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Efficacy of a virtual reality–based basic and clinical fused curriculum for clinical education on the lumbar intervertebral disc

机译：基于虚拟现实的基础和临床融合课程对腰椎间盘临床教育的功效

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摘要

OBJECTIVE Today, minimally invasive procedures have become mainstream surgical procedures. Percutaneous endoscopic transforaminal discectomy for lumbar disc herniation (LDH) requires profound knowledge of the laparoscopic lumbar anatomy. Immersive virtual reality (VR) provides three-dimensional patient-specific models to help in the process of preclinical surgical preparation. In this study, the authors investigated the efficacy of VR application in LDH for training orthopedic residents and postgraduates. METHODS VR images of the lumbar anatomy were created with immersive VR and mAnatomy software. The study was conducted among 60 residents and postgraduates. A questionnaire was developed to assess the effect of and satisfaction with this VR-based basic and clinical fused curriculum. The teaching effect was also evaluated through a postlecture test, and the results of the prelecture surgical examination were taken as baselines. RESULTS All participants in the VR group agreed that VR-based education is practical, attractive, and easy to operate, compared to traditional teaching, and promotes better understanding of the anatomical structures involved in LDH. Learners in the VR group achieved higher scores on an anatomical and clinical fusion test than learners in the traditional group (84.67 ± 14.56 vs 76.00 ± 16.10, p 0.05). CONCLUSIONS An immersive VR-based basic and clinical fused curriculum can increase residents’ and postgraduates’ interest and support them in mastering the structural changes and complicated symptoms of LDH. However, a simplified operational process and more realistic haptics of the VR system are necessary for further surgical preparation and application.
机译：目的 如今，微创手术已成为主流的外科手术。经皮内镜下经椎间孔椎间盘切除术治疗腰椎间盘突出症 （LDH） 需要对腹腔镜腰椎解剖学有深入的了解。沉浸式虚拟现实 （VR） 提供三维患者特定模型，以帮助临床前手术准备过程。在这项研究中，作者研究了 VR 在 LDH 中的应用对骨科住院医师和研究生培训的疗效。方法 使用沉浸式 VR 和 mAnatomy 软件创建腰椎解剖结构的 VR 图像。该研究是在 60 名住院医师和研究生中进行的。我们开发了一份问卷，以评估这种基于VR的基础和临床融合课程的效果和满意度。还通过课后测试评价教学效果，以课前手术检查结果为基线。结果 VR组的所有参与者都认为，与传统教学相比，基于VR的教育具有实用性、吸引力和易操作性，并促进了对LDH相关解剖结构的更好理解。VR组的学习者在解剖学和临床融合测试中的得分高于传统组的学习者（84.67±14.56 vs 76.00 ± 16.10，p < 0.05）。结论 基于VR的沉浸式基础和临床融合课程可以提高住院医师和研究生的兴趣，支持他们掌握LDH的结构变化和复杂症状。然而，简化的操作过程和更逼真的VR系统触觉对于进一步的手术准备和应用是必要的。

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  • 来源
    《neurosurgical focus》 |2021年第2期|1-8|共8页
  • 作者

    Fangfang Qi; Yixiang Gan; Shengwen WangYizhe TieJiewen ChenChunhai Li;

  • 作者单位

    1Teaching and Research Bureau of Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University;

    2Department of Anatomy and Neurobiology, Zhongshan School of Medicine, Sun Yat-sen University;

    3Guangdong Province Key Laboratory of Brain Function and Disease, Zhongshan School of Medicine, Sun Yat-sen University4School of Medicine, Sun Yat-sen University5Department of Neurosurgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University6Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University7Zhongshan School of Medicine, Sun Yat-sen University8Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University;

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  • 正文语种 英语
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  • 关键词

    cauda equina syndrome; clinical education; lumbar disc herniation; virtual reality;

    机译：马尾综合征;临床教育;腰椎间盘突出症;虚拟现实;

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