数字虚拟技术在肝胆外科临床教学中的应用研究
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摘要
目的探讨三维可视化3D打印、虚拟现实技术在肝胆外科教学中的应用价值。方法应用三维可视化3D打印、虚拟现实技术用于肝胆外科研究生临床教学,引导学生对三维重建3D打印肝脏实体模型进行立体观察学习;三维可视化3D打印模型形象逼真,立体感强,清楚显示肝内各管道、肿瘤大小、位置及其与肝内各管道的空间解剖关系;再结合实际病例对三维重建3D打印模型进行讲解,进行术前虚拟手术,观摩手术过程,再次学习术前三维可视化3D打印、术前虚拟手术与术中真实情况是否一致。结果肝胆外科研究生通过三维可视化3D打印模型、术前虚拟手术教学,能在短时间内了解并掌握复杂肝脏解剖特点,并对术中解剖及手术方案有基本理解。结论三维可视化3D打印技术联合虚拟现实技术对肝胆外科研究生临床教学是一种有效教学方式。
Objective To explore the application value of 3D visualization 3D printing and virtual reality technology in hepatobiliary surgery teaching. Methods 3D visualization 3D printing and virtual reality technology were applied to the clinical teaching of hepatobiliary surgery students. The students were guided to stereoscopic observation of 3D printed liver solid model. The 3D visualization 3D printing model was vivid and stereoscopic, clearly showing the liver. The size of each tube, tumor size, location and its spatial anatomical relationship with the various channels in the liver; combined with the actual case to explain the 3D printed 3D printed model, preoperative virtual surgery, observe the surgical procedure, and re-learn the preoperative 3D visualization 3D printing preoperative virtual surgery is consistent with the actual situation during surgery. Results The threedimensional visualized 3D printing model and preoperative virtual surgery teaching can understand and master the complex liver anatomy in a short time, and have a basic understanding of intraoperative anatomy and surgical plan. Conclusion 3D visualization 3D printing technology combined with virtual reality technology is an effective teaching method for postgraduate teaching of hepatobiliary surgery, which is worthy of use and promotion by hepatobiliary surgeons.
Objective To explore the application value of 3D visualization 3D printing and virtual reality technology in hepatobiliary surgery teaching. Methods 3D visualization 3D printing and virtual reality technology were applied to the clinical teaching of hepatobiliary surgery students. The students were guided to stereoscopic observation of 3D printed liver solid model. The 3D visualization 3D printing model was vivid and stereoscopic, clearly showing the liver. The size of each tube, tumor size, location and its spatial anatomical relationship with the various channels in the liver; combined with the actual case to explain the 3D printed 3D printed model, preoperative virtual surgery, observe the surgical procedure, and re-learn the preoperative 3D visualization 3D printing preoperative virtual surgery is consistent with the actual situation during surgery. Results The threedimensional visualized 3D printing model and preoperative virtual surgery teaching can understand and master the complex liver anatomy in a short time, and have a basic understanding of intraoperative anatomy and surgical plan. Conclusion 3D visualization 3D printing technology combined with virtual reality technology is an effective teaching method for postgraduate teaching of hepatobiliary surgery, which is worthy of use and promotion by hepatobiliary surgeons.
引文
[1]杨华瑜,廖文俊,桑新亭,等.3D打印技术在医学和肝胆外科中的应用[J].肝胆外科杂志,2016,24(1):66-68.
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[16]颜光启,啜文钰,杨鸣良,等.数字化技术在正颌外科及创伤外科临床教学中的应用[J].中国口腔颌面外科杂志,2017,15(5):463-465.
[17]万丽丹,伍洪昊.数字化虚拟人解剖学教学平台的应用现状[J].中国组织化学与细胞化学杂志,2017,26(6):625-628.
[18]李文涛,贡桑明久,任春莹,等.基于多模态功能神经导航的虚拟现实及增强现实技术在神经外科教学中的应用[J].中国医药导报,2017,14(33):187-189.
[19]孙国城,余新光,陈晓雷,等.基于多模态功能神经导航的虚拟现实和增强现实技术应用于神经外科教学中的应用[J].中国医学教育技术,2015,29(1):66-69
[20]吴琛,陈向,黄华兴,等.虚拟现实技术在肝脏外科超声介入教学中的应用[J].教育教学论坛,2017(50):184-185.
[2]赵军,赵海远,赵国海.PBL联合CBL教学法在胃肠外科临床实习教学中的应用研究[J].中华全科医学,2017,15(8):1422-1425.
[3]方驰华,项楠,范应方,等.64层螺旋CT门静脉三维成像在门静脉高压症中的应用价值[J].第四军医大学学报,2017,28(7):919-921.
[4]杨剑,方驰华,范应方,等.基于亚毫米CT扫描数据的肝外胆管供血动脉三维可视化模型构建[J].南方医科大学学报,2014,34(7):945-949.
[5]方驰华,方兆山,范应方,等.三维可视化、3D打印及3D腹腔镜在肝肿瘤外科诊治中的应用[J].南方医科大学学报,2015,35(5):639-645.
[6]方驰华,张永祥,范应方,等.个体化肝静脉、门静脉三维重建在肝切除术中的应用[J].中华外科杂志,2014,52(1):45-49.
[7]李鹏鹏,王志恒,黄罡,等.肝脏三维可视化技术在肝脏恶性肿瘤治疗规划中的应用研究[J].中华外科杂志,2017,55(12):136-139.
[8]王壮雄,李林容,王芳元,等.虚拟和增强现实技术在肝脏外科中的应用[J].实用医学杂志,2018,34(7):1210-1212.
[9]谢斌,李杉,刘宏鸣.浅谈肝胆外科介入治疗技术多媒体课件的制作[J].医学教育探索,2013,9(4):566-568.
[10]孙鹏飞,张彬,孙文娟,等.虚拟现实技术在整形外科中的应用与展望[J].中国美容整形外科杂志,2017,28(1):109-112.
[11]曾道炳.虚拟现实技术在精准医疗时代肝胆外科教学中的应用展望[J].北京医学,2017,10(12):109-112
[12]彭远飞,陆超成,施杰毅,等.三维可视化及虚拟手术在肝脏外科临床教学中的应用价值[J].中国临床医学,2017,7(6):32-35.
[13]张齐,周国伟,贺毅呈,等.数字化虚拟仿真在局部解剖学教学中的应用[J].解剖学杂志,2018,12(1):109-111.
[14]王平,孙北望,黄娴娴,等.腹腔镜辅助教学在肝胆外科临床教学中应用[J].现代生物医学进展,2016,16(20):3953-3956.
[15]黄立,李璐,江灿洋,等.3D打印的数字化病例数据库在口腔颌面外科骨性疾病教学中的应用[J].中国口腔颌面外科杂志,2018,16(4):371-375.
[16]颜光启,啜文钰,杨鸣良,等.数字化技术在正颌外科及创伤外科临床教学中的应用[J].中国口腔颌面外科杂志,2017,15(5):463-465.
[17]万丽丹,伍洪昊.数字化虚拟人解剖学教学平台的应用现状[J].中国组织化学与细胞化学杂志,2017,26(6):625-628.
[18]李文涛,贡桑明久,任春莹,等.基于多模态功能神经导航的虚拟现实及增强现实技术在神经外科教学中的应用[J].中国医药导报,2017,14(33):187-189.
[19]孙国城,余新光,陈晓雷,等.基于多模态功能神经导航的虚拟现实和增强现实技术应用于神经外科教学中的应用[J].中国医学教育技术,2015,29(1):66-69
[20]吴琛,陈向,黄华兴,等.虚拟现实技术在肝脏外科超声介入教学中的应用[J].教育教学论坛,2017(50):184-185.