外科手术中磁锚定辅助技术的研究进展  

Research progress of magnetic anchor assist technology in surgery

作　　者：张成 周绍杰[1,2,3] 苑曦宸 商澎 Zhang Cheng;Zhou Shaojie;Yuan Xichen;Shang Peng(Research and Development Institute of Northwestern Polytechnical University in Shenzhen,Shenzhen,518057,China;School of Life Science,Northwestern Polytechnical University,Xi'an 710072,China;Key Laboratory for Space Bioscience and Biotechnology,Institute of Special Environment Biophysics,Northwestern Polytechnical University,Xi'an 710072,China)

机构地区：[1]西北工业大学深圳研究院,深圳518057 [2]西北工业大学生命学院,西安710072 [3]西北工业大学空间生物实验模拟技术重点实验室,西安710072

出　　处：《国际生物医学工程杂志》2021年第3期223-229,共7页International Journal of Biomedical Engineering

基　　金：国家重点研发计划数字诊疗装备研发专项项目(2018YFC0115303)

摘　　要：随着磁性材料更广泛地应用于外科手术器械中,磁外科技术的发展也不断取得突破与创新。磁锚定辅助技术因其精准定位和无接触牵引的特点,已成为一种重要的外科手术辅助手段。临床中常用磁锚定系统主要由体内的靶磁体以及体外的锚定磁体两部分组成,通过锚定磁体与靶磁体的力学作用来实现对目标的无接触牵引和锚定等功能,从而能解决外科手术器械之间相互缠绕、碰撞的问题,同时能够为手术区域提供良好的手术视野,使得手术过程变得更加安全、高效。笔者在中国期刊全文数据库(CNKI)、万方数据库、维普中文科技期刊数据库、Pub Med等数据库中,检索了磁锚定辅助技术应用于外科手术的相关文献共69篇,经过分析和评价,筛选了其中36篇文章,介绍了磁锚定辅助技术与腹腔镜、胸腔镜、内窥镜联用在国内外的外科手术中的研究进展与应用现状。结果表明,磁锚定辅助技术能极大地促进微创外科手术的发展,但在应用过程中还存在磁体相互干扰、磁力不稳定等问题,在今后的研究中仍需进一步研究和完善。With the development of magnetic materials more widely used in surgical instruments,the development of magnetic surgery technology has continuously made breakthroughs and innovations.Magnetic anchor assist technology has become an important surgical method due to its precise positioning and non-contact traction.The majority of clinical magnetic anchor system consist a target magnet in vivo and a traction magnet in vitro.The non-contact traction and anchoring of the target can be achieved through the mechanical interaction of the anchor magnet and the traction magnet.This method not only can prevent the entanglement and collision between surgical instruments,but also can provide a good surgical field of vision for the surgical area,making the surgical process safer and more efficient.In this paper,69 articles related to the application of magnetic anchor assist technology in surgical procedures were retrieved by conducting searches in the Chinese Journal Full-text Database(CNKI),Wanfang Database,VIP Chinese Sci-tech Journal Database,PubMed and other databases.After analysis and evaluation,a total of 36 papers were screened.The research progress and application status of magnetic anchor assist technology in combination with laparoscopy,thoracoscopy,and endoscopy in surgical operations were introduced.The results show that the magnetic anchor assist technology can greatly promote the development of minimally invasive surgery,but there are still problems in the application process,such as mutual interference of magnets and instability of the magnetic force,which still need to be further studied and improved.

关 键 词：磁锚定 腹腔镜 胸腔镜 内镜 

分 类 号：R616[医药卫生—外科学]