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虚拟现实的应用,用于开发心室静脉切除模拟器:概念和初步结果
Anton Konovalov1,2, Dmitri Okishev1, Yuri Pilipenko1
1Neurovascular Department, N. N. Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation.
Surgical neurology international
|February 2, 2026
概括
虚拟现实 (VR) 模拟器有效地训练外科医生在外部心室排水 (EVD) 放置,提高准确性和减少错误. 这项技术为练习复杂的神经外科手术提供了一个无风险的环境.
科学领域:
- 神经外科 神经外科
- 医疗模拟 医疗模拟
- 虚拟现实技术 虚拟现实技术
背景情况:
- 虚拟现实 (VR) 越来越多地被用于复杂程序的医疗培训.
- 神经外科培训,特别是对于高精度任务,如外部心室排水 (EVD) 放置,可以从VR模拟中获得显著的好处.
- 这项研究旨在开发和评估用于不同外科医生经验水平的EVD安置培训的VR模拟器.
研究的目的:
- 开发一个VR模拟器用于外部心室排水 (EVD) 放置.
- 评估这个VR模拟器在训练不同经验水平的外科医生 (专家,住院医生,学生) 中的有效性.
- 评估VR模拟用于神经外科训练的构造有效性.
主要方法:
- 使用Meta Quest 3耳机和专门用于3D可视化解剖数据的软件创建了一个VR模拟器.
- 15名外科医生 (5名专家,5名住院医生,5名学生) 进行了虚拟EVD安置.
- 测量结果包括导管放置的准确性,手术时间,错误类型和率以及通过调查获得的参与者反.
主要成果:
- 经验丰富的外科医生表现出更高的准确性和更少的错误 (6%的错误率) 与居民和学生 (28%的错误率) 相比.
- 最常见的错误包括错误的导管放置 (36%) 和错误的入口点选择 (24%).
- 绝大多数参与者 (93%) 报告了积极的训练效果,并建议练习模拟器.
结论:
- 以虚拟现实为基础的EVD安置模拟是神经外科手术的可行和有效的培训工具.
- 虚拟现实模拟器为外科医生提供了一个无风险的环境,以提高精度,并可能减少实际程序中的错误.
- 需要进一步的研究来探索这种VR模拟技术的更广泛的临床应用.
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