喉嗓音显微手术模拟下手术动作控制、学习过程和学习曲线量化研究

项目名称： 喉嗓音显微手术模拟下手术动作控制、学习过程和学习曲线量化研究

项目编号： No.81200728

项目类型： 青年科学基金项目

立项/批准年度： 2013

项目学科： 医学二处

项目作者： 陈婷

作者单位： 福建省立医院

项目金额： 23万元

中文摘要： 外科手术模拟是提高医疗安全、加速外科医生成长的重要手段，尤其是内镜手术和显微手术，对医生操作控制要求更高，手术模拟教育和手术动作特性量化研究十分重要，也是未来计算机虚拟手术必要组成部分。喉嗓音显微手术是内镜手术和显微手术的复合体，但手术模拟教育和动作量化研究目前在国际上仍是空白。本课题创新将计算机三维追踪系统和喉显微手术模拟设置结合，发展喉嗓音显微外科手术动作特性参数并计算机编程，建立喉嗓音显微手术模拟工作站和动作分析系统（Laryngophonomicrosurgery Motion Assessment System, LPMAS），研究喉嗓音显微手术动作控制特性和影响因素，以及手术操作学习过程和学习曲线。为专科操作教育提供真实、经济、简便的工作系统；实现对喉嗓音显微外科动作特性的量化研究，为专科手术动作特性研究提供实验平台和测量标准；对专科手术教育成效评价提供方法学和客观标准。

中文关键词： 嗓音显微外科；手术模拟；磁场感应；手臂支撑；CUSUM学习曲线

英文摘要： Surgical procedure simulation is great value for medical safety and economical surgery education, especially in microsurgery an endoscopic surgery which demand highly control in surgical manipulation . This situation requires deeply study on surgical procedure simulation education and quantitative analysis of surgical manipulation . Also , this study can be an essential part in future virtual operation research . Laryngo phonomicrosurgery combines microsurgery and endoscopic surgery technology, both of which require experience in manipulative skills and have small margins of operative success. A standard laryngophonomicrosurgery simulation system is not currently available, and no metric exists to quantitatively measure laryngomicrophonosurgery motion characteristics. In this study, we developed a laryngomicrophonosurgery simulation motion assessment system (LPSMAS) and characteristic motion parameters to quantitatively studied motion characters during laryngomicrophonosurgery using a man-made material task to optimize surgical ergonomics and investigate the skill-learning procedure and learning curve. This study will apply on-site, efficient and economic working bench for laryngophonomicrosurgic manipulation education ;provide the laboratory platform , objective metric and methodology for laryngophonomi

英文关键词： Phonomicrosurgery；surgical simulation；magnetic base；arm support；CUSUM learning curve