机械臂辅助颅内病灶体表投影定位的临床应用  

Clinical application of neurosurgical robot in visual localization of intracranial lesions

作　　者：刘德峰 刘焕光[1] 张华[1] 胡文瀚[1] 张凯[1] 孟凡刚 杨岸超[1] 张建国 LIU De-feng;LIU Huan-guang;ZHANG Hua(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京100050 [2]北京市神经外科研究所

出　　处：《临床神经外科杂志》2021年第5期481-484,488,共5页Journal of Clinical Neurosurgery

基　　金：国家自然科学基金(61761166004)。

摘　　要：目的研究机械臂辅助颅内病灶体表投影定位的临床应用效果。方法回顾性分析75例颅内占位性病变手术治疗患者的临床资料,其中15例患者术前使用机械臂辅助颅内病灶体表投影定位(机械臂辅助组),60例患者术前以常规方法进行病灶体表定位(常规手术组)。以开颅手术骨窗面积、手术耗时及手术全切率作为评价指标,对结果进行统计学分析。结果机械臂辅助组患者的术中骨窗面积为(83.33±15.72)cm^(2),常规手术组患者的骨窗面积为(113.72±11.93)cm^(2),两组骨窗面积间的差异有统计学意义(P<0.01);而两组患者的手术耗时及手术全切率间的差异无统计学意义(均P>0.05)。结论采用机械臂辅助颅内病灶体表投影定位选择最佳切口入路进行手术,取得了令人满意的效果;并且其操作方法简单、应用方便,能够准确地确定颅内病灶在头部体表的投影位置及减小手术骨窗。Objective To study the clinical application of robot-assisted body surface projection positioning of intracranial lesions.Methods The clinical data of 75 patients with intracranial space-occupying lesions were analyzed retrospectively.Among them,robot assisted preoperative localization was used in 15 patients to project intracranial lesions on body surface.60 patients were localized before surgery by conventional methods.The area of bone window,the operation time,etc.were used as evaluation indicators.Results The average bone window area in robot-assisted preoperative positioning group was(83.33±15.72)cm^(2),while in conventional group was(113.72±11.93)cm^(2).There was a statistical difference between the two groups(P<0.01).There was no significant difference in operation time and total surgical resection rate between the two groups(P>0.05).Conclusions Robot-assisted positioning of the body surface projection for intracranial lesions are used to optimised incision and achieve satisfactory clinical results.The process is simple,convenient to use,and accurate.It is recommended to be popularized.

关 键 词：颅内病灶 机械臂 体表投影定位 

分 类 号：R651[医药卫生—外科学]