机器人辅助与导航辅助治疗骨样骨瘤的回顾性队列研究  

A retrospective cohort study of robot-assisted and navigation-assisted treatment of osteoid osteoma

作　　者：徐海荣 李远 单华超 徐启明 马珂 鱼锋 牛晓辉 Xu Hairong;Li Yuan;Shan Huachao;Xu Qiming;Ma Ke;Yu Feng;Niu Xiaohui(Department of Orthopedic Oncology Surgery,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)

机构地区：[1]首都医科大学附属北京积水潭医院骨肿瘤科,北京100035

出　　处：《首都医科大学学报》2024年第5期795-800,共6页Journal of Capital Medical University

基　　金：北京市自然科学基金资助项目(7222088)。

摘　　要：目的本研究旨在比较机器人辅助和导航辅助技术在骨样骨瘤治疗中的安全性和有效性,通过回顾性队列研究分析两种技术辅助下患者在手术时间、出血量、成功率、术后并发症及恢复情况等方面的差异。方法纳入2022年8月至2023年12月期间在首都医科大学附属北京积水潭医院接受机器人辅助或导航辅助治疗的64例骨样骨瘤患者(机器人辅助组,n=25;导航辅助组,n=39)。收集患者的年龄、性别、病灶部位、术前病灶大小、出血量、手术时间、随访时间、术前和出院前视觉模拟评分(Visual Analogue Score,VAS)、成功率等数据,进行描述性统计分析和比较分析。结果两组患者在年龄、性别、病灶部位、术前病灶大小、术前VAS评分和随访时间上差异无统计学意义。机器人辅助组的手术时间显著短于导航辅助组[(102.64±21.65)min vs(120.46±30.98)min,P=0.025]。机器人辅助组与导航辅助组出血量分别为[50(20,50)mL vs 50(20,100)mL],但两组间差异无统计学意义(P=0.287)。两组在出院前VAS评分变化上差异无统计学意义(P>0.05)。两组治疗成功率均为100%。结论机器人辅助手术在骨样骨瘤治疗中具有显著的优势,尤其在手术时间和手术精度方面表现优越。未来的研究应进一步探索这两种技术的长期效果和经济性,以为临床实践提供更全面的指导。Objective This study aims to compare the safety and efficacy of robot-assisted and navigation-assisted techniques in the treatment of osteoid osteoma.A retrospective cohort study was conducted to analyze differences in surgical time,blood loss,success rate,postoperative complications,and patient recovery between the two techniques.Methods A total of 64 patients with osteoid osteoma who underwent either robot-assisted(n=25)or navigation-assisted(n=39)surgery at Beijing Jishuitan Hospital from August 2022 to December 2023 were included.Data on patient age,gender,lesion location,preoperative lesion size,blood loss,surgical time,follow-up duration,preoperative and discharge Visual Analogue Score(VAS),and success rates were collected and analyzed using descriptive statistics and comparative analysis.Results There were no statistically significant differences between the two groups in terms of age,gender,lesion location,preoperative lesion size,preoperative VAS score,and follow-up duration.The robot-assisted group had a significantly shorter surgical time than the navigation-assisted group[(102.64±21.65)min vs(120.46±30.98)min,P=0.025].The amount of blood loss in the robot-assisted and navigation-assisted groups was[50(20,50)ml]vs[50(20,100)ml],respectively,though this difference was not statistically significant(P=0.287).There were no significant differences in VAS score changes before discharge between the two groups(P>0.05).Conclusions Robot-assisted surgery demonstrates significant advantages in the treatment of osteoid osteoma,particularly in terms of reduced surgical time and increased precision.Future studies should further explore the long-term outcomes and cost-effectiveness of these two techniques to provide more comprehensive guidance for clinical practice.

关 键 词：骨样骨瘤 机器人辅助手术 计算机导航技术 微创 

分 类 号：R738.1[医药卫生—肿瘤]