双平面定位机器人辅助PKP治疗骨质疏松性椎体压缩性骨折的可行性分析  

Feasibility analysis of bi-planar fluoroscopic imaging robot assisted PKP in the treatment of osteoporotic vertebral compression fractures

作　　者：孙韬 张元智[3] 胡旭锋[3] 王少白 刘刚[3] 刘亚欧 莫伟鹏[3] 刘瑞 Sun Tao;Zhang Yuanzhi;Hu Xufeng;Wang Shaobai;Liu Gang;Liu Yaou;Mo Weipeng;Liu Rui(Inner Mongolia Medical University,Hohhot Inner Mongolia,010110;The Second Affiliated Hospital of Inner Mongolia Medical University,Hohhot Inner Mongolia,010090;Department of Orthopedics,The Affiliated Hospital of Inner Mongolia Medical University,Hohhot Inner Mongolia,010050;Shanghai Institute of Physical Education,Shanghai,200438,China)

机构地区：[1]内蒙古医科大学,内蒙古呼和浩特010110 [2]内蒙古医科大学第二附属医院,内蒙古呼和浩特010090 [3]内蒙古医科大学附属医院骨科,内蒙古呼和浩特010050 [4]上海体育学院,上海200438

出　　处：《生物骨科材料与临床研究》2022年第3期27-31,共5页Orthopaedic Biomechanics Materials and Clinical Study

基　　金：国家自然科学基金项目(81760412);内蒙古自治区科技成果转化项目(CGZH2018148);内蒙古卫生健康领域应用技术研发项目(201802157);内蒙古自治区自然科学基金资助项目(2019MS08151);内蒙古医科大学“致远”人才基金项目(ZY0120011);内蒙古医科大学青年培育项目(YKD2021QN028)。

摘　　要：目的比较机器人辅助与传统徒手经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的效果。方法选取2018年9月至2019年12月内蒙古医科大学附属医院收治的骨质疏松性椎体压缩骨折患者24例,随机分为机器人辅助组(RA组)和传统透视下徒手组(TF组),记录两组患者的手术时间、术中透视次数、透视时间、内倾角、骨水泥注射量等手术指标并进行比较。结果RA组与TF组比较,手术时间短[(40.16±4.26)min vs.(52.75±6.64)min],术中透视次数少[(8.83±1.19)次vs.(18.92±1.78)次]、透视时间短[(10.74±1.15)s vs.(23.28±1.85)s]、内倾角更大[(21.79±1.65)°vs.(17.30±1.87)°],骨水泥注射量更少[(3.68±0.97)mL vs.(4.78±1.11)mL],差异均具有统计学意义(P<0.05);两组患者术前及术后疼痛视觉模拟评分(VAS)评分、Cobb角及椎体中线高度无区别,差异无统计学意义(P>0.05)。结论机器人辅助下椎体后凸成形术相较于传统透视下徒手操作有着更高的精准性及安全性,在骨质疏松性椎体压缩骨折的临床治疗中有着良好的应用前景。Objective To compare the effects of percutaneous kyphoplasty(PKP)with robot-assisted and traditional fluoroscopy,and explore the application prospects of orthopedic surgical robots in the treatment of osteoporotic compression fractures.Methods A total of 24 patients with osteoporotic compression fractures admitted to the Affiliated Hospital of Inner Mongolia Medical University from September 2018 to December 2019 were randomly divided into robotassisted group(RA group)and traditional fluoroscopy group(TF group).The operation time,the number of intra-operative fluoroscopy,the fluoroscopy time,the inclination angle and the injection volume of bone cement were recorded and compared.Results There were significant differences in operation time[(40.16±4.26)min vs.(52.75±6.64)min],intraoperative fluoroscopy times[(8.83±1.19)vs.(18.92±1.78)],fluoroscopy time[(10.74±1.15)s vs.(23.28±1.85)s],the inclination angle[(21.79±1.65)°vs.(17.30±1.87)°],and the injection volume of bone cement[(3.68±0.97)mL vs.(4.78±1.11)mL]between RA group and TF group.There was no statistical difference in VAS scores,Cobb angle and height of the vertebral body.Conclusion Robot-assisted kyphoplasty is more accurate and safer than traditional fluoroscopy procedure,and has a good application prospect in the clinical treatment of osteoporotic vertebral compression fractures.

关 键 词：骨科手术机器人 椎体后凸成形术 骨质疏松 骨折 

分 类 号：R683.2[医药卫生—骨科学]