机器人外科学杂志（中英文）2025，Vol.6Issue(3)：421-426,6.DOI:10.12180/j.issn.2096-7721.2025.03.013
3D打印手术训练模型在机器人辅助腹腔镜泌尿外科手术术前访视中的应用研究
Application of 3D printing surgical training models in the preoperative assessment of robot-assisted laparoscopic urologic surgery
摘要
Abstract
Objective:To explore the application effect of 3D printing surgical training models in the preoperative assessment of robot-assisted laparoscopic urologic surgery.Methods:150 patients who underwent robot-assisted laparoscopic urological surgery in Zhejiang Provincial People's Hospital from April 2023 to September 2023 were selected,and 74 of them from April 2023 to June 2023 were assigned to the control group(oral and video health education),While 76 of them from July 2023 to September 2023 were assigned to the observation group(3D printed surgical training model combined with oral and video health education).The preoperative anxiety and information demand scores were compared between the two groups.The scores of anxiety and information demand before the visit and anesthesia induction,as well as the physiological stress indicators including interleukin 6(IL-6),angiotensinⅡ(AngⅡ),adrenocorticotropic hormone(ACTH),cortisol(Cor),average arterial pressure(MAP),and heart rate(HR)at 6 a.m.1 d before surgery(T0),day of surgery(T1),1 d after surgery(T2),and 3 d after surgry(T3)were compared between the two groups.The surgical awareness and perfection rate of preoperative preparation before the visit and induction of anesthesia were also compared between the groups.Results:Before the induction of anesthesia,the scores of anxiety and surgical information demand in the observation group were lower than those in the control group,and the above scores of the observation group before the induction of anesthesia were lower than those before the visit(P<0.001).Compared with that before surgery,indicators in the two groups showed a decreasing trend at postoperative timepoints.Compared with the control group,the physiological stress indicators of IL-6,Ang Ⅱ,ACTH,Cor,MAP,and HR were lower in the observation group at the T1 timepoint(P<0.05),and the they were similar at the T0,T2,and T3 timepoints(P>0.05).The distribution of overall physiological stress indicators was statistically different in both groups(P<0.001).Before the induction of anesthesia,the surgical awareness and the perfection rate of preoperative preparation were higher in the observation group than those in the control group(P<0.05).Conclusion:3D printing surgical training model combined with oral and video health education can effectively reduce the psychological and physiological stress responses of patients who underwent robot-assisted laparoscopic urological surgery,improve their surgical awareness,and enhance the preparation rate before surgery.关键词
3D打印技术/机器人辅助腹腔镜手术/泌尿外科手术/术前访视Key words
3D Printing Technology/Robot-assisted Laparoscopic Surgery/Urologicl Surgery/Preoperative Visit分类
医药卫生引用本文复制引用
喻晓芬,何茫茫,袁琳琳..3D打印手术训练模型在机器人辅助腹腔镜泌尿外科手术术前访视中的应用研究[J].机器人外科学杂志（中英文）,2025,6(3):421-426,6.基金项目
浙江省医药卫生科技计划项目(2024KY035)Medical and Health Technology Plan Project of Zhejiang Province(2024KY035) （2024KY035）
