【摘要】 目的 探讨神经导航虚拟现实技术联合CBL教学法在神经外科实习教学中的价值和意义。方法选取2022年3月21日-2023年10月29日在内蒙古自治区某人民医院神经外科实习的60名临床医学本科生作为研究对象，采用随机数字表法将学生分入对照组和观察组，每组各30名，两组学生均全程参与围手术期各环节，并结合CBL教学法进行教学。对照组参与传统的开颅显微镜下肿瘤切除术术前准备和手术过程；观察组学生全程参与多模态神经导航引导显微镜下肿瘤切除术术前计划制作及手术全程，并观摩术中虚拟现实显影技术；实习结束后统计两组学生对神经外科基础知识和临床技能的掌握水平，并调查两组学生的实习满意度。结果 出科考试成绩，观察组理论测试总成绩74.67±4.87高于对照组68.33±7.47；观察组临床技能总成绩为75.50±7.86,高于对照组总成绩64.83±7.15。结论 观察组对教学方式、临床能力、工作难度预期、专业趣味性、研究生报考专业倾向和未来职业选择等结果较对照组更符合培养目标，精神导航虚拟现实技术联合CBL教学法应用于神经外科实习教学中能提升教学效果和神经外科专业吸引力。更多还原

【Abstract】 Objectives This study aims to explore the value and significance of virtual reality technology combined with CBL teaching method in neurosurgery practice teaching. Methods A total of 60 clinical medical undergraduates practicing in the neurosurgery department of Inner Mongolia Autonomous Region People’s Hospital from March 21, 2022 to October 29, 2023 were selected as the research objects. The students were divided into a control group and an observation group by random number table method, with 30 students in each group. The students in both groups participated in all aspects of the perioperative period and were taught in combination with CBL teaching method. Students in the control group participated in the preoperative preparation and operation process of traditional craniotomy microscope tumor resection. Students in the observation group participated in the preoperative planning of tumor resection and the whole operation under the microscope guided by multimodal neural navigation and observed the virtual reality development technology during the operation. After the internship, the mastery level of neurosurgery basic knowledge and clinical skills of the two groups of students was measured, and the internship satisfaction of the two groups of students was investigated. Results The total score of the theoretical test in the observation group was 74.67±4.87, which was higher than that in the control group(68.33±7.47). The total clinical skill score of the observation group was 75.50±7.86, which was higher than the total score of the control group(64.83±7.15). Conclusions The observation group is more in line with the training objectives in terms of teaching methods, clinical ability, expected work difficulty, professional interest, graduate student application major preference and future career choice than the control group. The application of mind navigation virtual reality technology combined with CBL teaching method in neurosurgery internship teaching can improve the teaching effect and the attractiveness of neurosurgery.更多还原