Aguileta Castaño Nicolás

机构信息

Pediatric Surgery Department, Complejo Asistencial Universitario de León, 24008 León, Spain.

Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, 31008 Pamplona, Spain.

出版信息

Children (Basel). 2024 Sep 11;11(9):1109. doi: 10.3390/children11091109.

Abstract

Neonatal surgical pathology presents highly technical complexity and few opportunities for training. Many of the neonatal surgical entities are not replicable in animal models. Realistic 3D models are a cost-effective and efficient alternative for training new generations of pediatric surgeons. We conceptualized, designed, and produced an anatomically realistic model for the open correction of jejunoileal atresia. We validated it with two groups of participants (experts and non-experts) through face, construct, and content validity questionnaires. : The model was validated by eleven experts and nine non-experts. The mean procedure time for the experts and non-experts groups was 41 and 42 min, respectively. Six non-experts and one expert did not complete the procedure by the designed time (45 min) ( = 0.02). The mean score of face validity was 3.1 out of 4. Regarding construct validity, we found statistically significant differences between groups for the correct calculation of the section length of the antimesenteric border (Nixon's technique) ( < 0.01). Concerning content validity, the mean score was 3.3 out of 4 in the experts group and 3.4 out of 4 in the non-experts group. The present model is a realistic and low-cost valid option for training for open correction of jejunoileal atresia. Before drawing definitive conclusions, future studies with larger sample sizes and blinded validators are needed.

摘要

新生儿外科病理学技术复杂性高,培训机会少。许多新生儿外科疾病在动物模型中无法复制。逼真的三维模型是培训新一代小儿外科医生的经济高效的替代方案。我们构思、设计并制作了一个用于空肠闭锁开放矫正术的解剖学逼真模型。我们通过面部、结构和内容效度问卷对两组参与者(专家和非专家)进行了验证。该模型由11名专家和9名非专家进行了验证。专家组和非专家组的平均手术时间分别为41分钟和42分钟。6名非专家和1名专家未在规定时间(45分钟)内完成手术(P = 0.02)。面部效度的平均得分为4分中的3.1分。关于结构效度,我们发现两组在正确计算肠系膜对侧缘的节段长度(尼克松技术)方面存在统计学显著差异(P < 0.01)。关于内容效度,专家组的平均得分为4分中的3.3分,非专家组的平均得分为4分中的3.4分。本模型是用于空肠闭锁开放矫正术培训的现实且低成本的有效选择。在得出明确结论之前,需要进行样本量更大且验证者设盲的未来研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/331c/11430441/8b07321a833e/children-11-01109-g001.jpg

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