骨科手术机器人在骨盆骨折手术中的应用  

Application of orthopaedic surgical robot in pelvic fracture

作　　者：李明 李强[1] 段方方 LI Ming;LI Qiang;DUAN Fangfang(No.1 Department of Orthopedics,Suzhou First People’s Hospital,Suzhou 234000,China)

机构地区：[1]宿州市第一人民医院骨一科,安徽宿州234000

出　　处：《机器人外科学杂志（中英文）》2024年第5期771-776,共6页Chinese Journal of Robotic Surgery

基　　金：2021年安徽省卫生健康委科研项目(AHWJ2021b135)。

摘　　要：目的:分析骨科手术机器人在骨盆骨折手术治疗中的应用价值。方法:回顾性分析2021年2月—2022年11月收治的82例骨盆骨折患者的临床资料,将其分为研究组(41例)和对照组(41例)。两组患者均接受手术治疗,研究组患者行天玑?骨科手术机器人辅助下内固定术,对照组患者则行C型臂X射线机辅助下内固定术。记录两组患者手术时间、术中出血量、螺钉置入透视时间、住院时间、术后1周疼痛评分、术后6个月Majeed骨盆评分、骨盆功能优良率及并发症情况。结果:两组患者的平均住院时间比较,差异无统计学意义(P>0.05),与对照组相比,研究组患者的螺钉置入平均透视时间和平均手术时间更短、平均术中出血量更少(P<0.05);比较两组患者的平均骨折愈合时间、术后6个月平均Majeed骨盆评分、术后6个月功能优良率、术后6个月骨折复位Matta评分优良率,差异无统计学意义(P>0.05);研究组患者术后1周平均VAS评分低于对照组(P<0.05);研究组患者并发症发生率低于对照组(P<0.05)。结论:骨科手术机器人辅助手术在骨盆骨折患者中可有效缩短手术操作时间,减少术中出血量,改善术后疼痛程度,降低并发症发生率。Objective:To analyze the application value of TiRobot®orthopedic robotic system in the treatment of pelvic fracture.Methods:Clinical data of 82 patients with pelvic fracture who were treated in Suzhou First People’s Hospital from February 2021 to November 2022 were retrospectively analyzed.They were divided into the study group(n=41)and the control group(n=41).Patients in the study group underwent internal fixation assisted by TiRobot®orthopedic robotic system,while patients in the control group underwent internal fixation with the assistance of C-arm X-ray machine.Operative time,intraoperative blood loss,screw fluoroscopy time,length of hospital stay,pain score 1 week after surgery,Majeed score 6 months after surgery,good-to-excellent rate of pelvic function and complications of patients in the two groups were recorded for comparison.Results:There was no significant difference in the average length of hospital stay between the two groups(P>0.05).Compared with the control group,the average fluoroscopy time and operative time in the study group were shorter and the average intraoperative blood loss was less(P<0.05).No significant difference in the mean fracture healing time,the mean Majeed score half a year after surgery,the superior and good rate of pelvic function half a year after surgery,and the Matta score for good-to-excellent rate of fracture reduction half a year after surgery was found between the two groups(P>0.05).The average VAS score of the study group was lower than that of the control group one week after surgery(P<0.05).The complication rate of the study group was lower than that of the control group(P<0.05).Conclusion:Application of TiRobot®orthopedic robotic system in the treatment of pelvic fracture can effectively shorten the operative time,reduce the amount of intraoperative blood loss,alleviate postoperative pain and lower the incidence rate of complications.

关 键 词：骨科手术机器人 内固定术 骨盆骨折 

分 类 号：R608[医药卫生—外科学] R687.3[医药卫生—临床医学]