Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (5): 113-118.doi: 10.6040/j.issn.1673-3770.0.2021.451

Previous Articles    

Application of three-dimensional image processing combined with image navigation technology in perioperative teaching of advanced doctors in rhinology

LI Danfeng, CHEN Fuquan, SHI Li, WANG Jian, XU Min   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Xijing Hospital, Air Force Medical University, Xi'an 710032, Shaanxi, China
  • Published:2022-09-20

PDF (PC)

62

Abstract: Objective To study the value of three-dimensional image processing technologr combined with image navigation technology in the perioperative teaching of advanced doctors in rhinology. Methods The data of 55 advanced doctors in the Department of Otolaryngology-Head and Neck Surgery of Xijing Hospital from January 2014 to December 2020 was retrospectively analyzed. 25 doctors received traditional teaching methods(Group A)and 30 doctors received three-dimensional image processing technology combined with image navigation technology teaching methods(Group B). The teaching results were evaluated after four months. The satisfaction with teaching methods is evaluated in the form of questionnaire survey, and the condition of relevant knowledge mastering is evaluated in the form of theoretical test. Results In the general condition analysis, there is a statistical difference in the age data(P=0.011), but there is no significant difference in professional time, gender and educational background between the two groups(P=0.092,P=0.584,P=0.783). In the teaching satisfaction assessment, there is no significant difference in the improvement of disease recognization between the two groups(P=0.234). But in the improvement of surgical understanding, anatomical identification and teaching satisfaction, Group B is better than Group A(P<0.001). In the theoretical test, the results of the Group B are better than thoseof Group A(P=0.004). Finally, according to the multiple linear regression analysis, the teaching method changing is the main influencing factor of the improvement in evaluation results. Conclusion For advanced doctors in rhinology, three-dimensional image processing technology combined with image navigation technology can effectively help them establish three-dimensional anatomical structure, understand and quickly master more complicatied surgical approaches.Then the teaching quality will be improved.

Key words: 3D image processing, Image navigation technology, Rhinology, Perioperative period, Teaching, Advanced doctor

CLC Number: 

  • R765
[1] 刘利, 毛小博, 蒋浩, 等. 基于Myrian影像后处理系统的CT诊断技术在早期肺癌筛查与诊断中的应用价值[J]. 解放军医学院学报, 2021, 42(1): 34-38, 44. doi:10.3969/j.issn.2095-5227.2021.01.008. LIU Li, MAO Xiaobo, JIANG Hao, et al. Application value of CT diagnosis technology based on Myrian image post-processing system in screening and diagnosis of early lung cancer[J]. Academic Journal of Chinese PLA Medical School, 2021, 42(1): 34-38, 44. doi:10.3969/j.issn.2095-5227.2021.01.008.
[2] 徐钱燕, 吴福理. 医学影像后处理在医学教学中应用的研究[J]. 中国高等医学教育, 2009(12): 78-80. doi:10.3969/j.issn.1002-1701.2009.12.038.
[3] 帅桃, 唐鹤菡, 袁元, 等. 基于三维影像后处理可视化平台的实验教学模式探讨[J]. 医学影像学杂志, 2021, 31(8): 1420-1422, 1429. SHUAI Tao, TANG Hehan, YUAN Yuan, et al. Discussion on experimental teaching mode based on 3D image post processing visualization platform[J]. Chinese Journal of Medical Imaging, 2021, 31(8): 1420-1422, 1429.
[4] 董怿, 周兵, 李云川, 等. 影像导航技术在鼻内镜手术教学中的应用[J]. 中华医学教育探索杂志, 2018, 17(6): 571-576. doi:10.3760/cma.j.issn.2095-1485.2018.06.008.
[5] 卢颖深, 肖立智, 张明, 等. 模型教学在耳鼻喉科教学中的作用[J]. 继续医学教育, 2020, 34(4): 20-21. LU Yingshen, XIAO Lizhi, ZHANG Ming, et al. The role of type teaching in otolaryngology[J]. Continuing Medical Education, 2020, 34(4): 20-21.
[6] 马田雨, 王春瑞, 秦晓威, 等. 虚拟仿真技术在耳鼻喉专科医生培养中的应用[J]. 中国继续医学教育, 2020, 12(28): 55-58. doi:10.3969/j.issn.1674-9308.2020.28.016. MA Tianyu, WANG Chunrui, QIN Xiaowei, et al. Application of virtual simulation technology in the training of otolaryngologists[J]. China Continuing Medical Education, 2020, 12(28): 55-58. doi:10.3969/j.issn.1674-9308.2020.28.016.
[7] 张燕, 李星, 彭亚琴. 三维可视化虚拟教学法在妇产科教学中的应用[J]. 中国继续医学教育, 2020, 12(22): 25-27. doi:10.3969/j.issn.1674-9308.2020.22.011. ZHANG Yan, LI Xing, PENG Yaqin. Application of three-dimensional visualization virtual teaching method in obstetrics and gynecology teaching[J]. China Continuing Medical Education, 2020, 12(22): 25-27. doi:10.3969/j.issn.1674-9308.2020.22.011.
[8] 朱蓉蓉, 杨利莉, 成静, 等. 基于教学PACS平台的交互式医学影像后处理技术教学模式应用研究[J]. 课程教育研究, 2017(50): 221-222.
[9] 张碧晗, 方厂云, 李家大, 等. 3D打印技术在颌骨肿瘤与肿瘤样变临床教学中的应用[J]. 基础医学与临床, 2020, 40(6): 872-876. doi:10.16352/j.issn.1001-6325.2020.06.036. ZHANG Bihan, FANG Changyun, LI Jiada, et al. Application of 3D printing technology in clinical teaching about jaw bones tumor and tumor-like lesions[J]. Basic & Clinical Medicine, 2020, 40(6): 872-876. doi:10.16352/j.issn.1001-6325.2020.06.036.
[10] Nicot R, Druelle C, Schlund M, et al. Use of 3D printed models in student education of craniofacial traumas[J]. Dent Traumatol, 2019, 35(4/5): 296-299. doi:10.1111/edt.12479.
[11] 陈娜, 白雪, 李爽. 3D打印解剖模型在耳鼻喉科教学中的应用[J]. 中国继续医学教育, 2020, 12(31): 30-33. doi:10.3969/j.issn.1674-9308.2020.31.009. CHEN Na, BAI Xue, LI Shuang. Application of 3D printing anatomical model in the teaching of otolaryngology[J]. China Continuing Medical Education, 2020, 12(31): 30-33. doi:10.3969/j.issn.1674-9308.2020.31.009.
[12] 郭颖媛, 张德军, 管国芳, 等. 3D打印技术在耳鼻喉科住院医师规范化培训中的应用探索[J]. 山东大学耳鼻喉眼学报, 2017, 31(3): 119-122. doi:10.6040/j.issn.1673-3770.0.2017.166. GUO Yingyuan, ZHANG Dejun, GUAN Guofang, et al. Exploration of the application of three-dimensional printing technology in the standardized training of doctors in the otolaryngological department[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(3): 119-122. doi:10.6040/j.issn.1673-3770.0.2017.166.
[13] 肖安琪, 李真林, 肖家和, 等. CT/MRI影像后处理技术在神经外科本科临床见习教学中的应用价值[J]. 中国医学教育技术, 2019, 33(5): 595-599. doi:10.13566/j.cnki.cmet.cn61-1317/g4.201905022. XIAO Anqi, LI Zhenlin, XIAO Jiahe, et al. Value of CT/MRI image post-processing technology on clinical practice teaching for undergraduates in neurosurgery[J]. China Medical Education Technology, 2019, 33(5): 595-599. doi:10.13566/j.cnki.cmet.cn61-1317/g4.201905022.
[14] 陈素华, 杨军, 陈新, 等. 多模态影像三维重建联合神经导航在功能区胶质瘤手术中的应用[J]. 中华神经外科杂志, 2021, 37(9): 874-879. doi:10.3760/cma.j.cn112050-20210707-00339. CHEN Suhua, YANG Jun, CHEN Xin, et al. Application of multimodal image three-dimensional reconstruction combined with neuronavigation in the operation of gliomas in eloquent regions[J]. Chinese Journal of Neurosurgery, 2021, 37(9): 874-879. doi:10.3760/cma.j.cn112050-20210707-00339.
[15] 徐然. 三维数字影像重建在胸外科实习教学中的应用[J]. 中国高等医学教育, 2020(2): 77-78. doi:10.3969/j.issn.1002-1701.2020.02.040. XU Ran. Application of three-dimensional digital image reconstruction in clinical practice teaching of thoracic surgery[J]. China Higher Medical Education, 2020(2): 77-78. doi:10.3969/j.issn.1002-1701.2020.02.040.
[16] 刘芷扬, 陈敏洁, 张伟杰, 等. 三维重建技术在下颌阻生第三磨牙拔除术临床教学中的应用[J]. 中国口腔颌面外科杂志, 2020, 18(1): 68-70. doi:10.19438/j.cjoms.2020.01.014. LIU Zhiyang, CHEN Minjie, ZHANG Weijie, et al. Application of three-dimensional reconstruction technique in clinical teaching of mandibular third molar extraction[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(1): 68-70. doi:10.19438/j.cjoms.2020.01.014.
[17] 贾仲红, 赵晶, 孙建军. 多媒体技术在耳鼻喉科进修医师教学中的应用[J]. 中华医学教育探索杂志, 2011, 10(3): 373-375. doi:10.3760/cma.j.issn.2095-1485.2011.03.045.
[18] 廖正步. CTA三维重建结合外视镜在颅颈畸形教学中的应用[J]. 中国继续医学教育, 2020, 12(12): 52-54. doi:10.3969/j.issn.1674-9308.2020.12.022. LIAO Zhengbu. The application of CTA three-dimensional reconstruction combined with exoscope in the teaching of craniocervical malformation[J]. China Continuing Medical Education, 2020, 12(12): 52-54. doi:10.3969/j.issn.1674-9308.2020.12.022.
[19] 高薇, 毕永峰, 叶明, 等. 影像后处理技术在神经外科研究生教学中的应用[J]. 中国医学教育技术, 2020, 34(1): 73-75, 84. doi:10.13566/j.cnki.cmet.cn61-1317/g4.202001017. GAO Wei, BI Yongfeng, YE Ming, et al. Application of image post-processing technology in the teaching of neurosurgery postgraduates[J]. China Medical Education Technology, 2020, 34(1): 73-75, 84. doi:10.13566/j.cnki.cmet.cn61-1317/g4.202001017.
[20] 巴广益, 茆松, 孙汐文, 等. Voxel-man ENT手术模拟系统在鼻科技能教学中的应用[J]. 山东大学耳鼻喉眼学报, 2021, 35(5): 56-61. doi:10.6040/j.issn.1673-3770.0.2021.102. BA Guangyi, MAO Song, SUN Xiwen, et al. Application of Voxel-man ENT surgery simulation system in the training of nasal operation technique[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(5): 56-61. doi:10.6040/j.issn.1673-3770.0.2021.102.
[21] 查洋, 高志强, 吕威, 等. 3D打印解剖模型在耳鼻喉科教学的应用[J]. 基础医学与临床, 2018, 38(6): 878-881. doi:10.16352/j.issn.1001-6325.2018.06.027. ZHA Yang, GAO Zhiqiang, LYU Wei, et al. Application of 3D printing models to clinical teaching in otolaryngology[J]. Basic & Clinical Medicine, 2018, 38(6): 878-881. doi:10.16352/j.issn.1001-6325.2018.06.027.
[22] 王艺, 董有康, 张琨. 3D打印实训在耳鼻喉专业研究生教育中的实践研究[J]. 中华医学教育探索杂志, 2018, 17(4): 409-412. doi:10.3760/cma.j.issn.2095-1485.2018.04.019.
[1] BA Guangyi, MAO Song, SUN Xiwen, TANG Ru, LI Zhipeng, LIN Hai, ZHANG Weitian. Application of Voxel-man ENT surgery simulation system in the training of nasal operation technique [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(5): 56-61.
[2] WANG HeOverview,SONG XichengGuidance. Application of enhanced recovery after surgery in the perioperative period of thyroidectomy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 101-107.
[3] XU Jianhui, LI Xin, CUN Jingjing, YE Fei. Effect of enhanced recovery after surgery in the perioperative period of endoscopic septoplasty [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 21-24.
[4] Xinjie ZHU,Ruoxi CHEN,Xiaolu LI,Lei CHENG. Experience of clinical teaching in otorhinolaryngology for MBBS international students [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 157-159.
[5] SONG Xicheng. Application value of enhanced recovery after surgery in head and neck cancer surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 1-4.
[6] WU Xifu, KONG Weifeng, WANG Weihao, XU Huiqing, QI Min, YANG Qintai. Perioperative quality of life in patients with chronic rhinosinusitis with nasal polyps under enhanced recovery after surgery using QoR-15 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 5-8.
[7] LIU Dawei, ZHANG Yu, LI Chenglin, CHEN Xiumei, SONG Xicheng. Use of enhanced recovery after surgery in children with obstructive sleep apnea syndrome during the perioperative period [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 19-22.
[8] LÜ Xuqin, WAN Wenjin. Perioperative blood glucose management in patients with obstructive sleep apnea hypopnea syndrome and hyperglycemia [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 100-104.
[9] WU Xifu, ZHANG Gehua. Assessment of the effectiveness of problem-based learning during the probation period of the otolaryngology head and [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 116-118.
[10] JIE Ying, ZANG Yunxiao. Discussion on improving the effectiveness of theoretic study assessment of post-graduate students majoring in theoretical aspects of ophthalmology [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 116-118.
[11] LI Chao, YAN Yujang, ZHANG Qinyue, CHEN Xia, CAO Yonghua. The application of standardized patients in case-based learning of otolaryngology. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 111-114.
[12] GUO Yingyuan, ZHANG Dejun, GUAN Guofang, WEN Lianji, ZHANG Hui, YU Duojiao, MA Shuaishuai. Exploration of the application of three-dimensional printing technology in the standardized training of doctors in the otolaryngological department. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 119-122.
[13] YANG Jingpu, ZHANG Dejun, ZHAO Yin, CHENG Jinzhang, ZHAO Xue, LIU Yan, YU Dan, WANG Haitao, WEN Lianji. Construction and application of the teaching case database of otolaryngology head and neck surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 98-100.
[14] LI Danfeng, CHEN Fuquan, SHI Li, CHEN Jun. Application of stepped multi-model merged methodology in ENT clinical teaching for under-graduates. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(4): 77-79.
[15] CHEN Fu-quan, LU Lian-jun, CHEN Yang, SHI Zhao-hui. Application of CBL and elicitation teaching mode in teaching of otolaryngology-head and neck surgery for undergraduates [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 90-91.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd