| 实时跟踪和虚拟成像技术辅助创伤骨科手术机器人治疗股骨颈骨折 |
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投稿时间：2023-12-17
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| 作者 | Author | 单位 | Address | E-Mail |
| 娄伟钢 |
LOU Wei-gang |
宁波市第六医院创伤骨科, 浙江 宁波 315042 |
Department of Orthopaedic Trauma, Ningbo No. 6 Hospital, Ningbo 315042, Zhejiang, China |
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| 陈剑明 |
CHEN Jian-ming |
宁波市第六医院创伤骨科, 浙江 宁波 315042 |
Department of Orthopaedic Trauma, Ningbo No. 6 Hospital, Ningbo 315042, Zhejiang, China |
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| 汪帅伊 |
WANG Shuai-yi |
宁波市第六医院创伤骨科, 浙江 宁波 315042 |
Department of Orthopaedic Trauma, Ningbo No. 6 Hospital, Ningbo 315042, Zhejiang, China |
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| 李海洋 |
LI Hai-yang |
宁波市第六医院创伤骨科, 浙江 宁波 315042 |
Department of Orthopaedic Trauma, Ningbo No. 6 Hospital, Ningbo 315042, Zhejiang, China |
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| 徐丁 |
XU Ding |
宁波市第六医院创伤骨科, 浙江 宁波 315042 |
Department of Orthopaedic Trauma, Ningbo No. 6 Hospital, Ningbo 315042, Zhejiang, China |
xuding831129@126.com |
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| 期刊信息：《中国骨伤》2024年，第37卷，第2期，第124-128页 |
| DOI：10.12200/j.issn.1003-0034.20230342 |
| 基金项目:宁波市医学科技计划项目（编号：2021Y56） |
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中文摘要:
目的：探究实时跟踪和虚拟成像技术（real-time tracking and virtual reality technology，RTVI）辅助创伤骨科手术机器人术中配准治疗股骨颈骨折的治疗效果。
方法：回顾分析2020年9月至2022年9月应用创伤骨科机器人手术治疗的60例股骨颈骨折患者，根据术中是否使用RTVI技术辅助机器人手术将患者分成两组：RTVI组28例，男12例，女16例；年龄28~60（46.2±9.3）岁。单纯天玑手术机器人组32例，男15例，女17例；年龄32~58（48.2±7.8）岁。观察并记录两组配准透视次数、手术时间、术中透视次数、术中出血量、住院时间。所有患者术后接受定期随访，常规复查髋关节X线片，记录Garden对线指数、骨折愈合时间、术后并发症、Harris评分。
结果：60例患者均获得随访，其中RTVI组随访9~16（13.0±1.2）个月，单纯天玑手术机器人组随访10~14（12.0±1.3）个月，两组比较差异无统计学意义（P>0.05）。随访期间两组股骨颈骨折均愈合良好，无内固定松动、切口感染等并发症发生。RTVI组配准透视次数、手术时间、术中透视次数优于单纯天玑手术机器人组（P<0.01）。而两组术中出血量、住院时间、Garden对线指数、骨折愈合时间、髋关节Harris评分比较，差异无统计学意义（P>0.05）。
总结：RTVI技术辅助天玑手术机器人治疗股骨颈骨折手术虽然对其术后疗效影响不大，但可以有效减少手术时间，减低术中X线投射次数，降低患者术中辐射暴露风险。同时也缩短了术者的学习曲线，更好体现创伤骨科手术机器人的精准和高效。 |
| 【关键词】实时跟踪和虚拟成像技术 骨科机器人 外科手术 股骨颈骨折 |
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| Real-time traking and virtual reality technology-assisted trauma orthopaedic surgery robot for femoral neck fractures |
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ABSTRACT
Objective To investigate the effectiveness of real-time tracking and virtual reality technology(RTVI) used to assist the intraoperative alignment of the trauma orthopaedic surgery robot for the treatment of femoral neck fractures and its impact on the treatment outcome.
Methods A retrospective analysis was conducted on 60 patients with femoral neck fractures treated with trauma orthopedic robotic surgery from September 2020 to September 2022. Patients were divided into two groups according to whether RTVI technology was used during surgery to assist robotic surgery. There were 28 patients in the RTVI group (12 males and 16 females), with an average age of (46.2±9.3) years old ranging from 28 to 60 years old. There were 32 patients in the simple Tianji surgical robot group, including 15 males and 17 females, aged (48.2±7.8) years old ranging from 32 to 58. The number of registered fluoroscopy, operation time, total number of intraoperative fluoroscopy, intraoperative blood loss, and hospitalization time of the two groups of patients were observed and recorded. All patients received regular follow-up after surgery, and hip X-rays were routinely reviewed to record Garden alignment index, fracture healing time, postoperative complications, and Harris score.
Results All 60 patients were followed up. The RTVI group was followed up for 9 to 16 months with an average of (13.0±1.2) months, and the Tianji surgical robot group alone was followed up for 10 to 14 months with an average of (12.0±1.3) months. During the follow-up period, the femoral neck fractures of both groups of patients healed well, and no complications such as internal fixation loosening and incision infection occurred. The number of registered fluoroscopy, operation time, and number of intraoperative fluoroscopy of patients in the RTVI group were significantly better than those in the simple Tianji surgical robot group(P<0.01). There was no statistically significant difference in intraoperative blood loss, hospital stay, Garden alignment index, fracture healing time, and hip Harris score between two groups(P>0.05).
Conclusion Although RTVI technology assisted by the surgical robot for femoral neck fracture surgery has little impact on its postoperative outcome, it can effectively reduce the operating time, the number of intraoperative X-ray projections, and the risk of intraoperative radiation exposure to patients. It also shortened the learning curve of the operator and better reflected the precision and efficiency of the trauma orthopaedic surgery robot. |
| KEY WORDS Real-time tracking and virtual reality technology,RTVI Orthopaedic robot Surgical operation Femoral neck fracture |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 娄伟钢,陈剑明,汪帅伊,李海洋,徐丁.实时跟踪和虚拟成像技术辅助创伤骨科手术机器人治疗股骨颈骨折[J].中国骨伤,2024,37(2):124~128 |
| 英文格式: | LOU Wei-gang,CHEN Jian-ming,WANG Shuai-yi,LI Hai-yang,XU Ding.Real-time traking and virtual reality technology-assisted trauma orthopaedic surgery robot for femoral neck fractures[J].zhongguo gu shang / China J Orthop Trauma ,2024,37(2):124~128 |
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