目的：探讨三维可视化技术在肾盂重建机器人手术教学中的作用及效果。方法：选取解放军总医院 第五医学中心的 40 名实习医师作为研究对象，随机分为对照组和观察组，比较两组学生的考核成绩和课程满意度。 对照组采用传统的理论教学：手术图谱及二维的 CT 或 MRT 图像进行手术规划；观察组采用三维可视化技术教学： 重建软件生成的泌尿三维可视化模型及虚拟手术模块，结合手术录像进行手术规划。结果：观察组成绩优秀率明显 高于对照组（50% Vs 20%），两组学员的考核成绩差异具有统计学意义（P<0.05）；观察组课程满意度显著高于对 照组（100% Vs 75%），两组学员的课程满意度差异具有统计学意义（P<0.05）。结论：在肾盂重建机器人手术教 学中应用三维可视化技术可提高学员学习兴趣，有利于学员对临床知识点的掌握，增强学员临床实践能力，受到学 员们的良好评价，值得在教学中推广应用。

Objective: To explore the role of three-dimensional (3D) visualization technology in the teaching of robotic surgery for renal pelvis reconstruction. Methods: 40 interns from the Fifth Medical Center of PLA General Hospital were randomly divided into the control group and observation group, and the assessment results and course satisfaction of the two groups of students were compared. The control group was given traditional theoretical teaching, students were trained with surgical map and two-dimensional CT or MRT images in surgical planning. The observation group was taught with 3D visualization technology, which was combined with the surgical video, 3D urinary visualization model and virtual surgical module generated by reconstruction software. Results: The rate of excellence in the observation group was higher than that of the control group(50% Vs 20%), and the difference was statistically significant (P<0.05). The degree of satisfaction in the observation group was significantly higher than that in the control group (100% Vs 75%), and the difference was statistically significant(P<0.05). Conclusion: The application of 3D visualization technology in the teaching of robotic surgery for renal pelvis reconstruction could increase students’ learning interest and improve their clinical practice ability, which is worth of popularizing in clinical teaching.

收稿日期：2021-10-20  录用日期：2022-03-25

Received Date: 2021-10-20  Accepted Date: 2022-03-25

基金项目：国家自然科学基金（82173085）

Foundation Item: National Natural Science Foundation of China(82173085) 

通讯作者：陈立军，Email：chenlj829@163.com

Corresponding Author: CHEN Lijun, Email: chenlj829@163.com 

引用格式：李学超，杨涛，孔令生，等 . 三维可视化技术在肾盂重建机器人手术教学中的应用 [J]. 机器人外科学杂志（中英文）， 2022，3（6）：494-499. 

Citation: LI X C, YANG T, KONG L S, et al. Application of 3D visualization technology in the teaching of robotic surgery for renal pelvis reconstruction [J]. Chinese Journal of Robotic Surgery, 2022, 3(6): 494-499.

[1] 王行环 . 微创泌尿外科的现状及展望 [J]. 中华实验 外科杂志 , 2021, 38(6): 991-995. 

[2] 刘俊杰 , 陈仁富 , 陈家存 . 计算机模拟训练在泌尿 外科微创手术教学中的应用和效果评价 [J]. 中国教 育技术装备 , 2017(22): 48-49, 55.

[3] LI X, ZHANG J, SHI W, et al. Application of threedimensional image reconstruction technology based on high-resolution CT in pyeloplasty[J]. Transl Androl Urol, 2021, 10(3): 1314-1320. 

[4] Jensen P H, Berg K D, Azawi N H. Robot-assisted pyeloplasty and pyelolithotomy in patients with ureteropelvic junction stenosis[J]. Scand J Urol, 2017, 51(4): 323-328. 

[5] Bergersen A, Thomas R, Lee B R. Robotic pyeloplasty[J]. J Endourol, 2018, 32(S1): S68-S72. [6] 木拉提·热夏提 , 凯赛尔·阿吉 , 王玉杰 . 手术视 频教学在泌尿外科临床实习教学中的应用效果研 究 [J]. 继续医学教育 , 2020, 34(12): 35-36.

[7] WANG Z, QI L, YUAN P, et al. Application of threedimensional visualization technology in laparoscopic partial nephrectomy of renal tumor: a comparative study[J]. J Laparoendosc Adv Surg Tech A, 2017, 27(5): 516-523. 

[8] Shimoyama H, Isotani S, China T, et al. Automated renal cortical volume measurement for assessment of renal function in patients undergoing radical nephrectomy[J]. Clin Exp Nephrol, 2017 , 21(6): 1124-1130. 

[9] ZHENG M M, DING G P, ZHU W J, et al. Application of preoperative three-dimensional image reconstruction in the treatment of ureteropelvic junction obstruction[J]. Beijing Da Xue Xue Bao Yi Xue Ban, 2020 , 52(4): 705-710.

[10] 李新飞 , 彭意吉 , 余霄腾 , 等 . 肾部分切除术前 CT 三维可视化评估标准的初步探究 [J]. 北京大学学报 ( 医学版 ), 2021, 53(3): 613-622. 

[11] Ellerkamp V, Kurth R R, Schmid E, et al. Differences between intrinsic and extrinsic ureteropelvic junction obstruction related to crossing vessels: histology and functional analyses[J]. World J Urol, 2016, 34(4): 577-583. 

[12] 杨渊 , 毛庆 . 脑白质纤维及肿瘤重建技术在胶质瘤 手术教学中的应用 [J]. 继续医学教育 , 2021, 35(8): 39-41.