机器人辅助后交叉韧带重建术治疗后交叉韧带损伤的临床疗效研究  

Clinical efficacy of robot-assisted posterior cruciate ligament reconstruction in the treatment of posterior cruciate ligament injury

作　　者：鞠超杰 于洪文 郝松楠 张伟 项金香 梁秀玉 韩延龙 刘志佳 JU Chaojie;YU Hongwen;HAO Songnan;ZHANG Wei;XIANG Jinxiang;LIANG Xiuyu;HAN Yanlong;LIU Zhijia(Department of Orthopedics,Harbin Fifth Hospital,Harbin 150040,China)

机构地区：[1]哈尔滨市第五医院骨科,黑龙江哈尔滨150040

出　　处：《机器人外科学杂志(中英文)》2025年第2期205-209,216,共6页Chinese Journal of Robotic Surgery

基　　金：黑龙江省卫生健康委科研课题(20210404070137)。

摘　　要：目的:旨在评估机器人辅助后交叉韧带(PCL)重建术治疗PCL损伤的临床疗效。方法:选取2021年9月-2023年10月于哈尔滨市第五医院骨科治疗的27例PCL损伤患者作为研究对象,按照随机数字表法将其分为试验组(机器人辅助下PCL重建术,n=14)和对照组(传统PCL重建术,n=13)。比较两组手术时间、切口长度、失血量、住院时间、膝关节功能及恢复情况、胫骨隧道内口的变化情况。结果:两组患者的手术时间和切口长度相比,差异无统计学意义(P>0.05)。与对照组相比,试验组术中失血量更少、住院时间更短以及下地时间更早(P<0.05)。此外,术后3个月和术后1年,试验组患者的膝关节后向松弛问题较对照组更少,Lysholm评分和膝关节活动度均优于对照组(P<0.001),试验组较对照组的胫骨后移程度低,但差异无统计学意义(P>0.05)。术后一年,试验组患者的胫骨隧道内口变化情况优于对照组(P<0.05)。结论:机器人辅助手术在PCL重建术中表现出明显优势,患者获益较大,具有一定的临床推广价值。Objective:To evaluate the clinical efficacy of robot-assisted posterior cruciate ligament(PCL)reconstruction in the treatment of PCL injury.Methods:27 patients with PCL injury from September 2021 to October 2023 in Harbin Fifth Hospital were selected and divided into the study group(robot-assisted PCL reconstruction,n=14)and the control group(traditional PCL reconstruction,n=13)using the random number table method.The operative time,incision length,blood loss,length of hospital stay,knee function and recovery,and changes of the internal tibial tunnel were compared between the two groups of patients.Results:There was no significant difference in operative time and incision length between the two groups(P>0.05).Compared with the control group,the study group had less intraoperative blood loss,shorter length of hospital stay and earlier time to get off the bed(P<0.05).In addition,at 3 months and 1 year after surgery,patients in the study group had fewer problems with posterior knee laxity,and better Lysholm scores and knee mobility than those in the control group(P<0.001),and the study group had less posterior tibial displacement than the control group,but the difference was not statistically significant(P>0.05).At 1 year after surgery,the changes of the internal tibial tunnel in the study group were better than those in the control group(P<0.05).Conclusion:Robot-assisted surgery has demonstrated significant advantages in PCL reconstruction,with greater patient benefit,and has certain clinical promotion value.

关 键 词：后交叉韧带损伤 机器人辅助手术 膝关节重建 

分 类 号：R684.7[医药卫生—骨科学]