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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.doc

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1、 : : 2012 60 , (n=30) (n=30) / ; 6 , , : , , (P0.001) ; (93.3%) (40%) , (P0.001) , , , , : , , ; ; ; ; ; ; , , .E-mail: .Tel:021-64041990, E-mail:fan.jiazs-, , ( ) , , , , ( ) , , - , , , , , , , , , 9000 1800 , , - , 4 , , 10 500 , SCI 290 , 2 26.7%, 34 , + + , , , T NCCN Resnick JClinOncol (JCO) ,

2、 ( ) SCI , , Lancet Oncology J Clin Oncol , 132 , 4733 , , 356 (JCO2007) , 811.6 (81572296) Application value of three-dimensional visualization and virtual surgery system in liver surgery teaching PENG Yuan-fei LU Chao-cheng SHI Jie-yi SHI Ying-hong WANG Zheng WANG Xiao-ying ZHOU Jian FAN Jia Depar

3、tment of Liver Surgery, Zhongshan Hospital, Fudan University; Department of General Surgery, Zhongshan Hospital, Fudan University; Abstract Objective:To explore the application value of three-dimensional visualization and virtual surgery system in liver surgery teaching.Methods:A total of 60 undergr

4、aduate interns from Fudan University School of Medicine, Grade 2012, were randomly divided into traditional teaching group (n=30) and three-dimension teaching group (n=30) .The atlas of liver anatomy and liver surgery, liver model and operation video were used for teaching in traditional teaching gr

5、oup;the threedimension reconstruction of liver model, virtual liver surgery system and operation video corresponding to real case were used for teaching in three-dimension teaching group.Standardized examination was given 6 class hours later and the questionnaire was used to investigate the students

6、 evaluation for the teaching methods.Results:The exam score of three- rate in three-dimension teaching group (93.3%) was also significant higher than that in traditional teaching group (40%, P0.001) .According to the questionnaire, the new teaching method was valued by all the students in three-dime

7、nsion teaching group to be easy, vivid and interesting, which could arouse the learning enthusiasm, promote the mastery, improve the learning efficiency and strengthen the self-study ability.Conclusions: Novel clinical teaching using three-dimensional visualization and virtual surgery system is supe

8、rior to traditional teaching in liver surgery teaching and is recommended for wide application. Keyword liver; anatomy; three-dimension visualization; virtual surgery; clinical practice; teaching; , , , , 1-2 , 1-4 , , , , , , , , 1 1.1 2012 60 , (n=30) (n=30) ( ) , ; : 1.2 / , 1.2.1 ) Sabiston Surg

9、ery (19 ) / PPT , 1-6 1.2.2 ( , , ) : / (3D+, , ) , Couinaud , ( 1) , Couinaud , , , , ( 2) ( 3) , U ( , ) , , , , , , 1.3 , , (1) : , 3 Couinaud 3D , 50 , = + , 60 90 (2) : , , , , 1.4 SPSS 20 , t , 0.05 1 2 3 / 2 2.1 100% , , (P0.001) 93.3%, (40%) , (P0.001) 2.2 60 , 60 , 100% ( 1) : (100%) , , , , , (P0.05) , 1 3 , , , 1-6 , , , , , Couinaud , , , , , , ; , , , , , , , , 7-10 , , , , , , , , , , , , , , , , , , , , , , , , Couinaud , 1 , , , , , , (P0.001) 11 Kong 11 , , / , , , / , , , , , , U , , , , , , / , , , , , ,

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