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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

23卷

期数:

2017年03期

页码:

247-251

栏目:

临床医学

出版日期:

2017-05-18

文章信息/Info

Title:

TiRobot surgical robotic navigation and location system assisted percutaneous iliosacral screws for treatment of unstable pelvic posterior ring injuries

文章编号:

1006-8147(2017)03-0247-05

作者:

蒋侃凌¹ ; 田 维² ; 贾 健 ²

(1.天津医科大学研究生院，天津300070； 2.天津市天津医院骨盆科，天津300211)

Author(s):

JIANG Kan-ling¹; TIAN Wei²; JIA Jian²

?（1. Graduate School , Tianjin Medical University，Tianjin 300070，China;2.Department of Pelvis，Tianjin Hospital of Tianjin，Tianjin 300211，China）

关键词:

计算机辅助; 骶髂关节; 内固定器; 骨盆

Keywords:

computer-assisted; sacroiliacjoint;  internal fixators; pelvis

分类号:

R683.3

DOI:

-

文献标志码:

A

摘要:

目的：探讨运用TiRobot外科手术机器人导航定位系统辅助经皮骶髂螺钉固定治疗骨盆后环不稳定损伤患者的安全性和可行性。方法：回顾性分析运用TiRobot手术机器人经皮置入骶髂螺钉治疗骨盆后环不稳定损伤的20例病例，其中男12例，女性8例；年龄31～58岁;依据AO/OTA损伤分型：B型损伤14例，C型损伤6例。结果：20例患者共置入34枚螺钉，术中骶髂螺钉设计规划置入时间10～28 min，术中透视时间：6～12 s，手术出血量10～120mL。术后复查所有患者螺钉置入位置满意,无1例螺钉错位、切出骨质或切入骶孔及骶管，无切口感染、手术导致的血管神经并发症。术后复查采用Majeed评分标准，优12例，良5例，可3例，总体优良率85%。结论：运用Tirobot外科手术机器人导航定位系统经皮骶髂螺钉固定治疗骨盆后环不稳定性损伤患者是提高骨盆微创手术效果安全有效的手段。

Abstract:

Objective ：To evaluate effectsand safetyof using TiRobot surgical robotic navigation and location system assisted percutaneous iliosacral screws for treatment of unstable pelvic posterior ring injuries.Methods: Twenty patients with unstable pelvic postierior ring injuries,who were treated using new surgical robotic insertion percutaneousiliosacral screws, were analyzed retrospectively.There were 12 men cases,8 female cases,age:31～58 years.According to AO/OTA classification， there were 14 cases of type B,6 cases of type C. Results: there were total of 34 iliosacral screws inserted in 20 patients.In the operation, the insertion time of iliosacral screws was 10-28min，fluoroscopy time was 6-12sand the blood loss was 10-120mL.The review of screw position was satisfactory in all the 20 cases.None of the screws were malpositioned,penetrated bone cortex or entranced the sacral cannal and sacral foramen after surgery. There were no wound infection and neurovascular injury in 20cases. Based on the Majeed functional scoring,the results were excellent in 12 cases,good in 5 cases and plain in 3 cases. The excellent and good rates was 85%.Conclusion:UsingTiRobot surgical robotic navigation and location system insertion percutaneousiliosacral screws for treating unstable pelvic postierior ring injuries may be an effective and safe to improve pelvic invasive surgical results.

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相似文献/References:

备注/Memo

备注/Memo:

作者简介蒋侃凌（1991-），男，硕士在读，研究方向：创伤骨盆骨折；通信作者：贾健，E-mail：professorjiajian@126.com。