数字机器人在乳腺癌骨转移活检中应用  

Preliminary study on the application of digital robot in bone metastasis biopsy of breast cancer

作　　者：费音娇 曹晓建[2] 眭涛[2] 常杰 张建[1] 徐迪[1] 殷国勇[2] 唐金海[1,3] FEI Yinjiao;CAO Xiaojian;SUI Tao;CHANG Jie;ZHANG Jian;XU Di;YIN Guoyong;TANG Jinhai(Department of Breast Surgery, the First Affiliated Hospital withNanjing Medical University, Nanjing 210029, China;Department of Orthopedic Surgery, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China;Gusu School, Nanjing Medical University, Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院乳腺外科,江苏南京210029 [2]南京医科大学第一附属医院骨科,江苏南京210029 [3]南京医科大学姑苏学院,江苏南京210029

出　　处：《中国肿瘤外科杂志》2022年第2期132-137,共6页Chinese Journal of Surgical Oncology

基　　金：国家自然科学基金(81902987);姑苏学院重点项目(GSKY20220105)。

摘　　要：目的探讨数字机器人在乳腺癌骨转移灶活检诊疗中的应用价值。方法初步分析了2018年5月至2021年5月江苏省人民医院收治的符合选择标准的12例乳腺癌骨转移患者临床资料,其中,2例在机器人辅助下行骨转移病灶穿刺活检术,10例行经皮徒手活检术。活检标本送病理科行组织病理学检查。应用SPSS26.0统计软件对数据进行分析。结果机器人辅助活检组和对照组的病灶组织穿刺成功率均为100%,术中出血少,未损伤血管、神经和周围脏器,术后无相关穿刺并发症发生。其中,乳腺癌骨转移的机器人辅助活检组平均手术时间为(52.5±3.54)min,与对照组徒手活检组相比,手术时间显著缩短。两组均取得有效病理结果,明确临床诊断为乳腺癌骨转移。结论数字化机器人辅助穿刺技术具有较高的精准度、稳定性和安全性,有助于乳腺癌骨转移的诊断和治疗,具有巨大的临床应用潜能。Objective To explore the value of digital robot in the biopsy of bone metastasis in breast cancer.Methods The clinical data of 12 patients with bone metastasis in breast cancer in Jiangsu Province Hospital from May 2018 to May 2021 were preliminarily analyzed.Two of them had robot-assisted puncture biopsy and 10 had percutaneous freehand biopsy.Biopsy specimens were sent to the Department of Pathology for histopathological examination.SPSS 26.0 was used for data analysis.Results The successful rate of biopsy in both robot-assisted biopsy groups and control groupswas 100%.It had less intraoperative bleeding,no damage to blood vessels,nerves and peripheral organs.Moreover,no postoperative puncture complications occurred.Besides,in bone metastases breast cancer,the average operation time of the robot-assisted biopsy group was(52.5±3.54)minutes,which was significantly shorter than the freehand biopsy group.Both groups achieved effective pathological results,confirming the clinical diagnosis as bone metastasis of breast cancer.Conclusions Digital robot-assisted puncture technology has high accuracy,stability and safety,which is conducive to the diagnosis and treatment of bone metastasis in breast cancer and has great clinical application potential.

关 键 词：乳腺癌 骨转移 机器人辅助穿刺 活检 

分 类 号：R73[医药卫生—肿瘤]