摘要
目的:评估机器人可视化数码成像系统辅助大鼠生殖管道显微重建术的安全性和有效性,以及术者满意度。方法:将8只成年雄性Sprague-Dawley(SD)大鼠随机分为对照组和实验组,对照组使用传统手术光学显微镜进行输精管吻合术(VV)和输精管附睾吻合术(VE);实验组使用机器人可视化数码成像系统辅助进行VV和VE;比较两组手术时间、吻合口术后即刻机械再通率和吻合口泄漏率,以及术者满意度评分。结果:对照组和实验组手术时间无统计学差异,吻合术后即刻机械通畅率均为100.0%;两组中VV术后均无吻合口泄漏,对照组VE术后吻合口泄漏率为14.3%,而实验组吻合口泄漏率为16.7%。手术显微镜友好度评分方面,与对照组比较,实验组视觉舒适度[(3.00±0.76)分vs(4.00±0.53)分,P=0.02]和颈背部舒适度术者感受[(2.75±1.16)分vs(4.38±1.06)分,P<0.01]更佳,人镜交互性[(3.88±1.55)分vs(4.88±0.35)分,P=0.02]也更好;图像清晰度和手术显微镜手术室适配性方面,两组之间无统计学差异。结论:机器人可视化数码成像系统可用于大鼠生殖管道显微重建手术,而且具备更佳的人体工程力学设计和图像清晰度,在男性生殖显微外科领域具有潜在应用价值。
Objective:To evaluate the safety and efficiency of robotic visualization system(RVS)-assisted microsurgical reconstruction of the reproductive tract in male rats and the satisfaction of the surgeons.Methods:We randomly divided 8 adult male SD rats into an experimental and a control group,the former treated by RVS-assisted microsurgical vasoepididymostomy(VE)or vasovasostomy(VV),and the latter by VE or VV under the standard operating microscope(SOM).We compared the operation time,mechanical patency and anastomosis leakage immediately after surgery,and the surgeons'satisfaction between the two groups.Results:No statistically significant difference was observed the operation time between the experimental and the control groups,and no anastomosis leakage occurred after VV in either group.The rate of mechanical patency immediately after surgery was 100%in both groups,and that of anastomosis leakage after VE was 16.7%in the experimental group and 14.3%in the control.Compared with the control group,the experimental group achieved dramatically higher scores on visual comfort(3.00±0.76 vs 4.00±0.53,P<0.05),neck/back comfort(2.75±1.16 vs 4.38±1.06,P<0.01)and man-machine interaction(3.88±1.55 vs 4.88±0.35,P<0.05).There were no statistically significant differences in the scores on image definition and operating room suitability between the two groups.Conclusion:RVS can be used in microsurgical reconstruction of the reproductive tract in male rats and,with its advantages over SOM in ergonomic design and image definition,has a potential application value in male reproductive system micosurgery.
作者
李征
董建军
刘铭
吴洵柱
贾仁峰
郭三维
孟凯
姚晨成
智二磊
刘刚
檀大羡
李铮
李朋
LI Zheng;DONG Jian-jun;LIU Ming;WU Xun-zhu;JIA Ren-feng;GUO San-wei;MENG Kai;YAO Chen-cheng;ZHI Er-lei;LIU Gang;TAN Da-xian;LI Zheng;LI Peng(Department of Andrology,Reproduction Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi 530029,China;Department of Andrology,Clinical Center of Urology,Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200080,China;Jiaozuo Women and Children's Hospital,Jiaozuo,Henan 454000,China;Department of Urology,Ningde Municipal Hospital of Ningde Normal College,Ningde,Fujian 352100,China)
出处
《中华男科学杂志》
CAS
CSCD
2024年第8期675-680,共6页
National Journal of Andrology
基金
国家重点研发计划(2022YFC2702701)
上海市第一人民医院特色研究项目(CTCCR-2021C17)
河南省医学科技计划项目(LHGJ20230908)。
