Txhawm rau kawm cov ntawv thov ntawm kev sib xyaw ua ke ntawm 3D kev kawm paub hom kev kawm hauv chaw kuaj mob ntsig txog kev phais mob caj qaum.
Nyob rau hauv tag nrho, 106 cov tub ntxhais kawm ntawm tsib-xyoo tshuaj kawm hauv cov kev kawm tshwj xeeb "ntawm 2021 yuav raug xaiv raws li cov orthopedics ntawm lub tsev kho mob ntawm Xuzhou Kev Kho Mob University. Cov tub ntxhais kawm tau faib ua pawg thiab tswj kev tswj hwm, nrog 53 tus tub ntxhais kawm hauv txhua pawg. Cov pab pawg kws sim ua siv kev sib xyaw ua ke ntawm 3D kev siv thev naus laus zis thiab pawg kawm PBL, thaum pawg tswj hwm siv txoj kev kawm ib txwm muaj. Tom qab kev cob qhia, qhov ua tau zoo ntawm kev cob qhia nyob rau hauv ob pawg tau muab piv siv kev xeem thiab cov lus nug.
Tag nrho cov qhab nia ntawm kev ntsuas cov theoretical ntawm cov tub ntxhais kawm ntawm pawg sim tau siab tshaj li cov tub ntxhais kawm ntawm pawg tswj. Cov tub ntxhais kawm ntawm ob pab pawg ntawm ob pawg ntawm nws cov qhab nia ntsuas lawv cov qib ntawm cov tub ntxhais kawm uas yog cov tub ntxhais kawm uas muaj pawg tswj hwm tau zoo dua li cov tub ntxhais kawm ntawm pawg tswj (P <0.05). Kev nyiam rau kev kawm, chav kawm hauv chav kawm, kev sib tham hauv chav kawm, thiab kev txaus siab nrog kev qhia ntau dua li hauv pawg tswj (P <0.05).
Kev sib xyaw ua ke ntawm 3D kev siv tshuab thiab PBL kev kawm hom thaum cov menyuam kawm ntawv phais mob taub hau thiab kev nyiam ntawm cov tub ntxhais kawm kev xav.
Nyob rau hauv xyoo tsis ntev los no, vim kev nruam kev sib txuam ntawm cov kev paub kho mob thiab cov lus nug ntawm kev kho mob tau ua rau cov kws kho mob thiab muaj teeb meem kev txhawj xeeb sai sai. nyiam ntau ntawm [1]. Cov chaw kho mob yog ib theem tseem ceeb hauv kev txhim kho kev kho mob xav thiab cov peev xwm ntawm cov tub ntxhais kawm kho mob. Hauv kev ua haujlwm tshwj xeeb, kev phais mob uas tsis tsim nyog ua rau cov menyuam kawm ntawv thiab kev paub txog tib neeg lub cev.
Tam sim no, kev qhia ib txwm muaj kev qhia tseem muaj cov thawj coj hauv cov tsev kawm thiab cov tshuaj tiv thaiv mob tshuaj tiv thaiv [2]. Txoj kev qhia ib txwm yog cov kws qhia ntawv-nruab nrab: Tus kws qhia sawv ntawm cov tub ntxhais kawm los ntawm kev qhia ib txwm muaj xws li cov phau ntawv qhia. Tag nrho cov chav kawm yog qhia los ntawm tus kws qhia ntawv. Cov tub ntxhais kawm feem ntau mloog cov lus qhuab qhia, txoj hauv kev rau kev sib tham dawb thiab cov lus nug muaj tsawg. Yog li ntawd, cov txheej txheem no tuaj yeem hloov kho ib ntu ntawm cov kws qhia ntawv thaum cov tub ntxhais kawm ua tsaug rau qhov xwm txheej. Yog li ntawd, los ntawm txoj kev qhia, cov xib fwb feem ntau pom tias cov tub ntxhais kawm txoj kev kawm tsis siab, cov kev txaus siab tsis yog siab, thiab cov nyhuv tsis zoo. Tsis tas li ntawd, nws nyuaj rau kev piav qhia meej meej ntawm tus txha nqaj qaum siv cov ntawv nyeem thiab cov duab anatomy thiab cov duab anatomy kom nkag siab thiab npaj txoj kev paub no [3].
Xyoo 1969, txoj kev qhia qhia tshiab, kev kawm-raws li kev kawm (PBL), raug sim nyob ntawm McMaster School ntawm cov tshuaj hauv tebchaws Canada. Txoj kev coj ua ib txwm muaj, PBL kev kawm kho cov kev kawm paub tab ntawm cov kev kawm paub, nquag nug cov lus nug thiab nrhiav cov lus teb ntau dua li kev lees paub lawv. , 5]. Nyob rau hauv cov txheej txheem ntawm kev txheeb xyuas thiab daws cov teeb meem, tsim cov tub ntxhais kawm lub peev xwm rau kev kawm ywj siab thiab kev xav txog [6]. Ib qho ntxiv, ua tsaug rau kev txhim kho cov thev naus laus zis thev naus laus zis, cov kws kuaj mob qhia cov hau kev kuj tau ua rau muaj ntau yam. 3D Kev Siv Tshuab (3DV) siv cov ntaub ntawv nyoos los ntawm cov duab kho mob, yuav ua qauv rau kev ua qauv software rau kev rov tsim dua tshiab, thiab tom qab ntawd ua cov ntaub ntawv los tsim cov qauv 3D. Cov qauv no kov yeej cov kev txwv ntawm cov qauv kev coj ua, mob cov tub ntxhais kawm kom tau txais cov qauv kev kawm sai sai [7, 8], tshwj xeeb yog hauv kev kawm orthopedic. Yog li ntawd, tsab xov xwm no txuas ob txoj kev los kawm cov nyhuv ntawm kev sib txuas PBL nrog 3dV Technology thiab kev kawm ib txwm muaj nyob hauv cov ntawv thov kev kawm. Qhov tshwm sim yog cov hauv qab no.
Lub homphiaj ntawm kev kawm yog 106 cov tub ntxhais kawm uas tau muab faib rau hauv pawg neeg mob caj pas hauv 2021, uas tau muab faib ua pawg, 53 tus tub ntxhais kawm hauv txhua pab pawg. Pawg kws sim muaj cov pawg kws sim muaj 25 tus txiv neej muaj 25 tus poj niam hnub nyoog 21 txog 23 xyoo, lub sijhawm muaj hnub nyoog 23.6 ± 0.8 xyoo. Pawg tswj hwm suav 26 tus txiv neej thiab 27 tus poj niam hnub nyoog 21-24 xyoo, nruab nrab hnub nyoog 22.6 ± 0.9 xyoos, txhua tus tub ntxhais kawm ua si. Tsis muaj qhov sib txawv tseem ceeb hauv lub hnub nyoog thiab poj niam txiv neej nruab nrab ntawm ob pawg (p> 0.05).
Cov txheej txheem suav nrog raws li nram no: (1) Thib plaub-xyoos cov tub ntxhais kawm ua haujlwm puv ntoob; (2) Cov tub ntxhais kawm uas muaj peev xwm qhia meej lawv cov kev xav tseeb; (3) Cov tub ntxhais kawm uas tuaj yeem nkag siab thiab yeem koom nrog tag nrho cov txheej txheem ntawm qhov kev kawm no thiab kos npe rau Daim Ntawv Pom Zoo thiab Kos Npe Daim Ntawv Tso Cai. Txoj cai tshem tawm muaj raws li nram no: (1) cov tub ntxhais kawm uas tsis tau ua raws li ntawm cov kev suav nrog; (2) Cov tub ntxhais kawm uas tsis xav koom nrog txoj kev kawm no vim yog vim li cas; (3) Cov tub ntxhais kawm uas muaj PBL qhia kev.
Ntshuam Raw CT rau hauv simulation software thiab import lub teeb ua qauv rau hauv software tshwjxeeb software rau cov zaub. Tus qauv muaj cov nqaij pob txha muaj pob txha, cuam tshuam nrog cov kab mob thiab tus txha caj qaum (Daim duab 1). Cov khoom sib txawv yog sawv cev los ntawm cov xim sib txawv, thiab tus qauv tuaj yeem nthuav dav thiab tig raws li xav tau. Lub ntsiab kom zoo dua ntawm lub tswv yim no yog tias CT txheej tuaj yeem tso rau ntawm cov qauv thiab cov pob tshab ntawm ntau qhov chaw tuaj yeem hloov kho kom zoo zam occlususion.
ib qho kev pom tom qab thiab b ib sab. Hauv L1, L3 thiab Pelvis ntawm cov qauv yog pob tshab. D Tom qab sib koom ua ke Cerging CL BRACT-PEsab duab nrog tus qauv, koj tuaj yeem txav nws nce thiab nqis los teeb tsa cov dav hlau sib txawv. e cov qauv ua ke ntawm SAGittal CT cov duab thiab kev siv cov lus qhia zais rau kev ua L1 thiab L3
Cov ntsiab lus tseem ceeb ntawm kev kawm yog li hauv qab no: 1) Kev kuaj mob thiab kev kho mob ntawm cov kab mob uas muaj mob pob txha; 2) paub txog lub cev ntawm lub nraub qaum, xav thiab nkag siab thiab nkag siab txog qhov tshwm sim thiab kev loj hlob ntawm cov kab mob; 3) Cov yeeb yaj kiab ua haujlwm kom qhia kev paub yooj yim. Theem ntawm kev phais mob txha caj qaum, 4) kev pom ntawm cov kab mob raug mob siab, suav nrog txoj kev phais txha caj qaum, thiab kev faib tawm ntawm cov txha caj qaum lumbar.
Kev sim pab pawg: Txoj kev qhia ua ke nrog PBL thiab 3D kev siv thev naus laus zis. Txoj kev no suav nrog cov hauv qab no. 1) Kev npaj ntawm cov leeg nqaij ntshiv: sib tham txog cov kab mob spondylyciation, thiab cov pob txha caj qaum, thiab cov kab ke hauv lebraral compressures, nrog rau txhua kis sib txawv ntawm cov ntsiab lus sib txawv ntawm kev paub. , 3D qauv thiab kev phais cov yeeb yaj kiab xa mus rau cov tub ntxhais kawm ib lub lim tiam ua ntej chav kawm los kuaj cov kev paub anatomical. 2) Kev npaj ua ntej ua ntej: 10 feeb ua ntej chav kawm, txhawb cov tub ntxhais kawm kom nquag koom tes, siv sijhawm thiab ua tiav cov haujlwm kom zoo. Grouping tau nqa tawm tom qab tau txais kev tso cai ntawm txhua tus neeg tuaj koom. Take 8 to 10 students in a group, break into groups freely to think about case search information, think about self-study, participate in group discussions, answer each other, finally summarize the main points, form systematic data, and record the discussion. Xaiv ib tug tub ntxhais kawm muaj cov kev txawj ua kom muaj zog thiab nthuav dav ua ib pab pawg ua pab pawg los npaj pab pawg sib tham thiab kev nthuav qhia. 3) Tus Kws Qhia Ntawv Phau Ntawv Qhia: Cov kws qhia ntawv siv cov simulation software los piav txog lub qhov quav ntawm cov kev ua haujlwm xws li ua kom cov tub ntxhais kawm ua kev ua haujlwm xws li kev ua kom zoo nkauj ct, rov ua kom cov tub ntxhais kawm ua ke, rov qab kho cov ntaub so ntswg; Txhawm rau kom muaj kev nkag siab tob thiab kev nco txog ntawm cov qauv ntawm tus kab mob, thiab pab lawv xav tias nws yog qhov tseem ceeb ntawm ONSET, kev loj hlob thiab chav kawm ntawm tus kab mob. 4) Txauv ntawm kev pom thiab kev sib tham. Hauv kev teb rau cov lus nug teev ua ntej kawm ua ntej chav kawm, kev sib tham hauv chav kawm thiab caw txhua pab pawg sib tham ntawm cov pab pawg sib tham tom qab muaj sijhawm sib tham Lub sijhawm no, cov pab pawg tuaj yeem nug cov lus nug thiab sib pab, thaum tus kws qhia ntawv yuav tsum nkag siab cov kev xav ntawm cov tub ntxhais kawm thiab cov teeb meem cuam tshuam nrog lawv. 5) Cov ntsiab lus: Tom qab sib tham rau cov tub ntxhais kawm, tus kws qhia ntawv yuav tawm tswv yim txog kev kawm yav tom ntej yog tias cov tub ntxhais kawm tuaj yeem hloov kho kom tau cov qauv PBL.
Pawg tswj hwm siv cov hom kev kawm ib txwm, qhia cov tub ntxhais kawm kom saib cov ntaub ntawv ua ntej chav kawm. Txhawm rau ua theoretical kev qhuab qhia, cov kws qhia siv cov ntaub ntawv waiderboards, multimedia cov ntaub ntawv, qauv cov qauv video, thiab tseem npaj cov qauv kev kawm ua haujlwm raws li cov ntawv qhia. Raws li kev pab ntxiv rau cov ntaub ntawv kawm, tus txheej txheem no tsom rau cov teeb meem thiab cov ntsiab lus tseem ceeb ntawm phau ntawv nyeem. Tom qab qhuab qhia, tus kws qhia ntawv sib sau cov khoom thiab txhawb kom cov tub ntxhais kawm kom cim tau thiab nkag siab cov kev paub txog.
Nyob rau hauv raws li cov ntsiab lus ntawm txoj kev kawm, kev xeem phau ntawv kaw tau saws. Lub hom phiaj muaj cov lus nug yog xaiv los ntawm cov lus nug muaj feem cuam tshuam los ntawm cov kws kho mob ntau xyoo. Cov lus nug txog cov txheej txheem ntawm Orthopedics thiab thaum kawg ntsuas los ntawm cov tswv cuab kws qhia ntawv uas tsis tau xeem. Koom nrog kev kawm. Lub cim tag nrho ntawm kev sim yog 100 ntsiab lus, thiab nws cov ntsiab lus tseem ceeb suav nrog cov tub ntxhais kawm hauv qab no, feem ntau yog 50% ntawm cov qhab nia tag nrho ; 2) Cov lus nug txog cov lus nug (cov lus nug txog kev soj ntsuam kev paub), feem ntau yog kev nkag siab txog kev nkag siab thiab kev tsom xam ntawm cov tub ntxhais kawm, uas yog 50% ntawm cov qhab nia tag nrho.
Thaum kawg ntawm chav kawm, cov lus nug uas muaj ob feem thiab cuaj cov lus nug tau nthuav tawm. Cov ntsiab lus tseem ceeb ntawm cov lus nug no sib raug rau cov khoom tuaj yeem nthuav tawm hauv cov lus nug no nrog tag nrho cov cim ntawm 10 lub cim yam tsawg kawg ntawm 1 taw tes. Cov qhab nia siab dua qhia tau cov tub ntxhais kawm siab dua. Cov lus nug hauv rooj 2 yog hais txog PBL thiab 3DV kev kawm hom tuaj yeem pab cov tub ntxhais kawm nkag siab txog kev paub txog kev ua haujlwm. Cov lus 3 Cov khoom uas hais txog cov tub ntxhais kawm txaus siab nrog ob hom kev kawm.
Txhua cov ntaub ntawv tau txheeb xyuas siv SPSS 25 software; Cov txiaj xeem tau qhia tau hais tias raws li txhais tau tias ± txheem kev sib txawv (x ± s). Ntau cov ntaub ntawv tau txheeb xyuas los ntawm ib-txoj kev Anova, cov ntaub ntawv uas tau txheeb xyuas los ntawm χ2 xeem, thiab Bonferroni txoj kev kho tau siv rau ntau qhov sib piv. Qhov sib txawv tseem ceeb (P <0.05).
Cov txiaj ntsig ntawm kev tsom xam ntawm ob pawg pom tias cov lus nug tswj hwm tau ntau dua li cov tub ntxhais kawm uas muaj kev xaiv (P <0.05), thiab cov qhab nia Ntawm cov tub ntxhais kawm ntawm pawg tswj hwm tau nce siab dua, tshaj cov tub ntxhais kawm ntawm pawg sim (P <0.05). Cov qhab nia ntawm cov lus nug txog kev kawm (cov lus nug kev tshawb fawb tau nce siab dua li cov tub ntxhais kawm ntawm pawg tswj hwm (P <0.01), saib cov lus. 1.
Cov lus nug tsis qhia npe tau muab faib rau tom qab txhua chav kawm. Nyob rau hauv tag nrho, 106 cov lus nug tau muab faib, 106 ntawm lawv tau rov qab los, thaum rov ua haujlwm yog 100.0%. Txhua daim foos tau ua tiav. Kev sib piv ntawm cov lus nug ntawm kev nug txog kev sim ntawm tus mob txha mob txha caj qaum, cov kev paub ntawm cov kab mob uas sim ntawm cov kab mob kev sim, kev xaiv cov kab mob, thiab lwm yam. Nyob rau hauv Cov. Qhov sib txawv yog cov ntsiab lus tseem ceeb (P <0.05) raws li qhia hauv Table 2.
Kev sib piv ntawm cov lus teb rau cov lus nug ntsig txog kev ua kom muaj kev txaus siab ntawm ob pawg neeg tswj hwm tau qhab nia, kev sib tham, thiab kev txaus siab nrog kev qhia. Qhov sib txawv yog cov ntsiab lus tseem ceeb (P <0.05). Cov ntsiab lus tau qhia hauv Table 3.
Nrog kev sib tw txuas ntxiv thiab kev txhim kho kev tshawb fawb thiab thev naus laus zis, tshwj xeeb tshaj yog thaum peb nkag mus ua haujlwm hauv tsev kho mob yog ntau dua. Txhawm rau kom ntseeg tau tias cov tub ntxhais kawm kho mob tuaj yeem hloov kho cov txiaj ntsig kho mob thiab muaj kev tshawb fawb txog kev kawm tau teeb meem hauv kev daws teeb meem cov teeb meem kev ua haujlwm. Cov qauv kev kho mob ntawm kuv lub tebchaws muaj qhov zoo ntawm cov ntaub ntawv hauv chav kawm, thiab kev qhia txog kev qhia ntawv hauv chav kawm tau raws li cov kev xav tau ntawm cov kev qhia theoretical kev kawm [9]. Txawm li cas los xij, daim ntawv ntawm txoj kev kawm no tuaj yeem yooj yim rau kev kawm nyuaj siab thiab kev ua tsis tau zoo rau cov kev kawm nyuaj thiab, yog li tsis tuaj yeem ua tau raws li kev kho mob siab dua kev kawm. Nyob rau hauv xyoo tsis ntev los no, theem ntawm kev phais mob nraub qaum hauv kuv lub tebchaws tau nce nrawm, thiab kev qhia ntawm kev phais mob tus txha nraub qaum tau ntsib txoj kev nyuaj tshiab. Thaum lub sij hawm kev cob qhia cov tub ntxhais kawm kho mob, qhov nyuaj tshaj plaws ntawm kev phais mob yog orthopedics, tshwj xeeb tshaj yog kev phais mob. Cov ntsiab lus kev paub yog qhov tsis tseem ceeb thiab kev txhawj xeeb tsis tsuas yog qaum tsam thiab kab mob, tab sis kuj raug mob thiab qog ntshav. Cov ntsiab lus no tsis yog tsuas yog paub daws teeb thiab ua kom zoo nkauj, tab sis kuj tseem muaj kev paub, thiab lwm yam kev qhuab qhia, ua rau lawv cov ntsiab lus nyuaj los nkag siab thiab nco qab. Nyob rau tib lub sijhawm, ntau thaj chaw ntawm kev phais mob txha caj mob, thiab cov kev paub muaj nyob rau hauv cov phau ntawv nyeem uas muaj nyob hauv, uas nyuaj rau cov xibfwb qhia ntawv. Yog li, hloov cov txheej txheem ib txwm muaj thiab ua ke qhov tseeb txhim kho hauv kev tshawb fawb thoob ntiaj teb tuaj yeem xav tias cov tub ntxhais kawm muaj kev cuam tshuam, thiab txhawb cov tub ntxhais kawm kom muaj kev xav. Cov kev ua tsis luv no nyob rau hauv cov txheej txheem kev kawm tam sim no yuav tsum tau tshawb nrhiav kev ceev txhawm rau kev paub txog kev kho mob niaj hnub thiab kev kov yeej kev thaiv kev coj ua [10].
Tus qauv kawm PBL yog ib txoj kev kawm kev kawm. Los ntawm heuristic, kev kawm ywj pheej thiab kev sib tham sib tham, cov tub ntxhais kawm tuaj yeem lees paub txog kev paub ntawm tus kws qhia ntawv qhia. Piv rau cov lus qhuab qhia kev kawm hom, cov tub ntxhais kawm tau tshawb fawb txog cov lus teb, kev sib tham txog kev muaj lus nug txog nws tus kheej hauv pawg ib puag ncig. Cov qauv no nthuav tawm cov tub ntxhais kawm lub peev xwm xav tias nws ywj pheej, txheeb xyuas cov teeb meem thiab daws teeb meem [11]. Nyob rau hauv cov txheej txheem ntawm kev sib tham pub dawb, cov tub ntxhais kawm sib txawv tuaj yeem muaj ntau lub tswv yim sib txawv txog qhov teeb meem qub, uas muab rau cov tub ntxhais kawm kom nthuav lawv txoj kev xav. Tsim muaj tswv yim kev xav thiab cov laj thawj kev tsim nyog los ntawm kev xav tsis tu ncua, thiab tsim muaj peev xwm ntawm kev sib txuas lus ntawm cov phooj ywg hauv chav kawm [12]. Qhov tseem ceeb tshaj plaws, qhia PBL tso cai rau cov tub ntxhais kawm kom nkag siab txog kev txheeb xyuas cov qauv thiab txhim kho lawv lub peev xwm uas muaj peev xwm [13]. Thaum peb txoj kev kawm, peb pom tias cov tub ntxhais kawm tau xav paub txog kev sim ua cov tswv yim kev paub zoo li cas los xij, cov tub ntxhais kawm hauv pab pawg ua sim siab yuav muaj kev txhawb zog rau kev koom tes hauv kev kawm txheej txheem. zoo dua li pawg tswj hwm. Cov kws qhia ntawv yuav tsum txhawb cov tub ntxhais kawm hais lus khav theeb, txhim kho cov tub ntxhais kawm kawm paub, thiab txhawb lawv txoj kev txaus siab rau kev sib tham. Cov kev sim ntsuas tau qhia tau tias, raws li kev paub ntawm pab pawg kev tswj hwm yog qis dua ntawm cov ntaub ntawv uas tswj tau qis, xav tau cov kev thov ua kom muaj kev paub txog, tus Cov tub ntxhais kawm ua tau zoo ntawm cov tub ntxhais kawm ua haujlwm tau zoo dua li hauv pab pawg tswj, uas qhia txog kev sib raug zoo ntawm 3dV thiab pawg pab pawg. Cov txiaj ntsig ntawm kev sib txuas tshuaj ib txwm muaj tshuaj. Lub PBL Kev Qhia Txoj Kev Koom Tes Ua lub hom phiaj los tsim kev muaj peev xwm ntawm cov tub ntxhais kawm.
Kev qhia ntawm lub anatomy yog nyob rau ntawm qhov chaw soj ntsuam kev qhia mob pob txha caj qaum. Vim tias cov qauv sib luag ntawm tus txha nqaj qaum thiab qhov tseeb tias kev ua haujlwm yuav muaj tus txha caj qaum, cov tub ntxhais kawm yuav tsum muaj kev tawm tsam kev tawm tsam kom kawm tau. Yav dhau los, cov tub ntxhais kawm tau siv cov duab ob-seem xws li phau ntawv sau qhia, cov tub ntxhais kawm tsis muaj kev paub txog kev paub txog thiab peb lub ntsej muag uas tau ua rau nkag siab. Hauv kev pom ntawm cov kab ke ntawm lub cev thiab cov kab mob caj dab, rau qee qhov tseem ceeb ntawm tus txha caj qaum thiab cov ntsiab lus tseem ceeb, xws li cov cim ntawm ncauj tsev thiab kev faib tawm ntawm ncauj tsev ncauj plaub ncauj. Ntau tus tub ntxhais kawm tau tshaj tawm hais tias cov ntsiab lus ntawm kev phais mob ntsws yog tsis nco qab paub meej tom qab chav kawm, uas ua rau muaj kev cuam tshuam rau kev ua haujlwm tiag tiag.
Siv cov thev naus laus zis 3D cov neeg sau ntawv nthuav tawm cov tub ntxhais kawm muaj cov duab 3D cov duab sib txawv, cov sib txawv ntawm cov xim sib txawv. Ua tsaug rau kev khiav haujlwm xws li kev sib hloov, ntsuas thiab pob tshab, tus qauv nqaj qaum thiab cov duab ct tuaj yeem raug saib hauv cov khaubncaws sab nraud povtseg. Tsis tsuas yog lub anatomical cov nta ntawm lub cev vertebral tau pom meej meej, tab sis kuj txhawb txoj kev ntshaw ntawm cov tub ntxhais kawm kom tau txais cov duab ntawm tus txha nraub qaum. Thiab ntxiv ntxiv dag zog ntxiv rau kev paub hauv kev pom kev. Tsis zoo li cov qauv thiab cov cuab yeej qhia siv yav dhau los, kev ua kom yooj yim rau cov tub ntxhais kawm ntawm kev ua kom zoo nkauj thiab cov kev taw qhia nyuaj, tshwj xeeb yog rau cov pib tshiab. Cov tub ntxhais kawm tuaj yeem ua haujlwm ywj siab ntev npaum li lawv nqa lawv cov khoos phis tawj, thiab tsis muaj nqi ntau. Hom qauv no yog qhov hloov zoo tshaj plaws rau kev kawm ib txwm siv 2D cov duab [14]. Hauv txoj kev tshawb no, pawg tswj hwm ua tau zoo dua ntawm cov ntsiab lus, qhia tias tus qauv qhuab qhia tsis raug lees paub thiab tseem muaj qee tus nqi hauv kev qhia mob pob txha. Qhov kev tshawb pom qhov kev tshawb pom no ua rau peb txiav txim siab los sib txuas nrog PARL kev kawm hom kev kawm nrog kev xeem 3D sib txawv, txhawm rau ua kom tiav cov nyhuv kev kawm. Txawm li cas los xij, nws tsis meej thiab ob txoj hauv kev no tuaj yeem ua ke thiab seb cov tub ntxhais kawm yuav yog kev tshawb fawb yav tom ntej. Txoj kev kawm no kuj tseem ntsib qee qhov tsis zoo xws li kev tsis ncaj ncees thaum cov tub ntxhais kawm ua tiav cov lus nug tom qab paub hauv tus qauv qhia ntawv tshiab. Cov lus qhia no tsuas yog siv rau hauv cov ntsiab lus mob qaum thiab kev sim yog xav tau yog tias nws tuaj yeem siv rau kev qhia ntawm txhua txoj kev qhuab qhia kev phais mob.
Peb muab cov cuab yeej siv thev naus laus zis 3D cov hom kev cob qhia, kov yeej cov cuab yeej ntawm kev sib xyaw ua ke hauv kev kuaj mob. Kev txiav txim los ntawm cov qhab nia xeem, cov pab pawg uas muaj kev kawm zoo dua li cov tub ntxhais kawm kev paub thiab kev txaus siab thiab cov tub ntxhais kawm ntawm cov tub ntxhais kawm sim kuj zoo dua li cov tub ntxhais kawm ntawm pawg kws sim. Pawg Tswj (P <0.05). Cov txiaj ntsig ntawm cov lus nug nug tau zoo dua li cov pawg tswj hwm (P <0.05). Yog li, peb cov kev sim lees paub tias kev sib xyaw ua ke ntawm PBL thiab 3DV Technology muaj txiaj ntsig muaj txiaj ntsig zoo rau cov tub ntxhais kawm kev xav, paub txog kev nyiam kev kawm.
Kev sib xyaw ua ke ntawm PBR thiab 3DV Technologies tuaj yeem txhim kho kev ua haujlwm ntawm kev phais mob caj qaum, txhim kho cov tub ntxhais kawm, thiab pab tsim cov tub ntxhais kawm kev xav. 3D Kev thev naus laus zis muaj txiaj ntsig zoo hauv kev qhia anatomy, thiab cov nyhuv tag nrho yog qhov zoo dua li kev qhia ib yam.
Cov datasets siv thiab / lossis tshuaj xyuas hauv txoj kev tshawb fawb tam sim no muaj los ntawm cov kws sau ntawv uas tsim nyog thov. Peb tsis muaj kev cai coj ncaj ncees mus upload cov ntaub ntawv khaws cia rau lub chaw cia khoom. Thov nco ntsoov tias txhua cov ntaub ntawv tshawb fawb tau tsis qhia npe rau cov laj thawj zais ntshis.
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Department of Spine phais, Xuzhou Kho Mob Nruab Nrab Ceg tsev kho mob, Xuzhou, Jiangsu, 221006, Suav
Txhua tus kws sau ua ke rau lub tswvyim thiab kev tsim qauv ntawm txoj kev kawm. Cov khoom npaj npaj, kev sau cov ntaub ntawv thiab kev tsom xam tau nqa tawm los ntawm Tshav Maji, Chu fuchao thiab Feng Yuan. Thawj cov ntawv sau ntawm cov ntawv sau tau sau tseg los ntawm Chunjiu Gao, thiab txhua tus kws sau ntawv tau hais tawm ntawm cov ntawv sau dhau los ntawm cov ntawv sau. Cov kws sau ntawv nyeem thiab pom zoo cov ntawv sau kawg.
Qhov kev kawm no tau pom zoo los ntawm Xuzhou Medical Infiliated Tsev Kho Mob Tsev Kho Mob (XYFY2017-JS029-01). Txhua tus neeg tuaj koom tau muab kev tso cai ua ntej txoj kev tshawb fawb ua ntej, txhua qhov kev kawm tau ua txhaum cov lus tshaj tawm ntawm Helsinki. Nco ntsoov tias txhua txoj hauv kev tau ua raws li cov lus qhia muaj feem xyuam thiab cov cai.
Springer Xwm Tseem ceeb rau ntawm cov kws txiav txim plaub ntug hauv cov ntawv qhia luam tawm thiab cov haujlwm muaj kev koom tes.
Qhib kev nkag tau. Kab lus no tau faib rau hauv cov tuam txhab muaj tswv yim zoo li no, muab cov ntaub ntawv sau cia, muab cov ntaub ntawv pov thawj thoob plaws, muab cov ntawv tso cai, muab cov ntawv tso cai, muab cov ntawv tso cai, muab cov ntawv tso cai, muab cov ntawv sau ua ntej Yog tias hloov pauv tau. Cov duab lossis lwm cov khoom siv thib peb hauv tsab xov xwm no muaj nyob hauv cov kab lus muaj tswv yim rau cov ntawv no, tshwj tsis yog sau tseg hauv kev sau tseg ntawm cov khoom. Yog tias cov khoom siv tsis suav nrog hauv cov kab ntawv muaj tswv yim thiab kev siv tsis raug cai los ntawm kev cai lossis tshaj qhov kev tso cai los ntawm tus tswv. Txhawm rau saib daim ntawv tso cai no, mus saib http://creativecommons.org/licenses //0.0/. Lub chaw muaj tswv yim muaj tswv yim (http://creativecommons.org/publicdomain/zero/1.0/) Cov ntaub ntawv pej xeem no siv rau cov ntaub ntawv no, tshwj tsis yog sau tseg hauv cov ntaub ntawv kev sau ntawv.
Hnub ming, chu fang, Gao cheng, li al. 3D txoj kev xav ua ke nrog kev kawm paub txog kev kawm ua qauv hauv kev qhia kev phais mob txhapper Kev phais mob BMC Kev Kho Mob 22, 840). https://doi.org/10.1186/S12909-022-03931-5
Los ntawm kev siv lub xaib no, koj pom zoo rau peb cov lus siv, koj cov cai Asmeskas, cov cai ntiag tug thiab cov khoom noj qab zib txoj cai. Koj cov kev xaiv ntiag tug / tswj cov ncuav qab zib uas peb siv nyob rau hauv lub chaw zov me nyuam.
Lub Sijhawm Post: Sep-04-2023