首页|天玑骨科机器人Tirobot导航系统联合骨盆后环通道螺钉内固定对盆骨骨折的近远期疗效分析

天玑骨科机器人Tirobot导航系统联合骨盆后环通道螺钉内固定对盆骨骨折的近远期疗效分析

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目的 探讨天玑骨科机器人Tirobot导航系统联合骨盆后环通道螺钉内固定对盆骨骨折的近远期疗效。方法 选取我院2021年5月-2023年5月收治的80例盆骨骨折患者进行回顾性分析,依照手术方式不同将两组患者分为观察组与对照组,每组各40例。对照组患者采用传统透视下骶髂螺钉内固定治疗,观察组采用天玑骨科机器人Tirobot导航系统联合骨盆后环通道螺钉内固定治疗。对比两组患者近期螺钉置入精度及骨折复位情况、围术期指标、并发症发生率,并对所有患者进行1年门诊复查随访,对比其功能恢复程度。结果 两组患者骨折复位优良率对比,无显著差异(P>0。05),观察组螺钉置入精度优良率100。00%高于对照组的90。00%(P<0。05);两组患者住院时间对比,无显著差异(P>0。05),观察组导针置入次数、手术时间、术中出血量、术后1周视觉模拟量表(visual analogue scale,VAS)评分低于对照组(P<0。05);观察组并发症发生率7。50%低于对照组的25。00%(P<0。05);观察组远期疗效优良率95。00%高于对照组的80。00%(P<0。05)。结论 天玑骨科机器人Tirobot导航系统联合骨盆后环通道螺钉内固定治疗盆骨骨折螺钉置入精度更高,可减少患者导针置入次数、手术时间、术中出血量及术后疼痛程度,且能够降低其术后并发症发生率,远期疗效更优。
Analysis of short-and long-term efficacy of Tianji orthopedic robot Tirobot navigation system combined with pelvic posterior ring channel screw internal fixation for pelvic fractures
Objective To investigate the short-and long-term efficacy of the Tianji orthopedic robot Tirobot navigation system combined with pelvic posterior ring channel screw fixation for pelvic fractures.Methods A retrospective analysis was conducted on 80 patients with pelvic fractures admitted to our hospital from May 2021 to May 2023.According to different surgical methods,the two groups of patients were divided into an observation group and a control group,with 40 patients in each group.The control group patients were treated with traditional perspective sacroiliac screw fixation,while the observation group was treated with the Tianji orthopedic robot Tirobot navigation system combined with pelvic posterior ring channel screw fixation.Compare the recent screw placement accuracy and fracture reduction status,perioperative indicators,incidence of complications between two groups of patients,and conduct a one-year outpatient follow-up for all patients to compare their degree of functional recovery.Results There was no significant difference in the excellent and good rate of fracture reduction between the two groups of patients(P>0.05).The excellent and good rate of screw insertion accuracy in the observation group was 100.00%,which was higher than that in the control group(90.00%,P<0.05);there was no significant difference in the length of hospital stay between the two groups of patients(P>0.05).The observation group had lower numbers of needle insertions,surgical time,intraoperative bleeding,and visual analog scale(VAS)scores one week after surgery compared to the control group(P<0.05);the incidence of complications in the observation group was 7.50%lower than that in the control group,which was 25.00%(P<0.05);the excellent rate of long-term efficacy in the observation group was 95.00%,which was higher than that in the control group(80.00%)(P<0.05).Conclusion The combination of Tianji orthopedic robot Tirobot navigation system and pelvic posterior ring channel screw fixation for the treatment of pelvic fractures has higher screw placement accuracy,can reduce the number of guide wire placements,surgical time,intraoperative bleeding,and postoperative pain in patients,and can also reduce the incidence of postoperative complications,resulting in better long-term efficacy.

Tianji Orthopedic RobotPelvic posterior ring channelPelvic fractureScrew insertion accuracyFracture reduction

王久夏

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甘肃省中医院,甘肃 兰州 730050

天玑骨科机器人 骨盆后环通道 盆骨骨折 螺钉置入精度 骨折复位

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(2)