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Updated: Jan 9, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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在内镜内外科手术中的量化困难 - - 一种修改后的德尔菲方法方法.

Valentin Favier1,2, Marc A Tewfik3, Lily H P Nguyen3

  • 1Otolaryngology Head and Neck surgery Department, Gui de Chauliac Hospital, Montpellier University Hospital, Montpellier, France.

Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
|December 8, 2025
PubMed
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此摘要是机器生成的。

本研究通过对基本技能和程序进行排名来量化内镜内外科手术 (EES) 的手术难度. 调查结果为开发进步的EES教育课程奠定了基础.

科学领域:

  • 神经外科 神经外科
  • 医疗教育 医学教育
  • 外科手术技能的评估.

背景情况:

  • 量化手术困难对于有效的培训课程至关重要.
  • 内镜内外科手术 (EES) 缺乏教育的确立难度指标.
  • 需要一个结构化的方法来发展逐步的EES培训.

研究的目的:

  • 根据专家感知的难度对EES的基本技能和程序进行分类.
  • 为一个进步的EES教育课程建立一个框架.
  • 为EES的外科培训提供客观措施.

主要方法:

  • 一项经过三轮修改的Delphi研究,涉及15名国际EES专家.
  • 根据难度确定和排名23个基本技能和26个EES程序.
  • 共识定义为专家之间≥80%的共识.

主要成果:

  • 基本技能被分为三个难度级别,从导航到.
  • 多角切除术是最不困难的手术;维迪安神经切除术是最困难的.
  • 在专家得分和计算难度之间发现了强烈的相关性 (R2 = .75).

结论:

关键词:
教育教育教育教育的教育.内镜内外科手术是指内外科手术.程序是指程序的过程.技能 技能 技能 技能 技能 技能.

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  • 在EES基本技能和程序的难度排名上达成共识.
  • 这项研究为量化EES中的手术困难提供了基础.
  • 这些发现有助于制定结构化,进步的EES教育课程.