【摘要】 目的:探讨骨科机器人3D模式辅助下行骶髂关节脱位闭合复位内固定术的临床应用效果,并总结手术配合经验与技巧。方法:回顾性分析2019年1月至2021年1月在广西医科大学第一附属医院创伤骨病外科接受骶髂关节脱位闭合复位内固定手术的56例患者的临床资料,根据手术方式不同分为骨科机器人3D模式手术治疗组(机器人组,25例)和传统手术治疗组(传统组,31例)。对比分析两组患者的手术时间、术中出血量、术中置钉数、重置钉数、钻孔次数、X射线曝光次数、术中Braden评分、术后Matta评分、术后患者离床时间、恢复正常行走时间、患者满意度等。归纳分析术前准备、术中配合、术后机器护理等护理配合要点,总结并探讨最优化的手术配合流程。结果:机器人组的手术时间、术中出血量、重置钉数、术中钻孔次数和术中X射线曝光次数均短于或低于传统组(均P<0.05),术中Braden评分和满意度评分高于传统组(P<0.001),但两组术中置钉数、术后离床时间、患者恢复正常行走时间、术后Matta评分比较差异无统计学意义(均P>0.05)。结论:骨科机器人3D模式适用于骶髂关节脱位闭合复位内固定术,精准性高,可以提高手术效率。更多还原

【Abstract】 Objective: To observe the clinical effect of closed reduction and internal fixation of sacroiliac joint dislocation assisted by 3 D robot mode, and to summarize the experience and skills of surgical cooperation. Methods: The clinical data of 56 patients who received closed reduction and internal fixation for sacroiliac joint dislocation in our hospital from January 2019 to January 2021 were retrospectively analyzed. According to different surgical methods, the patients were divided into the orthopedic robotic 3 D mode surgical treatment group(25 cases) and the traditional surgical treatment group(31 cases). The operation time, intraoperative blood loss, number of intraoperative nails and reset nails, nailing hole number, X ray exposure times, intraoperative Braden score,postoperative Matta score, postoperative bed leaving time, restored normal walking time, and patients’ satisfaction were compared and analyzed. The preoperative preparation, intraoperative and postoperative nursing care with key points of the machine, and the optimization of the operation process were summarized and discussed.Results: The operation time, blood loss volume, reset nails number, intraoperative drilling times and intraoperative X ray exposure times of robot group were shorter or less than those of traditional group, while the intraoperative Braden score and satisfaction score were higher(P<0.05). There were no significant differences in intraoperative nail placement number, postoperative bed leaving time, postoperative walking time and Matta score between the two groups(P>0.05). Conclusion: Orthopaedic robot 3 D mode is suitable for dislocation closure of sacral and iliac joint and internal fixation, and it has high accuracy and can improve surgical efficiency.更多还原