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三维打印模型提高了骨科住院医师对青少年特发性脊柱侧凸的理解。

Three-dimensional printed models improve orthopedic residents' understanding of adolescent idiopathic scoliosis.

作者信息

Liu Ruiqi, Ma Hong

机构信息

Health Management Center, Xiangya Hospital of Central South University, Changsha, China.

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital of Central South University, Changsha, China.

出版信息

BMC Med Educ. 2025 Jan 9;25(1):37. doi: 10.1186/s12909-024-06617-2.

Abstract

BACKGROUND

Adolescent idiopathic scoliosis, a complex three-dimensional spine deformity, presents a formidable challenge for orthopedic residents in understanding its anatomy and surgical strategies. The aim of this study is to investigate the impact of three-dimensional printing (3DP) models in enhancing the comprehension of adolescent idiopathic scoliosis among orthopedic residents.

METHODS

Forty orthopedic residents were randomly divided into two groups, the first group received lectures that were augmented with 3DP models illustrating five cases of adolescent idiopathic scoliosis, along with corresponding X-ray and CT images. The second group received lectures accompanied only by X-ray and CT images. Lenke classification system, surgical strategies and confidence in understanding adolescent idiopathic scoliosis, time for evaluation, and subjective questions were conducted to assess the learning outcomes.

RESULTS

The group with 3DP models exhibited a higher accurate classification rate, a more adequate surgical plan rate, and greater confidence in understanding compared to those without 3DP models. Moreover, participants in the 3DP group assessed the cases more quickly than residents in the control group. The vast majority of residents agreed that 3DP model not only increased their interest in learning but also enhanced their understanding of adolescent idiopathic scoliosis. They further expressed their willingness to utilize 3DP models in managing other diseases.

CONCLUSIONS

The utilization of 3DP models led to enhancing comprehension and recognition of adolescent idiopathic scoliosis among residents. Additionally, feedback from subjective surveys suggested a keen interest among residents in integrating 3DP models into other aspects of surgical course instruction.

摘要

背景

青少年特发性脊柱侧凸是一种复杂的三维脊柱畸形,对骨科住院医师理解其解剖结构和手术策略构成了巨大挑战。本研究的目的是调查三维打印(3DP)模型对提高骨科住院医师对青少年特发性脊柱侧凸理解的影响。

方法

40名骨科住院医师被随机分为两组,第一组接受的讲座配有展示5例青少年特发性脊柱侧凸病例的3DP模型,以及相应的X线和CT图像。第二组接受的讲座仅配有X线和CT图像。通过Lenke分类系统、手术策略以及对理解青少年特发性脊柱侧凸的信心、评估时间和主观问题来评估学习成果。

结果

与没有3DP模型的组相比,有3DP模型的组表现出更高的准确分类率、更充分的手术计划率和更强的理解信心。此外,3DP组的参与者评估病例的速度比对照组的住院医师更快。绝大多数住院医师一致认为,3DP模型不仅增加了他们的学习兴趣,还增强了他们对青少年特发性脊柱侧凸的理解。他们还表示愿意在处理其他疾病时使用3DP模型。

结论

3DP模型的使用提高了住院医师对青少年特发性脊柱侧凸的理解和认识。此外,主观调查的反馈表明住院医师对将3DP模型整合到手术课程教学的其他方面有着浓厚的兴趣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a9/11716277/61314dfccad8/12909_2024_6617_Fig1_HTML.jpg

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