国产可视化电磁导航系统髓内钉股骨模型置钉实验
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福建医科大学附属闽东医院

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2020年福建省自然科学基金项目


The experiment of applying home-made visual electromagnetic navigation system on the screws locking in intramedullary nail in femur models
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Mindong Hospital Affiliated to Fujian Medical University

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Fujian Provincial Natural Science Foundation

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    摘要:

    [目的] 研发一种国产可视化电磁导航系统并观察其在股骨模型髓内针远端螺钉锁入应用效果。 [方法] 运用测量三个互相垂直的磁场强度变化率,推算出待测物体的坐标位置的测量原理,采用定位线圈与磁阻传感器结合的方案,研发出可视化导航系统。将30根人工股骨模型随机分为导航组和常规组,每组各15个。两组将髓内针连带手柄插入股骨模型中。导航组采用可视化电磁导航系统辅助髓内针远端3枚螺钉锁入;常规组采用机械瞄准器辅助远端3枚螺钉锁入;记录2组进行髓内针远端3枚螺钉各自锁入的时间及一次置钉成功率。[结果] 导航组第1、2、3枚螺钉锁入时间分别为(156.27±14.75)s,(230.73±17.05)s,(306.53±20.75)s;常规组1、2、3枚螺钉锁入时间为(266.80±31.19)s,(318.13±32.19)s,(408.60±27.74)s。以上两组差异有统计学意义。两组3枚螺钉一次置钉成功率差异无统计学意义。[结论] 课题组的可视化电磁导航系统定位准确,对比机械瞄准器,能明显缩短股骨模型髓内针远端螺钉锁入时间。

    Abstract:

    [Objective] To develop an home-made visual electromagnetic navigation system and observe the effect of applying this system to assist the distal screws locking in intramedullary nail in femur models.[Methods] The testing principle of the navigation system was predicting the coordinate position of the object to be measured by testing the rate of change in the intensity of three mutually perpendicular magnetic fields. The scheme was to binding the location coil and the magnetoresistance sensor. 30 femur models were randomly divided into navigation group and general group. Each group had 15 models. The intramedullary nails with grips were inserted into femur models. The navigation group was applied the visual elcectromagnetic navigation system to assist the distal three screws locking in intramedullary nail. The general group was applied the mechanical aim device to lock the three screws. The time and one time achievement ratio of three screws locking in intramedullary nail of two groups were recorded. [Results] The time of No 1、2、3 screw locking of navigation group was (156.27±14.75)s, (230.73±17.05)s,and (306.53±20.75)s respectively. The time of No 1、2、3 screw locking of general group was (266.80±31.19)s, (318.13±32.19)s,and (408.60±27.74)s respectively. There was statistical significance difference on time between two groups.There was not statistical significance difference on one time achievement ratio between two groups. [Conclusion] The visual electromagnetic navigation has precise navigation. Compared with the mechanical aim device, it can obviously shorten the time of the distal screws locking in intramedullary nail of femur models .

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  • 收稿日期:2022-11-11
  • 最后修改日期:2023-01-26
  • 录用日期:2023-05-06
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