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Application effect of 3D printing technology in clinical teaching of percutaneous nephroscopy during standardized training for resident physicians |
YAN Fengqi JIAO Yong CUI Dong HE Dali WAN Xiaoqiong ZHANG Bo#br# |
Department of Urology, the Second Affiliated Hospital of Air Force Medical University, Shaanxi Province, Xi’an 710038, China |
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Abstract Objective To explore the application effect of 3D printing technology in clinical teaching of percutaneous nephroscopy during standardized training for resident physicians. Methods A total of 60 resident physicians participated standardized training in the Department of Urology of the Second Affiliated Hospital of Air Force Military Medical University from October 2019 to October 2021 were selected as the research objects, and they were divided into observation group (3D printing technology + traditional teaching method) and control group (traditional teaching method) according to the random number table method, with 30 cases in each group. The results of theory assessment, skill assessment, and teaching satisfaction of residents in the two groups before and after admission were recorded and compared. Results The theoretical test scores of the two groups after admission were higher than those of the two groups before admission, and the difference was statistically significant (P < 0.05). After admission, the percutaneous nephrolithotomy skills assessment results in both groups were higher than those before admission, and the observation group was higher than the control group, the differences were statistically significant (P < 0.05). A total of 60 satisfaction evaluation questionnaires were sent out and 60 were recovered with effective recovery of 100%. The scores of comprehension, acceptance, participation, interest, and skill improvement in the observation group were higher than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion The teaching method of 3D printing technology can improve the operation level of percutaneous nephrolithotomy puncture skills in the standardized training of residents, and also improve the satisfaction of clinical teaching in the standardized training of residents.
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[1] 唐敏,李普,刘边疆,等.美国泌尿外科住院医师规范化培训模式的启示与借鉴[J].中国医药导报,2021,21(18):189-192.
[2] Khurshid RG,Sero A,Matthew B,et al. Percutaneous Nep-hrolithotomy:Update,Trends,and Future Directions [J]. Eur Urol,2016,70(2):382-396.
[3] 黄健,王建业,孔垂泽,等.中国泌尿外科和男科疾病诊断治疗指南[M].2019版.北京:科学出版社,2020:237-329.
[4] Ghazi A,Melnyk R,Farooq S,et al. Validity of a patient-specific percutaneous nephrolithotomy(PCNL)simulated surgical rehearsal platform:impact on patient and surgical outcomes [J]. World J Urol,2021,24:2638-2647.
[5] 李春建,张正园,王健明.3D打印技术在肾肿瘤手术治疗及教学中的应用[J].现代泌尿外科杂志,2021,26(3):268-271.
[6] Brandon S,Prokar D. 3D printing technology and its role in urological training [J]. World J Urol,2020,38(10):2385-2391.
[7] Stalmeijer RE,Dolmans DH,Wolfhagen IH,et al. The Maastricht Clinical Teaching Questionnaire(MCTQ)as a valid and reliable instrument for the evaluation of clinical teachers [J]. Acad Med,2010,85(11):1732-1738.
[8] Thomas K,Francisco D,Janak D,et al. Percutaneous neph-rolithotomy:technique [J]. World J Urol,2017,35(9):1361-1368.
[9] 王朋欣,王星,田翡,等.Ⅰ期经皮肾镜取石术术后结石残留的相关因素分析[J].中国医药导报,2018,15(36):55-58.
[10] Zhao ZJ,Fan JH,Liu Y,et al. Percutaneous nephrolithotomy:position,position,position![J] Urolithiasis,2018,46(1):79-86.
[11] Guohua Z,Wen Z,Margaret P,et al. European Association of Urology Section of Urolithiasis and International Alliance of Urolithiasis Joint Consensus on Percutaneous Nephrolithotomy [J]. Eur Urol Focus,2021,16:368-374.
[12] Jennifer S,Joshua E,Justin R,et al. Fellowship training in endourology:Impact on percutaneous nephrolithotomy access patterns [J]. Can Urol Assoc J,2021,24:65-73.
[13] 宋佳奇,陈海莲,阳范文.生物3D打印在医学领域的研究及应用[J].中国医疗设备,2021,36(7):151-154.
[14] He D,Liang J,Wang H,et al. 3D-Printed PEEK Extravascular Stent in the Treatment of Nutcracker Syndrome:Imaging Evaluation and Short-Term Clinical Outcome [J]. Front Bioeng Biotechnol,2020,3(8):732-741.
[15] Wang H,Guo YT,Jiao Y,et al. A minimally invasive alternative for the treatment of nutcracker syndrome using individualized three-dimensional printed extravascular titanium stents [J]. Chin Med J(Engl),2019,132(12):1454-1460.
[16] Guo YT,Wang H,Wang JP,et al. Two years follow-up on laparoscopic three-dimensional printed extravascular stent placement for posterior nutcracker syndrome [J]. Chin Med J(Engl),2018,131(23):2895-2896.
[17] Cui D,Wu B,He DL,et al. 3D-Printed Cold Preservation Device in Renal Autotransplantation for the Treatment of a Patient With Renal Artery Stenosis [J]. Front Bioeng Biotechnol,2022,1(9):1312-1320.
[18] Cui D,Yan FQ,Yi JP,et al. Efficacy and safety of 3D printing assisted percutaneous nephrolithotomy in complex renal calculi [J]. Sci Rep,2022,1(12):417-425.
[19] 岳梅.3D打印技术在医学教学中的应用研究[J].中国继续医学教育,2020,12(2):56-58.
[20] 张敏,李庆元,王玮.3D打印在泌尿外科临床与教学中的新进展[J].中华泌尿外科杂志,2018,39(5):398-400.
[21] 程谷,周海华,杨荣涛,等.3D打印个性化模型联合数字化外科导板在埋伏牙拔除术临床教学中的应用[J].中国实用口腔科杂志,2021,14(6):672-676.
[22] 韩冠生,李振伟,张仲传,等.3D打印技术在膝关节镜临床教学中的应用研究[J].蚌埠医学院学报,2021,46(10):1464-1466.
[23] 李维新,毛紫龙,彭立玮,等.3D打印和混合现实技术在脊柱外科住院医师教学中的应用价值[J].中国骨与关节损伤杂志,2021,36(11):1231-1232.
[24] 程晓非,徐辰,干耀恺,等.3D打印模型在脊柱外科疾病教学中的应用效果[J].中国当代医药,2020,27(30):200-202,206.
[25] 邓倾,周青,宋宏宁,等.超声仿生3D打印联合PBL法在心脏超声个性化规培教学中的应用[J].中华医学教育探索杂志,2021,20(4):460-463.
[26] 刘成刚,陈丽鸿.3D打印技术在眼耳鼻咽喉科临床教学中的应用及展望[J].中国医学教育技术,2018,32(1):58-61. |
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