北京生物醫(yī)學工程

骨科機器人輔助手術治療骨盆骨折的臨床應用研究

The clinical effects of robot-assisted orthopedic surgery on pelvic fracture patients

單位：佛山市中醫(yī)院骨科（廣東佛山 528000） 通信作者：吳征杰。E-mail: [email protected]

分類號： R318

出版年·卷·期（頁碼）：2022·41·2（134-139）

摘要：

目的探討骨科機器人輔助手術治療骨盆骨折的具體臨床應用效果。方法回顧性收集2018年2月至2019年7月于佛山市中醫(yī)院行微創(chuàng)手術治療的Tile B、C型骨盆骨折患者112名。根據(jù)手術方式將患者分為骨科機器人輔助微創(chuàng)手術組和傳統(tǒng)透視輔助微創(chuàng)手術組。對比兩組患者的術中出血量、手術時間、置釘時間、螺釘非計劃置入比例、位置偏移率、骶髂螺釘置入誤差范圍以及螺釘位置偏移程度。術后比較兩組患者Matta評分比較兩組復位質量，末次Majeed評分比較兩組患者的功能以及并發(fā)癥的發(fā)生情況。結果兩組患者基線資料顯示無明顯統(tǒng)計學差異（P>0.05）。骨科機器人輔助微創(chuàng)手術組術中出血量、手術時間、置釘時間、螺釘偏移位置以及骶髂螺釘置入誤差范圍都明顯少于傳統(tǒng)透視輔助微創(chuàng)手術組，差異性具有統(tǒng)計學意義（P<0.05)。術后結果對比分析顯示，骨科機器人輔助微創(chuàng)手術組術后滿意率、功能恢復情況都明顯優(yōu)于傳統(tǒng)透視輔助微創(chuàng)手術組（P<0.05)。同時，骨科機器人輔助微創(chuàng)手術組術后并發(fā)癥的發(fā)生率明顯低于傳統(tǒng)透視輔助微創(chuàng)手術組（P<0.05)。兩組患者術后螺釘位置偏移程度以及螺釘非計劃置入數(shù)無明顯統(tǒng)計學差異（P>0.05)。結論骨科機器人輔助手術針對不穩(wěn)定型骨盆骨折患者具有良好的臨床應用效果。

Objective To determine the clinical effects of robot-assisted orthopedic surgery technique on pelvic fracture patients. Methods This is a retrospective study. From Feb. 2018 to July 2019, a total of 112 tile B and tile C type of orthopedic fracture patients in Foshan Hospital of Traditional Chinese Medicine underwent minimally invasive orthopedic surgery were included into this study. According to the surgery techniques, patients were divided to robot-assisted orthopedic surgery group and traditional orthopedic surgery group. Intraoperative indicators including intraoperative blood loss, operating time, nail placement time, the proportion of unplanned screw placement, the position deviation rate, the error range of sacroiliac screw placement and screw position deviation degree were recorded and compared between groups. Postoperatively, Matta score, Majeed score and complication happened were compared between groups. Results The baseline characteristics comparison showed no significant difference between groups (P>0.05). The intraoperative indicators showed that intraoperative blood loss, operating time, nail placement time, the proportion of unplanned screw placement, the position deviation rate and the error range of sacroiliac screw placement in robot-assisted orthopedic surgery group were all superior to the traditional orthopedic surgery group with significance (P<0.05). At postoperative comparisons, the Matta scores and Majeed scores at the robot-assisted orthopedic surgery group showed better results than traditional orthopedic surgery group with significance (P <0.05). The complication occurrence rate was significantly lower at robot- assisted orthopedic group when compared to traditional orthopedic group. (P<0.05). There showed no significant difference between groups in screw position deviation degree and unplanned screw placement (P>0.05). Conclusions Robot-assisted orthopedic surgery can be an effective way to treat unstable pelvic fracture with preferable clinical effects.

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