5G远程机器人手术在骨盆骨折中的应用疗效分析  

Effectiveness analysis of 5G remote robotic surgery in pelvic fracture treatment

作　　者：代永鸿 杨匡洋[1,2] 曾焰辉[1,2] 韩巍 王军强 DAI Yonghong;YANG Kuangyang;ZENG Yanhui;HAN Wei;WANG Junqiang(The Eighth Clinical Medical College of Guangzhou University of Chinese Medicine,Foshan Guangdong,528000,P.R.China;Department of Orthopedic Trauma,Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong,528000,P.R.China;Department of Orthopedic Trauma,Beijing Jishuitan Hospital,Capital Medical University,Beijing,100035,P.R.China)

机构地区：[1]广州中医药大学第八临床医学院,广东佛山528000 [2]佛山市中医院创伤骨科,广东佛山528000 [3]首都医科大学附属北京积水潭医院创伤骨科,北京100035

出　　处：《中国修复重建外科杂志》2025年第4期391-398,共8页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：国家重点研发计划项目(2022YFC2407500);广东省佛山市科学技术局医学类科技攻关项目(2420001004268)。

摘　　要：目的 探讨5G远程机器人手术在骨盆骨折中的应用疗效。方法 回顾分析2023年7月—2024年6月收治且符合选择标准的160例骨盆骨折患者临床资料。内固定术中采用5G远程机器人手术辅助植钉80例(5G组)、本地机器人手术辅助植钉80例(对照组)。两组患者性别、年龄、身体质量指数、病程、致伤原因以及骨折分型等基线资料比较,差异均无统计学意义(P>0.05)。记录并比较两组切口长度、手术时间、术中失血量、住院时间、螺钉植入准确性、术后最大残余位移、复位质量、并发症发生情况、末次随访时Majeed骨盆功能评分及分级。结果 5G组术中植入螺钉180枚、对照组植入213枚。5G组术中失血量、切口长度小于对照组(P<0.05),两组手术时间、住院时间差异无统计学意义(P>0.05)。影像学复查示,5G组复位质量优良率为98.8%(79/80),对照组为97.5%(78/80);5G组螺钉植入准确性优良率为98.3%(177/180),对照组为95.8%(204/213);两组术后最大残余位移、复位优良率和螺钉植入准确性优良率比较差异无统计学意义(P>0.05)。两组患者均获随访,随访时间7~16个月,平均11.3个月,两组随访时间差异无统计学意义(P>0.05)。围术期及随访期间两组均未出现切口感染、医源性骨折、医源性血管神经损伤、螺钉松动或断裂及骨折不愈合等并发症。对照组患者步态改变程度差于5G组(P<0.05);两组在蹲起受限、持续疼痛发生率方面差异无统计学意义(P>0.05)。末次随访时,两组间Majeed骨盆功能评分及分级差异无统计学意义(P>0.05)。结论 相较于本地手术,远程专家技术支持下的5G远程机器人手术切口更短、术中失血量及术后并发症更少,是一种治疗骨盆骨折精准、微创、安全且可靠的手术方式。Objective To investigate the effectiveness of 5G remote robotic surgery in the treatment of pelvic fractures.Methods A retrospective analysis was conducted on the clinical data of 160 patients with pelvic fractures admitted between July 2023 and June 2024 who met the selection criteria.Among these patients,80 underwent internal fixation surgery with the assistance of 5G remote robotic surgery(5G group),while 80 received local robotic surgical assistance(control group).Baseline characteristics,including gender,age,body mass index,disease duration,cause of injury,and fracture classification,were compared between the two groups,and no significant difference was found(P>0.05).The incision length,operation time,intraoperative blood loss,hospital stay,accuracy of screw placement,maximum residual displacement postoperatively,quality of fracture reduction,incidence of complications,Majeed pelvic function score and classification at last follow-up were recorded and compared between the two groups.Results In the 5G group,180 screws were implanted during surgery,while 213 screws were implanted in the control group.The 5G group demonstrated significantly reduced intraoperative blood loss and shorter incision length compared to the controlgroup (P<0.05). No significant difference was observed between the two groups in terms of operation time or hospital stay(P>0.05). Radiographic evaluation revealed excellent and good reduction rates of 98.8% (79/80) in the 5G group and 97.5%(78/80) in the control group, while excellent and good screw placement accuracy rates were 98.3% (177/180) in the 5Ggroup and 95.8% (204/213) in the control group. No significant difference was found between the two groups inmaximum residual displacement, reduction quality, or screw placement accuracy (P>0.05). All patients were followed up7-16 months (mean, 11.3 months), with no significant difference in follow-up duration between the groups (P>0.05). Noperioperative or follow-up complication, such as wound infection, iatrogenic fractures, iatrogenic neu

关 键 词：远程手术 协同诊疗 骨盆骨折 5G通信技术 天玑骨科手术机器人 

分 类 号：R687.3[医药卫生—骨科学]