虚拟三维甲状腺模型对甲状腺手术患者沟通的影响:随机对照试验
Zhen Cao1, Qiyao Zhang1, Shangcheng Yan1
1Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
Cancers
|January 28, 2026
概括
与传统图纸相比,虚拟3D甲状腺模型显著提高了患者对甲状腺手术解剖学和潜在并发症的理解. 这提高了在甲状腺癌护理中的共享决策和患者理解.
科学领域:
- 外科教育的外科教育
- 医学可视化 医学可视化
- 患者沟通 患者沟通
背景情况:
- 在甲状腺手术中,有效的手术前咨询对于共同决策至关重要.
- 像图纸这样的传统方法可能无法完全传达复杂的甲状腺解剖学和手术方法.
- 虚拟3D模型提供了一个直观的工具来提高患者的理解.
研究的目的:
- 评估虚拟3D甲状腺模型在提高患者对甲状腺解剖学和手术程序的理解方面的有效性.
- 为了比较虚拟3D模型组和传统基于绘图的咨询组之间的患者理解.
- 评估3D模型对理解潜在的术后并发症的影响.
主要方法:
- 一项随机对照试验,涉及94名接受甲状腺切除术的甲状腺癌患者.
- 干预组使用甲状腺导航器应用程序 (虚拟3D模型) 进行咨询.
- 对照组接受了基于绘图的标准手术前咨询.
- 通过调查评估患者对解剖学和并发症的理解.
主要成果:
- 3D模型组在识别复发的喉神经和淋巴结剖析程度方面显示出明显更高的准确性.
- 在3D模型组中,对重大术后并发症 (声,低血,出血) 的理解得到了显著改善.
- 两组之间在病变定位或副甲状腺识别方面没有发现显著差异.
结论:
- 虚拟3D甲状腺模型显著提高了患者对甲状腺解剖学,手术细节和潜在并发症的理解.
- 这些模型改善了临床医生和患者之间的沟通,并支持在甲状腺手术中共享决策.
- 虚拟3D模型是传统患者咨询的实用,具有成本效益的补充.
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