实用医学杂志2023年第39卷第9期TheJournalofPracticalMedicine2023Vol.39No.9骨科手术机器人辅助技术在颈椎手术中的应用进展孙文熙1杨一帆2林锐2赵帅2刘秉新1王洪伸2李永津2陈博来21广州中医药大学第二临床医学院(广州510405);2广东省中医院脊柱微创中心(广州510120)【摘要】与其他外科领域相比,手术机器人对脊柱手术相对较新。随着颈椎手术技术的发展,微创技术因创伤小、恢复快等优势被越来越多的采用,但同时带来更多的射线暴露。骨科手术机器人可以实现术中导航及辅助置钉等功能,减少术者的射线暴露,提高置钉准确率及安全性。近年来,骨科手术机器人的接受度逐渐提高,临床应用逐渐增多。本文综述骨科手术机器人在颈椎手术中的应用进展,分析现有骨科手术机器人辅助颈椎手术的研究,总结机器人技术的应用术式与疗效,并探讨未来的发展方向。【关键词】骨科手术机器人;导航;颈椎手术;微创【中图分类号】R6ApplicationprogressoforthopedicroboticassistanceincervicalsurgerySUNWenxi*,YANGYifan#,LINRui,ZHAOShuai,LIUBingxin,WANGHongshen,LIYongjin,CHENBolai.*SecondClinicalMedicalCollegeofGuangzhouUniversityofChineseMedicine,Guangzhou510405,China;#SpinalMinimallyInvasiveCenter,Guang⁃dongHospitalofTraditionalChineseMedicine,Guangzhou510120,ChinaCorrespondingauthor:CHENBolaiE⁃mail:chenbolai337@163.com【Abstract】Comparedwithothersurgicalfields,surgicalroboticsisrelativelynewtospinesurgery.Withthedevelopmentofcervicalspinesurgerytechniques,minimallyinvasivetechniquesarebeingincreasinglyadoptedfortheiradvantagesoflesstraumaandfasterrecovery,butatthesametimebringmoreexposuretoradiation.Theorthopaedicsurgicalrobotallowsforintraoperativenavigationandassistednailplacement,reducingoperatorexpo⁃suretoradiationandimprovingnailplacementaccuracyandsafety.Inrecentyears,theacceptanceoforthopaedicsurgicalrobotshasincreasedandtheirclinicalusehasgrown.Thisarticlereviewstheprogressoforthopaedicsurgi⁃calrobotsincervicalspinesurgery,analysesexistingresearchonorthopaedicsurgicalrobotic⁃assistedcervicalspinesurgery,summarisestheapplicationandefficacyofrobotictechnology,anddiscussesthefuturedirectionofdevelopment.【Keywor...