天矶骨科手术机器人与传统手术治疗股骨颈骨折的直接经济负担比较

Comparison of direct disease economic burden between Tianji orthopaedic surgery robot and traditional operation in the treatment of femoral neck fracture

目的比较天矶骨科手术机器人与传统手术治疗股骨颈骨折的直接经济负担。方法回顾分析2016年7月至2018年12月烟台市烟台山医院收治的240例股骨颈骨折患者的病历资料。将行天矶骨科手术机器人定位空心钉内固定的120例股骨颈骨折患者作为手术机器人组,未使用机器人定位空心钉内固定的120例股骨颈骨折患者作为传统手术组。比较两组手术时间、术后住院时间、总住院时间、住院总费用、药物治疗费用等指标。结果两组年龄、性别比较,差异均无统计学意义(均P>0.05)。手术机器人组手术时间、术后住院时间、总住院时间均短于传统手术组,差异均有统计学意义(均P<0.05);手术机器人组住院总费用、药物治疗费用均低于传统手术组,差异均有统计学意义(均P<0.05)。结论运用天矶骨科手术机器人治疗股骨颈骨折具有手术时间、术后住院时间及总住院时间短,住院总费用、药物治疗费用低,直接疾病经济负担轻等优势。

Objective To compare the direct economic burden of different surgical methods of femoral neck fracture.Methods A retrospective analysis method was used to collect 240 cases of femoral neck fracture in Yantaishan Hospital from July 2016 to December 2018.One hundred and twenty cases of femoral neck fracture treated with Tianji orthopaedic surgery robot-positioned cannulated nail internal fixation were included as operation robot group,and 120 cases of femoral neck fracture treated without robot-positioned cannulated nail internal fixation were included as traditional operation group.The operation time,post-operative hospitalization time,total hospitalization time of the 2 groups were collected and compared.The total of operation and drug cost were compared between the 2 groups.Results There was no significant difference of the average age and sex between the 2 groups(all P>0.05).The operation time,post-operative hospitalization time,total hospitalization time of the operation robot group were shorten than those of the traditional operation group(all P<0.05).The total cost of operation and drug cost in the operation robot group were lower than those of the traditional operation group(all P<0.05).Conclusion Tianji orthopaedic surgery robot-positioned cannulated nail internal fixation for the treatment of femoral neck fractures have the advantages of short operation time,post-operative hospitalization time and total hospitalization time,low hospitalization cost and drug treatment cost,and reduce the direct disease economic burden.