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评估3D打印模型在颈椎椎板成形术培训中的教育影响:一项基于调查的研究。

Evaluating the Educational Impact of 3D-Printed Models in Cervical Laminoplasty Training: A Survey-Based Study.

作者信息

Encarnacion Ramirez Manuel De Jesus, Ovalle Torres Carlos Salvador, Rosario Rosario Andreina, Reyes Soto Gervith, Castillo-Rangel Carlos, Castillo Sorian Carlos, Castañeda Aguayo Francisco, El-Ghandour Nasser M F, Nikolenko Vladimir, Mpoyi Cherubin Tshiunza

机构信息

Department of Neurosurgery, Peoples' Friendship University of Russia, Moscow, RUS.

Department of Human Anatomy and Histology, N.V. Sklifosovsky Institute of Clinical Medicine, Moscow, RUS.

出版信息

Cureus. 2025 Feb 14;17(2):e79021. doi: 10.7759/cureus.79021. eCollection 2025 Feb.

DOI:10.7759/cureus.79021
PMID:40099076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11911143/
Abstract

Background and objective The complexities of spinal surgery, particularly the intricacies of cervical pathology, demand precision and expertise in surgical interventions. Cervical laminoplasty is a procedure that requires meticulous execution and a profound understanding of delicate anatomical structures. Recognizing the limitations of traditional training methods, this study highlights the transformative impact of integrating 3D modeling and printing technologies into medical education. These technologies provide an immersive, interactive, and highly detailed training platform, enabling aspiring surgeons to visualize, dissect, and practice procedures in a risk-free environment. Beyond education, 3D models enhance patient-doctor communication, enable precise preoperative planning, facilitate custom implant design, and support a personalized approach to spinal surgery. Collectively, these advancements hold the promise of reducing surgical errors and improving outcomes. Materials and methods Thirty-eight participants, including neurosurgeons, residents, and medical doctors, were enrolled in this study. High-resolution CT scans, obtained with informed consent to ensure confidentiality and ethical compliance, were used to create the 3D models. These models, printed with polylactic acid (PLA) filament and refined through post-processing, achieved high anatomical accuracy and quality. The training program combined lectures, live demonstrations, and hands-on sessions with 3D models. Participants' experiences and perceptions were evaluated through a survey, focusing on the models' utility and realism in advancing surgical skills. Results The participants overwhelmingly praised the 3D models for their utility in helping to understand cervical laminoplasty concepts and enhancing their learning compared to traditional methods. The models were particularly valued for their accurate representation of anatomical structures and improved visualization of surgical steps. Notably, 81.6% of participants found the models extremely beneficial in planning surgical approaches. The survey results unanimously highlighted the transformative potential of 3D models in medical education. Participants strongly recommended their integration into training programs and preoperative planning processes, emphasizing their ability to elevate the learning experience and improve surgical preparedness. Conclusions Our findings show that 3D modeling significantly enhances training in cervical laminoplasty by providing superior learning tools and improving anatomical visualization compared to conventional methods. The unanimous endorsement from participants underscores the adaptability and precision of 3D models in medical education and preoperative planning. As an indispensable resource in modern medical training, these models represent a pivotal advancement in preparing surgeons for the complexities of spinal surgery.

摘要

背景与目的 脊柱手术的复杂性,尤其是颈椎病变的错综复杂,要求手术干预具备精准性和专业技能。颈椎椎板成形术是一种需要精心实施且深刻理解精细解剖结构的手术。认识到传统训练方法的局限性,本研究强调了将三维建模与打印技术融入医学教育所带来的变革性影响。这些技术提供了一个沉浸式、交互式且高度详细的训练平台,使有抱负的外科医生能够在无风险环境中可视化、解剖并练习手术操作。除了教育方面,三维模型还能加强医患沟通,实现精确的术前规划,促进定制植入物设计,并支持脊柱手术的个性化方法。总体而言,这些进展有望减少手术失误并改善手术结果。

材料与方法 本研究招募了38名参与者,包括神经外科医生、住院医师和内科医生。在获得确保保密性和符合伦理规范的知情同意后获取的高分辨率CT扫描用于创建三维模型。这些模型采用聚乳酸(PLA)细丝打印并经过后处理进行优化,实现了高度的解剖准确性和质量。培训项目结合了讲座、现场演示以及使用三维模型的实践环节。通过一项调查评估参与者的体验和看法,重点关注模型在提升手术技能方面的实用性和逼真度。

结果 参与者一致高度赞扬三维模型在帮助理解颈椎椎板成形术概念以及与传统方法相比增强学习效果方面的实用性。这些模型因其对解剖结构的准确呈现以及手术步骤可视化的改善而尤其受到重视。值得注意的是,81.6%的参与者发现这些模型在规划手术入路方面极其有益。调查结果一致强调了三维模型在医学教育中的变革潜力。参与者强烈建议将其纳入培训项目和术前规划流程,强调其提升学习体验和改善手术准备的能力。

结论 我们的研究结果表明,与传统方法相比,三维建模通过提供卓越的学习工具并改善解剖可视化,显著增强了颈椎椎板成形术的培训效果。参与者一致认可突出了三维模型在医学教育和术前规划中的适应性和精确性。作为现代医学培训中不可或缺的资源,这些模型代表了在使外科医生为脊柱手术的复杂性做好准备方面的一项关键进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/98b889cf7616/cureus-0017-00000079021-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/a5bb823234f0/cureus-0017-00000079021-i01.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/c608176afd4c/cureus-0017-00000079021-i07.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/fa027b737a09/cureus-0017-00000079021-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/98b889cf7616/cureus-0017-00000079021-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/a5bb823234f0/cureus-0017-00000079021-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/04bb0f90b17f/cureus-0017-00000079021-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/8ba2ca69bd6f/cureus-0017-00000079021-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/7e97fc22954a/cureus-0017-00000079021-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/3ac808fdc506/cureus-0017-00000079021-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/1fc4e71b179c/cureus-0017-00000079021-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/c608176afd4c/cureus-0017-00000079021-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/21fa72e9dc58/cureus-0017-00000079021-i08.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/11911143/98b889cf7616/cureus-0017-00000079021-i10.jpg

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