目的:总结机器人辅助膝关节单棵置换术(Unicompartmental knee arthroplasty,UKA)的护理配合要点。方法:回顾性分析 2019年6月 ~2019 年 11 月北京大学人民医院 11 例机器人 UKA 的护理配合情况,总结术中手术配合情况,并对手术效果进行观察总结。结果:11 例患者手术均顺利完成,术后康复良好,未发现并发症。结论:术前充分的准备和术中熟练的手术配合是机器人辅助膝关节单棵置换术护理配合成功的关键。
Objective: To summarize the key nursing cooperation points in MAKO (Stryker) robot-assisted unicompartmental knee arthroplasty (UKA). Methods: The nursing cooperation of 11 cases of MAKO robot-assisted UKA in central operating room of Peking University People’s Hospital from June 2019 to November 2019 was retrospectively analyzed. Results: All surgeries were successfully performed. All patients were well recovered with no intraoperative complications. Conclusion: Full preparation before surgery and well intraoperative cooperation are keys to successful nursing cooperation in MAKO Robot-assisted UKA.
收 稿 日 期 :2020-04-07 录 用 日 期 :2020-08-01
Received Date: 2020-04-07 Accepted Date: 2020-08-01
引用格式:石璇,乔红,安赖蕊 . 机器人膝关节单骰置换术护理配合 [J]. 机器人外科学杂志,2021,2(1):66-71.
Citation: SHI X, OIAO H, AN C R. Nursing cooperation in robot-assisted unicompartmental knee arthroplasty[J]. Chinese Journal of Robotic Surgery, 2021, 2(1): 66-71.
[1]胡军 , 陆翊超 , 惠宇坚 , 等 . 中老年膝原发性骨关节炎患病率及危险因素分析 [J]. 江苏医药 , 2015, 41(14): 1640-1643.
[2]Selistre L F. The relationship between external knee moments and muscle co-activation in subjects with medial knee osteoarthritis[J]. J Electromyogr Kinesiol, 2017, 33(1): 64-72.
[3]Ackroyd C E. Medial compartment arthroplasty of the knee[J]. J Bone Joint Surg Br, 2003, 85(7): 937-942.
[4]Labek G, Sekyra K, Pawelka W, et al. Outcome and reproducibility of date concering the Oxford unicompartmental knee arthroplasty: a structured literature review including arthroplasty registry date[J]. Acta Orthop, 2011, 82(2): 131-135.
[5]付君 , 柴伟 , 倪明 , 等 . 机器人与牛津单棵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.
[6]姚坚 , 丁海 . 计算机导航及机器人技术辅助膝关节单棵置换术的研究进展 [J]. 中国修复重建外科杂志 , 2017, 31(1): 110-115.
[7]王俏杰 , 柴伟 , 王琦 , 等 . 机器人辅助下膝关节单棵置换术初步临床结果 [J]. 中华解剖与临床杂志 , 2017, 4(22): 108-115.
[8]Dunbar N J, Roche M W, Park B H, et al. Accuracy of dynamic tactile-guided unicompartmental knee arthroplasty[J]. Arthroplasty, 2012, 27(5): 803-808.
[9]宝音 , 张红英 , 段丽军 , 等 . 氨甲环酸关节内灌注对全膝关节置换术后失血噩的影响 [J]. 解放军医学院学报 , 2016, 37(6): 582-585.
[10]赵畟讯 , 李子健 , 张克 , 等 . 静脉输注氨甲环酸对全膝关节置换后隐形失血的影响 [J]. 中国组织工程研究 , 2015, 19(31): 4938-4943.
[11]童利珍 . 保持手术患者正常体温的重要性及护理措施 [J]. 国外医学 : 护理学分册 , 2001, 20(10): 473.
[12]程勤 , 张玲琳 , 王家玲 , 等 . 470 例达芬奇机器人手术护理配合关键点探讨 [J]. 局解手术学杂志 , 2013, 22(5): 546-547.
[13]庞会欣 , 庞聪慧 . 手术室护理中应用沟通方法的价值评定及分析 [J]. 世界最新医学信息文摘 , 2017, 17(48): 254.
[14]张圣洁 , 徐梅 . 机器人辅助手术中手术室护士角色与工作转变的研究进展 [J]. 护理学报 , 2015, 22(20): 29-32.