骨科手术机器人辅助技术在创伤骨科的临床应用特征分析

doi:10.3969/j.issn.1006-7795.2025.06.018

首都医科大学学报 ›› 2025, Vol. 46 ›› Issue (6): 1102-1109.doi: 10.3969/j.issn.1006-7795.2025.06.018

骨科手术机器人辅助技术在创伤骨科的临床应用特征分析

李敏娟^1,2，张腾¹，贾曌³，韩巍¹，王军强¹，公茂琪^1*，蒋协远^1,2

1.首都医科大学附属北京积水潭医院创伤骨科，北京 100035；2.北京市创伤骨科研究所，北京 100035；3.骨科手术机器人北京市工程研究中心，北京 100035

收稿日期:2025-01-17 修回日期:2025-09-05 出版日期:2025-12-21 发布日期:2025-12-19
通讯作者: 公茂琪 E-mail:13264239959@163.com
基金资助:
国家重点研发计划项目（2022YFC2407500），北京市卫生健康委员会第五批北京市属医学科研院所公益发展改革试点项目（京医研2023-8）。

Analysis of clinical characteristics of robot-assisted surgery in traumatic orthopedics

Li Minjuan^1,2， Zhang Teng¹， Jia Zhao³，Han Wei ¹， Wang Junqiang¹， Gong Maoqi^1*， Jiang Xieyuan^1,2

1.Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China；2.Beijing Research Institute of Traumatology and Orthopaedics, Beijing 100035, China；3. Beijing Engineering Research Center of Orthopedic Robot，Beijing 100035, China

Received:2025-01-17 Revised:2025-09-05 Online:2025-12-21 Published:2025-12-19
Supported by:
This study was supported by National Key Research and Development Program of China (2022YFC2407500)， Public Welfare Development and Reform Pilot Project for the Fifth Batch of Municipal Medical Research Institutes of Beijing Municipal Health Commission (2023-8).

摘要/Abstract

摘要： 目的基于真实世界数据描述手术机器人辅助技术在创伤骨科中的临床应用特征。方法依托骨科机器人手术数据平台，纳入2021年1月至2023年7月在首都医科大学附属北京积水潭医院创伤骨科接受手术的住院患者，收集患者的基本信息、流行病学数据、临床诊断及手术治疗等资料，比较机器人辅助手术与非机器人辅助手术组间患者的性别、年龄、手术部位、手术方式、手术时间和出血量。结果骨科手术机器人组和非骨科手术机器人组研究对象间性别、年龄间差异均有统计学意义（P<0.001）。机器人辅助手术已应用于14个部位的骨折手术中。接受机器人辅助手术的创伤骨科患者，以男性为主（60.61%），50岁及以上患者占39.96%，其中88.07%的患者接受闭合复位内固定术［手术部位前三位：股骨（35.48%）、骨盆（26.67%）和锁骨（20.86%）］。结论骨科手术机器人辅助技术已广泛应用在创伤骨科多部位骨折手术中，但不同部位间该技术的具体应用仍存在明显差异。

关键词: 骨科手术, 机器人辅助, 创伤骨科, 临床特征, 真实世界数据, 疗效对比

Abstract: Objective To describe the clinical application characteristics of robot-assisted technology in traumatic orthopedics based on real world data. Methods Based on the orthopedic surgical robot database, this paper retrospectively included the basic information, epidemiological data, clinical diagnosis and surgical treatment data of inpatients undergoing surgery in the orthopedic Department of orthopedic trauma in Beijing Jishuitan Hospital Affiliated to Capital Medical University from January 2021 to July 2023. Gender, age, surgical site, surgical type, surgical time and blood loss were compared between robot-assisted surgery and non-robot-assisted surgery groups. Results There were significant differences in gender, age between the robot-assisted surgery group and the non-robot-assisted surgery group (P<0.001). Robot-assisted surgery technology has been used in 14 sites of fracture surgery. The majority of participants receiving robot-assisted surgery were male (60.61%), and patients aged 50 years and above accounted for 39.96%, among which 88.07% of patients received closed reduction internal fixation ［the top three surgical sites: femur (35.48%), pelvis (26.67%) and clavicle (20.86%)］. Conclusions Robot- assisted surgery has been widely used in traumatic orthopaedic multi-site fracture surgery, but the specific application of this technology is still different among different sites.

Key words: orthopedic surgery, robot-assisted, trauma orthopedics, clinical features, real-world data, efficacy comparison

中图分类号:

R683

李敏娟, 张腾, 贾曌, 韩巍, 王军强, 公茂琪, 蒋协远. 骨科手术机器人辅助技术在创伤骨科的临床应用特征分析[J]. 首都医科大学学报, 2025, 46(6): 1102-1109.

Li Minjuan, Zhang Teng, Jia Zhao, Han Wei , Wang Junqiang, Gong Maoqi, Jiang Xieyuan. Analysis of clinical characteristics of robot-assisted surgery in traumatic orthopedics[J]. Journal of Capital Medical University, 2025, 46(6): 1102-1109.

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骨科手术机器人辅助技术在创伤骨科的临床应用特征分析

Analysis of clinical characteristics of robot-assisted surgery in traumatic orthopedics

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