摘要
目的 比较机器人辅助与徒手置钉两种不同椎弓根螺钉置入方式在脊柱手术中的临床效果,为未来脊柱外科发展方向提供一定理论参考。方法 检索2011年2月至2021年2月发表的相关病例对照研究。检索包括Pubmed、Cochrane Library、CNKI、Embase、WF、VIP在内的6个数据库。依据中英文检索策略,共检索到文献418篇,根据条件进一步筛选后最终纳入13篇文献。提取本文所需数据并使用Review manager 5.3软件进行分析。结果 机器人辅助下置钉较徒手透视引导下置钉准确度较高(95%CI=2.19~3.61,P<0.01);机器人辅助下与透视引导下置钉手术所需时间相当(95%CI=-0.18~33.96,P=0.05),其余指标均差异无明显统计学意义。结论 机器人辅助下较传统徒手置钉准确度更高,是当下治疗脊柱疾病的更安全精准的选择,且机器人术中所需时间、辐射强度及时间呈现下降趋势,在未来脊柱外科的手术中将起重要作用。
Objective To compare the clinical effects of robot-assisted versus free-handed pedicle screw placement in spinal surgery,and to provide a theoretical reference for the future development of spinal surgery.Methods We searched related case-control studies published from February 2011 to February 2021,in six databases including Pubmed,Cochrane Library,CNKI,Embase,WF and VIP.According to Chinese and English retrieval strategies,retrieved eligible 418 documents,further screened and finally included 13 documents.In this paper,we extracted and analyzed the data by Review manager 5.3 software.Results When pedicle screws were used to placed,the accuracy of robot-assisted placement was higher than that of free-hand fluoroscopy-guided(95%CI=2.19-3.61,P<0.01).The time required for robot-assisted and fluoroscopy-guided was similar(95%CI=-0.18-33.96,P=0.05),but the other indicators were comparable between groups.Conclusion Robot-assisted screw placement is more accurate than traditional freehand screw placement,which is a more accurate and safe choice for the treatment of spinal diseases.Moreover,the operation time,radiation dose and time of robot-assisted tend to decline,which will play an important role in spinal surgery in the future.
作者
李杨
杜怡斌
Li Yang;Du Yibin(Department of Spine Surgery,the Third Affiliated Hospital of Anhui Medical University,Hefei 230061,China)
出处
《临床荟萃》
CAS
2023年第3期208-215,共8页
Clinical Focus
基金
合肥市卫健委2021年度应用医学研究项目——Endo-ULBD治疗退行性腰椎管狭窄症的临床疗效(2021001)。
关键词
机器人手术
透视引导
椎弓根螺钉
置钉准确度
手术时间
robotic surgical procedures
fluoroscopy-guided
pedicle screw
screw placement accuracy
operative time
