机器人技术在微创领域的作用越来越突出,而高质量护理工作的配合可以保障机器人手术的安全、有效进行,且有利于患者术后稳定情绪和更好的恢复。为提升护理工作者对 MAKO 机器人辅助单髁置换手术的全面认识,优化护理工作的模式和流程,提高手术效率并改善患者术后恢复效果,本文在现有的相关文献资料基础上,结合北京大学人民医院 11 例行机器人单髁置换手术的实际工作体会,用理论联系实际,对术中的护理配合工作进行系统地分析。本团队认为,在机器人辅助单髁置换手术中,护理工作应在传统经验积累的基础上,进一步提高护理配合熟练程度。随着科技的进步,MAKO 机器人辅助单髁置换手术的医护模式也将进一步的智能化和数字化。
Robot technology plays a more and more important role in the field of minimally invasive surgery, while highquality of nursing cooperation can ensure the safety and effectiveness of robot-assisted surgery and help patient better recovery after surgery. In order to help nurses understand MAKO robot-assisted unicompartmental knee arthroplasty comprehensively, to optimize the nursing mode and procedures, improve the efficiency of surgery and improve patients’recovery after surgery, this paper summarized and analyzed the intraoperative nursing cooperation of existing literatures systematically by combining the experiences of 11 cases of MAKO robot-assisted unicompartmental knee arthroplasty in People’s Hospital of Peking University. We believe that the proficiency of nursing cooperation shall be improved in robot-assisted surgery based on traditional nursing experience. With the development of technology, tt is believed that medical care mode for MAKO robot-assisted unicompartmental knee arthroplasty will be more intelligent and digitalized in the near future.
收稿日期:2020-04-07 录用日期:2020-06-21
Received Date: 2020-04-07 Accepted Date: 2020-06-21
引用格式:乔红,安赪蕊,石璇 . MAKO 机器人辅助单髁置换手术的护理配合 [J]. 机器人外科学杂志(中英文),2021,2(4):324-329.
Citation: QIAO H, AN C R, SHI X. Nursing cooperation on MAKO robot-assisted unicompartmental knee arthroplasty [J]. Chinese Journal of Robotic Surgery, 2021, 2(4):324-329.
[1] Jacofsky D J, Allen M. Robotics in arthroplasty: a comprehensive review [J]. The Journal of Arthroplasty, 2016, 31(10): 2353-2363.
[2]上海六院成功完成国内第一例机器人关节置换手术 [J]. 生物骨科材料与临床研究 , 2016, 13(5): 79.
[3]姚坚 , 丁海 . 计算机导航及机器人技术辅助膝关节单髁置换术的研究进展 [J]. 中国修复重建外科杂志 , 2017, 31(1): 110-115.
[4]孙长鲛 , 杨凯 , 李慧敏 , 等 . 机器人系统在膝关节置换中的应用 [J]. 中华医学杂志 , 2018, 98(21): 1726- 1728.
[5] St Mart J P, De Steiger R N, Cuthbert A. The three-year survivorship of robotically assisted versus nonrobotically assisted unicompartmental knee arthroplasty [J]. The Bone & Joint Journal, 2020, 102-b(3): 319- 328.
[6] Bell S W, Anthony I, Jones B, et al. Improved accuracy of component positioning with robotic-assisted unicompartmental knee arthroplasty: data from a prospective, randomized controlled study [J]. The Journal of Bone and Joint Surgery American Volume, 2016, 98(8): 627-635.
[7] 付君 , 陈继营 . 机器人辅助单髁膝关节置换术的历史与未来 [J]. 中国骨与关节杂志 , 2017, 6(9): 644-648.
[8]曾智敏 , 陶崑 , 凌晶 , 等 . 固定平台单髁置换术治疗膝关节内侧骨性关节炎 [J]. 中国骨伤 , 2019, 32(8): 755-758.
[9]雷静桃 , 唐明瑶 , 王君臣 , 等 . 机器人辅助膝关节置换术的术前规划研究综述 [J]. 机械工程学报 , 2017, 53(17): 78-91.
[10] 李俊良 . 膝关节置换手术中的机器人切骨系统研究与开发 [D]. 广东工业大学 , 2017.
[11] Cool C L, Jacofsky D J, Seeger K A, et al. A 90-day episode-of-care cost analysis of robotic-arm assisted total knee arthroplasty [J]. Journal of comparative effectiveness research, 2019, 8(5): 327-336.
[12] Lonner J H, Moretti V M. The Evolution of image free robotic assistance in unicompartmental knee arthroplasty [J]. American journal of orthopedics (Belle Mead, NJ), 2016, 45(4): 249-254.
[13] Maccallum K P, Danoff J R, Geller J A. Tibial baseplate positioning in robotic-assisted and conventional unicompartmental knee arthroplasty [J]. European journal of orthopaedic surgery & traumatology: orthopedie traumatologie, 2016, 26(1): 93-98.
[14]郭万首 . 单髁关节置换术影像学评价 [J]. 中华关节外科杂志 ( 电子版 ), 2015, 9(5): 640-643.
[15] Sires J D, Wilson C J. CT validation of intraoperative implant position and knee alignment as determined by the MAKO total knee arthroplasty system [J]. The Journal of Knee Surgery, 2020. DOI: 10.1055 / s-0040- 1701447.
[16] Blyth M J G, Anthony I, Rowe P, et al. Robotic armassisted versus conventional unicompartmental knee arthroplasty: exploratory secondary analysis of a randomised controlled trial [J]. Bone & joint research, 2017, 6(11): 631-639.
[17]付君 , 柴伟 , 倪明 , 等 . 机器人与牛津单髁膝关节置换术的学习曲线对比研究 [J]. 中华关节外科杂志( 电子版 ), 2017, 11(6): 575-581.
[18] 孙薇薇 , 赵晶 , 张淑 , 等 . MAKO 机器人辅助膝关节单髁置换术中的标准护理流程探讨 [J]. 中华现代护理杂志 , 2020, 26(24): 3382-3384.
[19] Robinson P G, Clement N D, Hamilton D, et al. A systematic review of robotic-assisted unicompartmental knee arthroplasty: prosthesis design and type should be reported [J]. The Bone & Joint Journal, 2019, 101-b(7): 838-847.
[20] Coon T M. Integrating robotic technology into the operating room [J]. American Journal of Orthopedics (Belle Mead, NJ), 2009, 38(2 Suppl): 7-9.
[21]王俏杰 , 柴伟 , 王琦 , 等 . 机器人辅助下膝关节单髁置换术初步临床结果 [J]. 中华解剖与临床杂志 , 2017, 22(2): 108-115.
[22]孙莹 , 葛蕊 , 侯艳 , 等 . MAKO 机器人手术系统辅助下全髋关节置换术手术配合 [J]. 机器人外科学杂志 ( 中英文 ), 2020, 1(4): 280-285.