机器人辅助经皮穿刺活检诊断脊柱病变的优势  

Advantages of robot assisted percutaneous biopsy in the diagnosis of spinal lesions

作　　者：张伟[1] 胡豇[1] 唐六一[1] 万仑[1] 俞阳[1] 林书[1] 唐智 王飞[1] Zhang Wei;Hu Jiang;Tang Liuyi;Wan Lun;Yu Yang;Lin Shu;Tang Zhi;Wang Fei(Sichuan Academy of Medical Sciences&Sichuan Provincial People’s Hospital,Chengdu 610072,Sichuan Province,China)

机构地区：[1]四川省医学科学院·四川省人民医院,四川省成都市610072

出　　处：《中国组织工程研究》2021年第6期844-848,共5页Chinese Journal of Tissue Engineering Research

基　　金：四川省科技厅科技计划项目(2019YFS0268),项目负责人:胡豇。

摘　　要：背景:骨科手术机器人辅助手术已经逐步在临床推广,应用领域包括脊柱、关节、创伤及运动医学,具有精准、微创等特点,而目前关于机器人辅助穿刺活检在脊柱病变诊疗中的应用报道较少。目的:探讨骨科手术机器人辅助下经皮穿刺活检在脊柱病变诊断中的应用价值。方法:回顾性分析2018年11月至2020年1月四川省人民医院收治的38例脊柱病变患者的临床资料,所有患者均在天玑骨科手术机器人辅助下行经皮穿刺活检术,术后活检标本送病理科行组织病理学检查。结果与结论:①38例活检病灶组织刺中率为100%,其中脊柱转移瘤21例,原发恶性肿瘤4例,中间性肿瘤5例,脊柱良性肿瘤5例,非特异性炎症反应3例;②平均手术时间为(37.11±5.65)min,所有患者未发生穿刺相关并发症;③提示机器人辅助下经皮穿刺活检具有安全、快速、微创、准确率高的特点,是一种高效的诊断脊柱病变的活检方法。BACKGROUND:Robot assisted orthopedic surgery has been gradually popularized in clinical practice,and its application fields include spine,joint,trauma and sports medicine,which are precise and minimally invasive.However,there are few reports on the application of robot assisted puncture biopsy in the diagnosis and treatment of spinal lesions.OBJECTIVE:To explore the clinical value of percutaneous biopsy assisted by orthopedic surgical robot in the diagnosis of spinal lesions.METHODS:The clinical data of 38 patients with spinal lesions treated in Sichuan Provincial People’s Hospital from November 2018 to January 2020 were analyzed retrospectively.All patients underwent percutaneous biopsy assisted by TINAVI orthopedic surgery robot.The biopsies were sent to the pathology department for histopathological examination.RESULTS AND CONCLUSION:(1)The successful rate of biopsy was 100%in 38 samples.Of them,21 cases affected metastases;4 cases had primary malignant tumors;5 cases suffered from borderline tumors;5 cases had benign tumors;and 3 cases experienced non-specific inflammatory reaction.(2)The average operation time was(37.11±5.65)minutes,and no complications occurred in all patients.(3)Robot assisted percutaneous biopsy is a safe,rapid,minimally invasive and accurate method for the diagnosis of spinal lesions.

关 键 词：骨 脊柱 机器人 经皮 穿刺 活检 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学]