触觉反馈在宫腔镜VR仿真临床教学中的应用前景分析

doi:10.12280/gjfckx.20251500

摘要/Abstract

摘要：

宫腔镜检查是一种妇科内窥镜手术，高度依赖术者精细的触觉感知与接触力控制能力。然而，传统宫腔镜虚拟现实（virtual reality，VR）模拟器普遍缺失关键的触觉反馈，制约了训练效能的提升。针对这一共性难题，从空间导航、组织特性鉴别及能量器械接触力控制3个维度，剖析触觉反馈在宫腔镜仿真训练中的核心价值尤为重要。在技术路径层面，通过借鉴腹腔镜及口腔医学领域成熟的触觉反馈技术，系统性梳理多自由度力反馈机械臂与定制化集成系统在宫腔镜场景中的局限性，进而提出研发与主流VR平台兼容的专用微力反馈系统是更优技术路径。跨领域循证研究表明，触觉反馈的引入可显著提升宫腔镜手术培训中的操作熟练度、决策准确性与教学质量。未来应以高保真生物力觉建模为基础，以实时力觉渲染为交互核心，通过多学科协同构建视觉-触觉融合的仿真训练体系，有望从根本上重塑妇产科微创手术人才的培养模式。

关键词: 宫腔镜检查, 虚拟现实, 高仿真模拟训练, 模拟培训, 触觉反馈

Abstract:

Hysteroscopy is a gynecological endoscopic surgery that highly relies on the operator's fine tactile perception and force control capabilities. However, traditional hysteroscopic virtual reality (VR) simulators commonly lack crucial haptic feedback, which constrains the improvement of training effectiveness. In response to this common challenge, it is particularly important to analyze the core value of haptic feedback in hysteroscopic simulation training from three dimensions: spatial navigation, tissue property discrimination, and force control of energy-based instruments. At the technical pathway level, by referencing the mature haptic feedback technologies from the fields of laparoscopy and stomatology, this study systematically reviews the limitations of multi-degree-of-freedom (DOF) force feedback robotic arms and customized integrated systems in the hysteroscopic context. Consequently, it proposes that developing specialized micro-force feedback systems compatible with mainstream VR platforms is a superior technical pathway. Cross-domain evidence-based research indicates that the introduction of haptic feedback can significantly enhance operational proficiency, decision-making accuracy, and teaching quality in hysteroscopic surgery training. In the future, a visuo-haptic fusion simulation training system should be constructed based on high-fidelity biomechanical modeling and with real-time haptic rendering as the interactive core, through multidisciplinary collaboration，which is expected to fundamentally reshape the training model for minimally invasive surgery professionals in obstetrics and gynecology.

Key words: Hysteroscopy, Virtual reality, High-fidelity simulation training, Simulation training, Haptic feedback

其格乐, 乔峤, 于聪祥. 触觉反馈在宫腔镜VR仿真临床教学中的应用前景分析[J]. 国际妇产科学杂志, 2026, 53(3): 347-351.

QI Ge-le, QIAO Qiao, YU Cong-xiang. Analysis of the Application Prospects of Haptic Feedback in Hysteroscopy VR Simulation for Clinical Training[J]. Journal of International Obstetrics and Gynecology, 2026, 53(3): 347-351.

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