摘要
目的：应用国产ＣＲＡＳ－ＨＢ２ 型机器人系统（ｃｏｍ ｐｕｔｅｒａｎｄ ｒｏｂｏｔａｓｓｉｓｔｅｄ ｓｕｒｇｅｒｙ， ｔｙｐｅ ＢＨ２），临床实施３０ 例无框架脑立体定向手术。方法：机器人系统由智能机械臂、影像引导装置、三维定位软件等模块组成。该系统取代了传统的定向仪框架，通过识别贴附于患者头部的标志点，建立相应的三维坐标体系，并可自动标出靶点位置和穿刺轨迹。智能机械臂按照模拟轨迹固定方向，为术者提供准确导航和操作平台。结果：成功实现无框架脑立体定向手术３０ 例，其中脑肿瘤内放疗２３ 例、脑内病变活检３ 例、脑脓肿抽吸２ 例、金属异物取出２ 例等手术。结论：利用机器人辅助完成无框架立体定向手术，具有减轻患者手术痛苦、方便术者操作、提高手术安全性等优点，应用前景广阔。
Objective:30 cases of frameless stereotactic operations were performed with domestic robot CRAS BH2 (computer and robot assisted surgery, type BH2). Methods:This robot system contended the intellectual machinery arm, image guiding device and 3 dimensional software. Instead of traditional stereotactic frame, the system established the 3D coordinate according to the marks added to patient′s head. It showed the target position and the trace of puncture automatically. The intellectual arm could follow the trace and fix the direction, to give doctors the navigation and platform during operation. Results:Thirty frameless operations were successfully performed, which included 23 intratumoral irradiation, 3 biopsy of brain lesion, 2 drawing of abscess and 2 removal of metal body. Conclusion:It could release the patients′ pain, convenience the doctors and increase the safety for the robot system to assist the stereotactic frameless operations. There would be a wide application in neurosurgery.
出处
《军医进修学院学报》
CAS
1999年第4期281-282,共2页
Academic Journal of Pla Postgraduate Medical School
基金
军队"九五"医药卫生科研基金
