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中华临床医师杂志(电子版) ›› 2022, Vol. 16 ›› Issue (08) : 787 -791. doi: 10.3877/cma.j.issn.1674-0785.2022.08.015

教育培训

一种低成本、高仿真的自制模型用于超声引导下甲状腺细针穿刺住院医师培训
吕淑懿1, 张燕1,(), 章美武1, 张柏松1, 高立博1, 白浪涛1, 李飞1   
  1. 1. 315010 浙江宁波,中国科学院大学宁波华美医院
  • 收稿日期:2022-05-30 出版日期:2022-08-15
  • 通信作者: 张燕
  • 基金资助:
    浙江省医药卫生科技计划项目(2020KY834); 浙江省医药卫生科技计划项目(2021KY294)

A low-cost, high-fidelity self-made simulation model for training radiology residents in ultrasound-guided thyroid fine-needle aspiration

Shuyi Lyu1, Yan Zhang1,(), Meiwu Zhang1, Baisong Zhang1, Libo Gao1, Langtao Bai1, Fei Li1   

  1. 1. Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo 315010, China
  • Received:2022-05-30 Published:2022-08-15
  • Corresponding author: Yan Zhang
引用本文:

吕淑懿, 张燕, 章美武, 张柏松, 高立博, 白浪涛, 李飞. 一种低成本、高仿真的自制模型用于超声引导下甲状腺细针穿刺住院医师培训[J]. 中华临床医师杂志(电子版), 2022, 16(08): 787-791.

Shuyi Lyu, Yan Zhang, Meiwu Zhang, Baisong Zhang, Libo Gao, Langtao Bai, Fei Li. A low-cost, high-fidelity self-made simulation model for training radiology residents in ultrasound-guided thyroid fine-needle aspiration[J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(08): 787-791.

目的

超声引导下甲状腺细针穿刺是诊断甲状腺结节良恶性的一种准确的方法。因为缺少廉价、高仿真的模型,所以绝大多数住院医师都没有在模型上进行充分的练习。笔者的目的是制作一个低成本、高仿真的模型用于住院医师的培训。

方法

魔芋、明胶、玉米淀粉、试管、鱼油胶囊等经过简单的过程制作成一个高仿真的模型。20名超声专业的住院医师参加了甲状腺细针穿刺的培训,并在培训前后填写了问卷调查。

结果

该模型成功、逼真地模拟了甲状腺解剖和超声声像图。所有参加训练的住院医师均认为这个培训课程有价值。调查的问题均有显著的提高。对技术的信心显著提高,而焦虑明显降低。

结论

这个魔芋-明胶模型是一个用于超声引导下甲状腺结节细针穿刺住院医师培训的低成本、高仿真的模型。

Objective

Ultrasound (US)-guided fine needle aspiration is an accurate method for the diagnosis of benign and malignant thyroid nodules. Given the lack of cheap and high-fidelity simulation models, most domestic residents do not practice enough on the models. This study attempted to provide a cost-effective viable and high-fidelity simulation model for training radiology residents in ultrasound-guided thyroid fine-needle aspiration.

Methods

A high-fidelity simulation model was made by using konjac, gelatin, cornstarch, tubes (small-sized and medium-sized) and several fish oil capsules. Twenty ultrasound residents participated in the training of thyroid fine needle puncture using our self-made model, and filled in a questionnaire before and after the training.

Results

The anatomical and ultrasonographic images of the thyroid glands obtained using our simulation model were extremely close to real-world ones. All participants found that the training session was valuable. There was a statistically significant improvement in all surveyed aspects (statistically significant increases in both professional knowledge and technical confidence of residents, and a statistically significant decrease in the residents' anxiety degree related to performing thyroid biopsy).

Conclusion

The konjac-gelatin simulation model is a cost-effective, high-fidelity phantom for training residents in ultrasound-guided fine needle thyroid nodule targeting punctures.

图1 甲状腺模型所需材料
表1 甲状腺模型所需材料及价格
图2 甲状腺模型制作过程。图a为三个试管插入魔芋内,制作“甲状腺”;图b为将制作好的“甲状腺”放入塑料容器内;图c为将明胶混合物倒入容器内,覆盖“甲状腺”表面;图d为待明胶固化后,在模型表面覆盖一层保鲜膜
图3 模型声像图 注:THY为“甲状腺”(魔芋);A为“颈动脉”(细试管);T为“气管”(粗试管);N为“甲状腺结节”(鱼油胶囊)
图4 甲状腺穿刺模型内的针道。图a甲状腺细针穿刺当时模型内针道显示;图b为2天后模型内的针道几乎消失
表2 调查问卷结果比较
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