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机器人辅助下单髁置换术的研究现状

王旭, 刘彦群

摘要

目的：总结手术机器人在单髁置换手术方面的应用及研究进展，包括术前规划、手术流程、术后临床功能结果、学习曲线及未来发展趋势。方法：通过检索万方、知网、Pubmed等国内外数据库，检索词包括"机器人""单髁置换术""robot""unicompartmental knee arthroplasty"，可得到200篇文献，通过摘要挑选及全文阅览筛选后最终纳入文章24篇。结果：机器人辅助下单髁置换术相比于传统手术方式，通过术前规划及术中机械臂辅助手术，术后膝关节社会评分（Knee Society Score，KSS）和膝关节社会功能评分（Knee Society Function Score，KSFS）两方面均表现出显着提高；机器人截骨更加精准，可以得到良好的假体位置及术后假体生存率，对于临床医生易于接受，手术时间更短；但目前治疗费用对比传统手术方式更昂贵，未来发展趋向于平民化。结论：机器人辅助下单髁置换术较传统手术技术在临床效果、手术时间等方面有优势，但手术流程复杂、治疗费用较高，未来仍需进一步研究发展。

关键词

机器人，机器人辅助手术，单髁置换术

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参考

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