标准化学员椎弓根螺钉置入的计算机辅助手术导航

Ming-yong Liu, Liang Zhang, Jian-hua Zhao, P. Liu
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引用次数: 0

摘要

目的:评价规范化受训者椎弓根螺钉置入计算机辅助手术导航的准确性和效率。方法:2013年9月至2016年6月,标准化培训生对100例患者(n = 30)置入360枚胸椎弓根螺钉。左侧螺钉用手插入(对照组),另一侧螺钉在计算机辅助导航系统引导下插入(引导组)。回顾性分析每颗螺钉的插入时间和失血量。术后采用计算机断层扫描(CT)评估准确率。结果:引导组置入螺钉所需时间明显短于对照组。导血组失血量较少。术后CT扫描显示,引导组的定位精度高于对照组。结论:计算机辅助导航系统有利于规范化学员的学习,减少胸椎弓根螺钉置入的时间和出血。
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Computer-assisted surgery navigation of pedicle screw insertion by standardized trainees
Objective: To assess the precision and efficiency computer-assisted surgery navigation of pedicle screw insertion by standardized trainees. Methods: From September 2013 to June 2016, 360 thoracic pedicle screws were inserted into 100 patients by standardized trainees (n = 30). Screws on the left side were inserted by hands (control group), while the other side were inserted under the guidance of computer-assistant navigation system (guided group). The insertion time and volume of blood lost by each screw were retrospectively analyzed. The precision ratio was assessed by computerized tomography (CT) scan after operation. Results: The time consumed in screw insertion was significantly shorter in the guided group than that in the control group. The blood lost volume was lesser in the guided group. Post-operation CT scan revealed higher precision in the guided group than that in the control group. Conclusion: Computer-assistant navigation system facilitates the learning of standardized trainees, and reduces the time-consuming and bleeding in thoracic pedicle screw insertion.
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