北京生物醫(yī)學(xué)工程

骨科手術(shù)機(jī)器人培訓(xùn)效果的橫斷面調(diào)查

Trainingeffect for orthopaedic surgery robots: a cross-sectional survey

作者：李爽李文菁范明星劉亞軍田偉

單位：北京積水潭醫(yī)院（北京 100035）骨科機(jī)器人技術(shù)北京市重點(diǎn)實(shí)驗(yàn)室（北京 100035）

關(guān)鍵詞：骨科手術(shù)機(jī)器人；培訓(xùn)；問(wèn)卷調(diào)查；橫斷面調(diào)查

分類號(hào)：R318.04

出版年·卷·期（頁(yè)碼）：2020·39·5（523-528）

摘要：

目的骨科手術(shù)機(jī)器人日漸廣泛的臨床應(yīng)用為手術(shù)醫(yī)師提出了新的技術(shù)需求。目前缺乏關(guān)于骨科手術(shù)機(jī)器人技術(shù)培訓(xùn)效果的研究報(bào)道。本研究擬通過(guò)橫斷面調(diào)查探討骨科手術(shù)機(jī)器人培訓(xùn)的短期效果。方法 2019年9月27日至2019年11月1日期間，以電子調(diào)查問(wèn)卷的形式，對(duì)參加骨科手術(shù)機(jī)器人培訓(xùn)的骨科手術(shù)醫(yī)生，針對(duì)其參加骨科手術(shù)機(jī)器人培訓(xùn)的效果進(jìn)行調(diào)查，主要調(diào)查內(nèi)容包括對(duì)課程實(shí)際掌握情況，對(duì)個(gè)人的促進(jìn)作用，對(duì)科室的促進(jìn)作用，對(duì)醫(yī)院的促進(jìn)作用，總體收獲五個(gè)方面。采用χ2檢驗(yàn)或Fisher精確檢驗(yàn)進(jìn)行單因素分析，評(píng)價(jià)學(xué)員的年齡、性別、學(xué)歷、職稱以及接受培訓(xùn)形式與總分優(yōu)良率之間有無(wú)關(guān)聯(lián)。結(jié)果本次調(diào)查共收到問(wèn)卷115份，參與調(diào)查的醫(yī)務(wù)人員來(lái)自全國(guó)14個(gè)省、自治區(qū)、直轄市，平均年齡39.7±7.9歲；職稱方面，高級(jí)職稱占比57.4%（66/115），中級(jí)職稱占比33%（38/115）；專業(yè)方面，脊柱外科醫(yī)師占比最多（50.4%），其次為創(chuàng)傷骨科醫(yī)師（36.5%）。參加培訓(xùn)的方式主要為講座（87%）、模型操作（87%）、尸體標(biāo)本操作（38.3%）、手術(shù)觀摩（59.1%）、手術(shù)操作（12.2%）。被調(diào)查者的中位總得分為130（115，141）分，優(yōu)良率為66.1%。單因素分析結(jié)果顯示，學(xué)員的年齡，性別、學(xué)歷、職稱、培訓(xùn)方式與總得分優(yōu)良率之間無(wú)明確關(guān)聯(lián)。結(jié)論骨科手術(shù)機(jī)器人短期培訓(xùn)效果顯著，具有普適性，學(xué)員通過(guò)培訓(xùn)能夠很好的掌握相關(guān)理論知識(shí)和實(shí)踐技能，有助于推進(jìn)科研工作的開(kāi)展，擴(kuò)大對(duì)所在醫(yī)院和個(gè)人的宣傳。

Objective The increasing clinical application of orthopaedic surgical robots has raised new technical requirements for surgeons. At present, there are insufficient research reports on the training effects of orthopaedic surgical robot technology. This study intends to explore the short-term effects of orthopaedic surgical robot training through a cross-sectional survey.Methods From September 27, 2019 to November 1, 2019, the orthopaedic surgeons who attended the training courses of orthopedic surgery robots were investigated in the form of electronic questionnaires for their acquirement including actual mastery of the course, individual improvement, department promotion, hospital development and overall enhancement. Single factor analysis was performed using χ2 test or Fisher's exact test to assess whether trainee’s age, gender, educational backgrounds, professional titles and training forms were related to the excellent rate of the overall score.Results A total of 115 questionnaires were collected in this survey. The orthopaedic surgeons included in the survey were from 14 provinces/autonomous regions/municipalities directly under the central government, with an average age of 39.7 ± 7.9 years. In terms of professional titles, senior and intermediate titles took up 57.4% (66/115) and 33% (38/115), respectively; professionally, spinal surgeons occupied the most (50.4%), followed by traumatologists (36.5%). The main ways to attend the training were: lecture (87%), model operation (87%), corpse specimen operation (38.3%), surgical observation (59.1%) and surgical operation (12.2%). The median total score of the respondents was 130 (115,141) and the excellent rate was 66.1%. The results of single factor analysis showed that there was no clear correlation between the age, gender, educational backgrounds, professional titles, training methods and the excellent rate of the overall score.ConclusionsThe training of orthopaedic surgical robots has obvious short-term effects and universality as trainees can master relevant theoretical knowledge and practical skills through this training, which can help promote the development of scientific research and expand the publicity of the hospitals and individuals.

參考文獻(xiàn)：

[1] Sensakovic WF, O'Dell MC, Agha A, et al. CT radiation dose reduction in robot-assisted pediatric spinal surgery[J]. Spine (Phila Pa 1976),2017,42(7):E417-E424.

[2] Deroussen F, Lefranc M, Klein C, et al. Accuracy of screw placement in minimally invasive, robot-assisted iliosacral screw insertion in children with early onset neuromuscular scoliosis[J]. Spine Deform,2019,7(6):1020.

[3] Feng S, Tian W, Sun Y, et al. Effect of robot-assisted surgery on lumbar pedicle screw internal fixation in patients with osteoporosis[J]. World Neurosurg,2019,125:e1057-e1062.

[4] Kuo KL, Su YF, Wu CH, et al. Assessing the intraoperative accuracy of pedicle screw placement by using a bone-mounted miniature robot system through secondary registration[J]. Plos One,2016,11(4):e153235.

[5] Le XF, Shi Z, Wang QL, et al. Rate and risk factors of superior facet joint violation during cortical bone trajectory screw placement: a comparison of robot-assisted approach with a conventional technique[J]. Orthopaedic Surgery,2020,12(1):133-140.

[6] Zhang Q, Han XG, Xu YF, et al. Robotic navigation during spine surgery[J]. Expert Review of Medical Devices,2020,17(1):27-32.

[7] Beulens A, Brinkman WM, Porte PJ, et al. The value of a 1-day multidisciplinary robot surgery training for novice robot surgeons[J]. Journal of Robotic Surgery,2019,13(3):435-447.

[8] Karthik K, Colegate-Stone T, Dasgupta P, et al. Robotic surgery in trauma and orthopaedics: a systematic review[J]. The Bone & Joint Journal,2015,97-B(3):292-299.

[9] Mannan A, Vun J, Lodge C, et al. Increased precision of coronal plane outcomes in robotic-assisted total knee arthroplasty: a systematic review and meta-analysis[J]. Surgeon,2018,16(4):237-244.

[10] Overley SC, Cho SK, Mehta AI, et al. Navigation and robotics in spinal surgery: where are we now?[J]. Neurosurgery,2017,80(3S):S86-S99.

[11] Feng S, Tian W, Wei Y. Clinical effects of oblique lateral interbody fusion by conventional open versus percutaneous robot-assisted minimally invasive pedicle screw placement in elderly patients[J]. Orthopaedic Surgery,2020,12(1):86-93.

[12] Wu XB, Wang JQ, Sun X, et al. Guidance for the treatment of femoral neck fracture with precise minimally invasive internal fixation based on the orthopaedic surgery robot positioning system[J]. Orthopaedic Surgery,2019,11(3):335-340.

[13] Fan M, Liu Y, He D, et al. Improved accuracy of cervical spinal surgery with robot-assisted screw insertion: a prospective, randomized, controlled study[J]. Spine (Phila Pa 1976),2020,45(5):285-291.

[14] Wang JQ, Wang Y, Feng Y, et al. Percutaneous sacroiliac screw placement: a prospective randomized comparison of robot-assisted navigation procedures with a conventional technique[J]. Chinese Journal of Integrative Medicine (English Edition),2017,130(21):2527-2534.

[15] Tian W. Robot-Assisted Posterior C1-2 Transarticular Screw Fixation for Atlantoaxial Instability: A Case Report[J]. Spine (Phila Pa 1976),2016,41 Suppl 19:B2-B5.

[16] 武勇，孫寧，李瑩，等. 機(jī)器人輔助下脛距跟關(guān)節(jié)融合術(shù)治療踝關(guān)節(jié)、距下關(guān)節(jié)骨關(guān)節(jié)炎一例報(bào)告[J]. 中華骨科雜志,2018,38(12):760-762.

[17] Liu B, Wu F, Chen S, et al. Robot-assisted percutaneous scaphoid fracture fixation: a report of ten patients[J]. Journal of Hand Surgery-European Volume,2019,44(7):685-691.

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