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[机器人辅助脊柱手术的应用现状与展望]

[Current status and prospects for the application of robot-assisted spine surgery].

作者信息

He D, Zhang Q, Zhao J W

机构信息

Department of Spine Surgery,Beijing Jishuitan Hospital,Capital Medical University,Research Unit of Intelligent Orthopedics,Chinese Academy of Medical Sciences,Beijing 100035,China.

出版信息

Zhonghua Wai Ke Za Zhi. 2024 Mar 1;62(3):177-181. doi: 10.3760/cma.j.cn112139-20231210-00263.

Abstract

Traditional spine surgery frequently encounters difficulties with inadequate surgical visualization and high risk.Robot-assisted spine surgery is quickly evolving,particularly in screw placement,providing three-dimensional imaging and precise positioning to optimize the surgical process. Robot-assisted systems can increase surgical precision,reduce operating time and radiation exposure,and improve patient prognosis. They also have strong image recognition and analysis capabilities,reducing intraoperative instability and fatigue and allowing remote manipulation.While robot-assisted spine surgery has demonstrated noteworthy advantages in regards to screw placement accuracy and reduced radiation exposure,its effects on operative time remain subject to debate,with cost being a significant hindrance to widespread implementation.Long-term clinical validation and studies of outcomes are necessary for the extensive use of robotic-assisted spine surgery.Future priorities include the enhancement of surgical navigation and imaging,integration of artificial intelligence,improvement of telesurgical capabilities,expansion of robotic functionality,and the development of policy guidance and clinical guidelines to accompany the growth of technology.Robot-assisted spine surgery enhances accuracy and safety,and is anticipated to assume an increasingly crucial role in spine surgery as technology advances and becomes more widely available.

摘要

传统脊柱手术经常面临手术视野不佳和高风险等困难。机器人辅助脊柱手术正在迅速发展,尤其是在螺钉植入方面,它能提供三维成像和精确的定位,以优化手术过程。机器人辅助系统可以提高手术精度,减少手术时间和辐射暴露,并改善患者预后。它们还具有强大的图像识别和分析能力,减少术中的不稳定性和疲劳,并允许远程操作。虽然机器人辅助脊柱手术在螺钉植入准确性和减少辐射暴露方面已显示出显著优势,但其对手术时间的影响仍存在争议,成本是广泛应用的重大障碍。机器人辅助脊柱手术的广泛应用需要长期的临床验证和结果研究。未来的重点包括加强手术导航和成像、整合人工智能、提高远程手术能力、扩展机器人功能,以及制定伴随技术发展的政策指导和临床指南。机器人辅助脊柱手术提高了准确性和安全性,随着技术的进步和更广泛的应用,预计它将在脊柱手术中发挥越来越关键的作用。

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