实用医学杂志2026，Vol.42Issue(1)：37-44,8.DOI:10.3969/j.issn.1006-5725.2026.01.005
骨科手术机器人辅助导航引导下运用病灶刮除灭活术治疗骨样骨瘤的疗效观察
To observe the clinical efficacy of curettage and devascularization of osteoid osteoma guided by orthopedic surgical robot navigation
摘要
Abstract
Objective To analyze the clinical efficacy of curettage and sterilization for osteoid osteoma under the guidance of orthopedic surgical robot navigation.Methods A total of 60 patients diagnosed with osteoid osteoma who underwent surgical treatment in the Department of Orthopedics at Foshan Hospital of Traditional Chinese Medicine from January 2018 to June 2025 were recruited.These patients were then divided into an experi-mental group and a control group,with 30 cases in each group.The control group received traditional curettage and inactivation of the lesion,while the experimental group underwent curettage and inactivation of the lesion under the guidance of an orthopedic surgical robot navigation.A comparison was made between the two groups in terms of the positive detection rate of postoperative pathology,the incidence of complications and postoperative recurrence,the patient satisfaction rate,the VAS pain score,the area of the surgical bone window,the number of bone grafts and internal fixations,the intraoperative blood loss,the operation time(defined as the time from skin incision to the final closure of the operation),the postoperative hospital stay,and the efficacy evaluation.Results The positive detection rate of postoperative pathology in the experimental group was significantly higher than that in the control group(P<0.05).After the operation,the VAS pain score of the experimental group was significantly lower than that of the control group(P<0.05).The bone window area,intraoperative blood loss,opera-tion time,and postoperative hospital stay in the experimental group were all significantly lower than those in the control group(P<0.05).The number of bone grafts in the experimental group was significantly lower than that in the control group(P<0.05).The bone graft and internal fixation in the experimental group were slightly lower than those in the control group,the satisfaction rate of the experimental group was slightly higher than that of the control group,the total excellent-and-good rate of the experimental group was slightly higher than that of the control group,and the incidence of complications and postoperative recurrence rate of the experimental group were lower than those of the control group,but there was no significant difference(P>0.05).Conclusions The treatment of osteoid osteoma through curettage and degranulation guided by orthopedic surgical robot navigation can alleviate postoperative pain,reduce surgical trauma,shorten the hospital stay,and offers advantages in terms of pathological positive detection,complications,and postoperative recurrence.Therefore,it is worthy of clinical application.关键词
骨科手术机器人/导航/引导/病灶刮除灭活术/骨样骨瘤Key words
orthopedic surgical robot/navigation/guide/curettage and inactivation of lesions/osteoid osteoma分类
医药卫生引用本文复制引用
潘海文,劳永锵,梁伟春,胡永波,王明爽,黎清斌,莫宗权,冯国开..骨科手术机器人辅助导航引导下运用病灶刮除灭活术治疗骨样骨瘤的疗效观察[J].实用医学杂志,2026,42(1):37-44,8.基金项目
佛山市自筹经费类科技创新项目(编号:2320001006806) （编号:2320001006806）
