基于EyeSi手术模拟器评估眼科医师白内障手术水平

doi:10.6040/j.issn.1673-3770.0.2024.345

摘要/Abstract

摘要： 目的探讨专家眼科医师与新手眼科医师在EyeSi手术模拟器进行白内障手术模块中的得分表现。方法在南昌大学附属眼科医院选择10位高年资主治以上眼科医师(专家组)和15位住院及低年资主治医师(新手组)参加试验。每位参与者在EyeSi手术模拟器白内障手术模块CAT-B的5个项目(包括撕囊、水分离、劈核和超乳、IA皮质吸除、人工晶体植入)中操作三次,取最高分作为该项目得分。结果专家组在CAT-B模块的5个测试项目(撕囊、水分离、劈核与超乳、IA皮质吸除、人工晶体植入)中得分均高于新手组,差异具有统计学意义(P均<0.05)。专家组在撕囊居中性、连贯性、液波形成充分性、超声能量使用效率、皮质残留清除彻底性、人工晶体植入准确性等关键指标上得分高;在角膜内皮损伤、悬韧带损伤、前后囊破裂、操作时间延长等扣分项目中扣分少。结论专家组在准确性、操作效率和组织保护方面表现优于新手组。EyeSi手术模拟器能够客观评价眼科医师的白内障手术水平,可作为临床眼科规范化培训和白内障手术教学效果评估的有效工具。

关键词: EyeSi手术模拟器, 白内障手术, 规范化培训, 手术教学

Abstract: Objective To explore the scoring performance of expert and novice ophthalmologists in the cataract surgery module using the EyeSi surgical simulator. Methods A total of 10 senior attending or higher-level ophthalmologists(expert group)and 15 residents or junior attending ophthalmologists(novice group)from the Affiliated Eye Hospital of Nanchang University were recruited. Each participant performed three operations on the five items of the EyeSi cataract surgery module CAT-B(including capsulorhexis, hydrodissection, nucleus splitting and phacoemulsification, IA cortical aspiration, and intraocular lens implantation), with the highest score recorded for each item. Results In the 5 test items of the CAT-B module(capsulorhexis, hydrodissection, nucleus cracking and phacoemulsification, IA cortical aspiration, and intraocular lens implantation), the expert group scored higher than the novice group, with statistically significant differences(P<0.05 for all). The expert group achieved higher scores in key indicators such as capsulorhexis centrality, continuity, adequate fluid wave formation, ultrasound energy efficiency, thorough cortical removal, and accurate intraocular lens implantation. Meanwhile, they had fewer deductions in negative aspects like corneal endothelial damage, zonular damage, capsular rupture, and prolonged operation time. Conclusion The expert group outperformed the novice group in terms of accuracy, operational efficiency, and tissue protection. The EyeSi surgical simulator is capable of objectively evaluating the cataract surgery skills of ophthalmologists and can serve as an effective tool for standardized ophthalmic clinical training and assessment of cataract surgery teaching effectiveness.

Key words: EyeSi surgical simulator, Cataract surgery, Standardized training, Surgical teaching

中图分类号:

R776.1

黄旗,邓旭雯,王佩佩,陈烨群,古学军. 基于EyeSi手术模拟器评估眼科医师白内障手术水平[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 83-88.

HUANG Qi, DENG Xuwen, WANG Peipei, CHEN Yequn, GU Xuejun. Research on evaluating the cataract surgery level of ophthalmologists using eyeSi surgical simulator[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 83-88.

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