山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (3): 21-28.doi: 10.6040/j.issn.1671-7554.0.2022.1125
刘新宇1,*(
),李冬来1,赵文龙2,王政1,李超1,王连雷1,原所茂1,田永昊1
Xinyu LIU1,*(),Donglai LI1,Wenlong ZHAO2,Zheng WANG1,Chao LI1,Lianlei WANG1,Suomao YUAN1,Yonghao TIAN1
摘要：
手术机器人和导航系统是技术进步的成果，为脊柱外科的精准置钉带来了新的机遇。脊柱区解剖复杂，与许多重要的血管、神经毗邻，椎体旋转和变异、椎弓根狭窄、脊柱侧后凸等一系列的脊柱畸形对脊柱手术操作的精确度提出了更高的要求。传统脊柱手术十分依赖于术者的经验和术中判断，不能监测螺钉植入过程，所以螺钉误置率较高；机器人和导航系统在手术过程中可以提供实时的三维影像，协助脊柱外科医生及时调整螺钉位置和方向，提高了置钉的安全性和准确性，减小手术创伤和辐射暴露。然而，前期设备投入成本高昂、外科医生的学习曲线漫长以及患者的辐射暴露较多等问题仍然不可忽视。尽管远期矫形效果缺乏研究以及术中辐射暴露水平的不确定性，但机器人和导航系统已经影响了脊柱畸形矫治手术的方式和发展进程。
中图分类号:
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