中国机器人辅助胸腰椎手术指南(2024年版)  

Guidelines for robot-assisted thoracolumbar spine surgery in China(2024 edition)

作　　者：首都医科大学附属北京积水潭医院(国家骨科医学中心) 中华医学会骨科学分会脊柱外科学组 蒋协远 何达 吴佳源 范明星 张琦 Beijing Jishuitan Hospital,Capital Medical University(National Center for Orthopaedics);Spinal Surgery Branch of the Chinese Orthopaedic Association;Jiang Xieyuan;He Da

机构地区：[1]不详

出　　处：《中华骨科杂志》2024年第18期1191-1198,共8页Chinese Journal of Orthopaedics

基　　金：首都卫生发展科研专项项目(首发2024-2-2076);国家自然科学基金(82302353);中国医学科学院医学与健康科技创新工程项目(2021-I2M-5-007);中国工程院战略研究与咨询项目(2023-PP-04);骨科手术机器人北京市工程研究中心天玑骨科手术机器人临床应用研究项目(2023OSR-GCZX202202)。

摘　　要：近年来,机器人辅助技术在胸腰椎手术中应用越来越广泛,使开展更精准、更复杂的手术成为可能。为指导和规范机器人辅助技术在胸腰椎手术中的应用,提高机器人辅助技术进行胸腰椎螺钉置入的精准性和安全性,由首都医科大学附属北京积水潭医院(国家骨科医学中心)和中华医学会骨科学分会脊柱外科学组发起,采用推荐意见分级的评估、制订及评价(Grading of Recommendations Assessment,Development and Evaluation,GRADE)分级体系和国际实践指南报告标准(Reporting Items for Practice Guidelines in Healthcare,RIGHT),基于文献证据制订《中国机器人辅助胸腰椎手术指南(2024年版)》。指南包括14项推荐意见,其中推荐条目1~6为机器人辅助胸腰椎手术的适应证、禁忌证及特殊人群适用范围,条目7~11为术中决策和注意事项,条目12~14为临床效果评价。本指南旨在指导和规范机器人辅助胸腰椎手术应用,提高手术安全性。In recent years,robot-assisted technology has been increasingly used in thoracolumbar spine surgery,making it possible to perform more precise and complex procedures.In order to guide and standardize the application of robot-assisted technology in thoracolumbar spine surgery and improve the accuracy and safety of robot-assisted technology in thoracolumbar screw placement,initiated by Beijing Jishuitan Hospital,Capital Medical University(National Center for Orthopaedics)and Spinal Surgery Branch of the Chinese Orthopaedic Association,"The Guidelines for Robot-Assisted Thoracolumbar Spine Surgery in China(2024 Edition)"were formulated based on literature evidence by adopting the Grading of Recommendations Assessment,Development and Evaluation(GRADE)and the Reporting Items for Practice Guidelines in Healthcare(RIGHT).The guideline includes 14 recommendations,of which items 1-6 are indications,contraindications and the scope of application in special populations for robot-assisted thoracolumbar surgery,items 7-11 are intraoperative precautions and decision-making,and items 12-14 are clinical efficacy evaluations.The purpose of this guideline is to guide and standardize the application of robot-assisted thoracolumbar surgery and improve surgical safety.

关 键 词：胸椎 腰椎 内固定器 机器人 指南 

分 类 号：R687.3[医药卫生—骨科学]