机器人辅助全关节置换术临床疗效及并发症防治研究

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中图分类号 R687.4文献标识码 A 文章编号 2096-7721（2025）08-1293-05

linical efficacy and complication prevention in robot-assisted total hip arthroplasty

ZHANGYanning'，CHENJuan'，WANGLina²

1.HipJointWad;dJntdbliaospialspialof'aotogsityia

AbstractObjective：Tivestigatethelinicalefcacyofobotistedtotalrtholasty（-TH）andstrateiesforoopatie complication prevention.Methods：60 patients whounderwent R-THA at Honghui Hospitalfrom January 2O22 to December 2024 wereselected.Teywererandomlydividedintothecontrolgoup（n=3O，receivingconventioalTHA）andtheoservationgroup（n=0， receiving R-THA）.Surgicalindicators，prosthesisstatus，hipfunction，andomplicatios werecomparedbetweenthetwogroups. Results：Theobservationgrouphadshorteroperative time，reducedcumulativebloodlossandlesswounddrainageversus thecontrol group （P<0.05） .No significantdiferenceinabductionangle，anteversionangle，orprosthesissafezoneproportionwasobservedat24hours after surgery （P>0.05） . Compared with that 24 hours aftersurgery，both groups maintained stable abduction andanteversion angles at 3 months after surgery （P>0.05） ， but the prosthesis safe zone proportion significantly improved （ P <0.05），with the observation group achieving a higher safe zone proportion （P<0.05） .Compared with that before surgery，Hip function scores （painrelief，functional recovery，range of motion，deformity correction） increased in both groupsat 3monthsafter surgery（ P- <0.05），and superior outcomeswere achieved in the observation group （P<0.05） .The overallcomplication rate was significantly lower in the observation group than that inthe control group （P<0.05） .Conclusion：R-THAhassigificantadvantages intreatinghipjointdiseaseandpreventionofpostoperativecomplication，which can effectively improve hip joint function while reducing complication risks.

Key wordsRobot-assisted Surgery; Total Hip Arthroplasty; Postoperative Complication

髋关节疾病对患者的生活质量造成了严重影响，尤其当疾病进展至终末期时，全髋关节置换术（TotalHipArthroplasty，THA）常被视作改善病情的关键治疗手段[]。（剩余9000字）