目的：研究手术机器人的导航系统在皮肤真皮层抽脂的应用效果。方法：回顾性分析 2022 年 1 月— 2023 年 1 月西安交通大学第一附属医院收治的 61 例肥胖患者，根据治疗方式的不同将其分为观察组（采用手术机 器人导航系统进行皮肤真皮层抽脂，34 例）和对照组（采用常规抽脂术，27 例）。比较两组患者 BMI、腰臀比、 血清瘦素、满意度、反弹情况、情绪状态并分析其与治疗方法的相关性。比较两组患者并发症情况。结果：治疗 后，观察组 BMI、腰臀比、血清瘦素低于对照组，差异有统计学意义（P<0.05）。治疗方法与满意度呈正相关，与 BMI、腰臀比、血清瘦素、反弹、并发症事件、HAMD 评分为负相关。BMI、腰臀比、血清瘦素、反弹、并发症事件、 HAMD 评分两两间互为正相关。观察组满意度高于对照组，反弹少于对照组，差异有统计学意义（P<0.05）。治疗后， 观察组 HAMD 低于对照组，差异有统计学意义（P<0.05）。观察组皮肤瘀斑、感染、并发症事件发生率均低于对照 组（P<0.05）。结论：手术机器人导航系统应用于皮肤真皮层抽脂比单一抽脂术效果更佳，可减少脂肪，降低腰臀比， 减少并发症发生，提高满意度，改善患者情绪。

Objective: To study the application effect of navigation system of surgical robots in skin dermis liposuction. Methods: A retrospective analysis was conducted on 61 obese patients who were treated in the First Affiliated Hospital of Xi’an Jiaotong University from January 2022 to January 2023. The patients were divided into the observation group (n=34) and the control group (n=27) according to different liposuction methods. Dermis liposuctions assisted by the navigation system of surgical robot were performed in the observation group and conventional liposuctions were adopted in the control group. BMI, waist to hip ratio, serum leptin, patient satisfaction rate, rebound, and emotional status between the two groups of patients were compared, and the correlation between the above indicators with liposuction methods was analyzed. The incidence of complications between the two groups of patients were also compared. Results: After treatment, the BMI, waist to hip ratio, and serum leptin in the observation group were lower than those in the control group (P<0.05). The liposuction method was positively correlated with patient satisfaction, but negatively correlated with BMI, waist to hip ratio, serum leptin, rebound, complications, and HAM-D score. BMI, waist to hip ratio, serum leptin, rebound, complication events, and HAM-D score were positively correlated in pairwise comparison. The patient satisfaction rate of the observation group was higher than that of the control group, and the rebound was less than that of the control group (P<0.05). After treatment, the HAM-D scores of the observation group was lower than those of the control group (P<0.05). The incidence of skin bruising, infection, and complications in the observation group were lower than those in the control group (P<0.05). Conclusion: The navigation system of surgical robot is more effective in skin dermis liposuction than conventional liposuction surgery, which can reduce fat, lower waist to hip ratio, decrease complications, improve patients’ satisfaction rate and mood.

收稿日期：2024-03-06  录用日期：2024-04-20 

Received Date: 2024-03-06  Accepted Date: 2024-04-20 

基金项目：陕西省自然科学基金项目（2019JM-SF-0054） 

Foundation Item: Natural Science Foundation Project of Shaanxi Province(2019JM-SF-0054) 

通讯作者：罗茜，Email：18706798819@163.com 

Corresponding Author: LUO Qian, Email: 18706798819@163.com 

引用格式：邓红柳，赵丽丽，李静，等 . 手术机器人导航系统在皮肤真皮层抽脂中的应用 [J]. 机器人外科学杂志（中英文），2024， 5（3）：472-477. 

Citation: DENG H J, ZHAO L L, LI J, et al. Application of navigation system of surgical robot in skin dermis liposuction[J]. Chinese Journal of Robotic Surgery, 2024, 5(3): 472-477.

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