天玑骨科机器人手术间布局优化与实施效果

李嫚; 田蓓; 李娜; 赵中华; 谭杰; 韩巍; 王军强

doi:10.3969/j.issn.1002-3208.2026.03.007

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天玑骨科机器人手术间布局优化与实施效果

论著 | 更新时间：2026-07-03

- 天玑骨科机器人手术间布局优化与实施效果
- The layout optimization and implementation effect of Tianji orthopedic robot operating room
- 北京生物医学工程 2026年45卷第3期页码：270-277
- 作者机构：
  
  首都医科大学附属北京积水潭医院（北京 100035）
- 作者简介：
  
  王军强，主任医师，教授。E-mail：jstsss@163.com
- 基金信息：
  
  国家重点研发计划项目(2022YFC2407500)
- DOI：10.3969/j.issn.1002-3208.2026.03.007
  中图分类号： R318.04
- 收稿：2025-05-08，
  
  修回：2025-10-14，
  
  纸质出版：2026-06-25
- 稿件说明：
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李嫚，田蓓，李娜，等.天玑骨科机器人手术间布局优化与实施效果［J］.北京生物医学工程，2026，45（3）：270-277.

LI Man，TIAN Bei，LI Na，et al.The layout optimization and implementation effect of Tianji orthopedic robot operating room［J］.Beijing Biomedical Engineering，2026，45（3）：270-277.
李嫚，田蓓，李娜，等.天玑骨科机器人手术间布局优化与实施效果［J］.北京生物医学工程，2026，45（3）：270-277. DOI： 10.3969/j.issn.1002-3208.2026.03.007.

LI Man，TIAN Bei，LI Na，et al.The layout optimization and implementation effect of Tianji orthopedic robot operating room［J］.Beijing Biomedical Engineering，2026，45（3）：270-277. DOI： 10.3969/j.issn.1002-3208.2026.03.007.

摘要

目的

对比传统和优化后“天玑”骨科机器人手术间布局效果，为提高机器人手术效率及管理方法提供数据支持并提出解决方案。

方法

将52例天玑骨科机器人辅助股骨颈骨折闭合复位空心钉内固定手术的患者随机分为实验组与对照组，每组各26例。两组手术间面积相等，设备、设施相同，术者为同一组高年资医生。其中对照组手术按照传统方法对手术间进行布局；实验组手术间对设备、环境、人员方面进行综合布局优化。对比两组患者的一般资料；比较两组在设备布局、环境布局、人员布局及动线方面出现手术流畅度中断（fluency interruptions ，FDs）的次数，以及两组的手术用时。

结果

两组一般资料差异均无统计学意义，具有可比性。实验组在设备布局方面、环境布局、人员布局及动线方面出现的FDs次数低于对照组，差异具有统计学意义（

0.001）；另外，实验组的手术时长低于对照组，差异具有统计学意义（

0.01）。

结论

对手术间进行布局优化改造，不仅可以减少设备、环境及人员布局方面导致天玑骨科手术机器人辅助手术流畅度中断的事件发生，还可以节省手术时间，提高手术效率。

Abstract

Objective

To compare the layout effects of traditional and optimized Tianji orthopedic robot operating rooms， and to provide data support for enhancing the efficiency and management methods of robotic surgery.

Methods

A total of 52 patients who underwent closed reduction and cannulated nail internal fixation for femoral neck fractures with the assistance of the Tianji orthopedic robot were randomly divided into an experimental group and a control group， each containing 26 cases. The operating rooms for both groups were equal in area and equipped with the same facilities， and the surgeries were performed by the same team of senior surgeons. The control group's operating rooms were arranged according to traditional practices， while the experimental group's operating rooms were organized comprehensively， considering equipment， environment， and personnel. We compared the general conditions of the two patient groups， the number of surgical fluency interruptions （FDs） related to equipment layout， environment layout， personnel layout， and flow lines， as well as the operation time between the two groups.

Results

No statistically significant differences were found in the general information between the two groups， making them comparable. The experimental group exhibited a lower number of FDs in terms of equipment layout， environment layout， personnel layout， and movement lines compared to the control group， with a statistically significant difference （

0.001）. Additionally， the operation time for the experimental group was shorter than that of the control group， also demonstrating statistical significance （

0.01）.

Conclusions

Optimizing the layout of the operating room can not only reduce the occurrence of incidents that disrupt the fluency of Tianji orthopedic robot-assisted surgeries but also decrease surgical time and enhance surgical efficiency.

关键词

Keywords

references

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