郭 旗,沈生军

骨质疏松性椎体压缩骨折（OVCF）是老年骨质疏松人群的常见骨科疾病，其高发病率、高致残率严重影响患者生活质量并加重社会医疗负担。经皮椎体成形术、经皮椎体后凸成形术等穿刺介入治疗已成为OVCF的一线方案，但传统徒手穿刺依赖术者经验，存在穿刺精度不足、并发症风险较高等问题。机器人导航技术凭借其精准定位、稳定操作的优势，逐渐应用于OVCF穿刺治疗领域，为提升手术疗效、降低手术风险提供了新的解决方案。本文系统梳理近年来机器人导航辅助穿刺治疗OVCF的相关临床研究，从技术原理与发展、临床疗效指标（穿刺精度、疼痛缓解、功能恢复）、安全性及成本效益等方面进行综述，分析该技术的优势与现存问题，并对其未来发展趋势进行展望，为临床推广应用及后续研究提供参考。

机器人导航；穿刺治疗；骨质疏松性椎体压缩骨折；临床疗效；经皮椎体成形术

[1] 李晓慧,李美娟,江燕琼,等.红花酒湿敷联合内瘘修护仪治疗老年动静脉内瘘穿刺相关皮下血肿30例[J/OL].福建中医药, 1-4[2025-11-05]. [2] 胡涛,崔婷婷,汪弢,等.腹壁穿刺拉钩三孔法LC对急性结石性胆囊炎治疗效果及血清PA､CRP､IL-8的影响[J].临床误诊误治, 2025,38(20):46-50. [3] 张勇学,张华,林丛,等.下肢动脉缺血性疾病顺行穿刺介入治疗术后穿刺点出血影响因素分析[J].临床误诊误治,2025,38(20):33-37. [4] 张宁诗,周上军,王在国,等.微波消融治疗前穿刺活检在拟诊肝转移瘤鉴别诊断中的临床价值[J].中国肿瘤外科杂志,2025, 17(05):499-502. [5] 付军,王信煌,尹穰华.神经内镜下的血肿清除术与软通道穿刺引流术治疗高血压脑出血患者的效果对比分析[J].基层医学论坛, 2025,29(29):65-67+96. [6] 刘金祥,李丹阳,卢倩倩.经皮穿刺椎间孔镜下椎间盘切除治疗青少年型腰椎间盘突出症的临床疗效[J].基层医学论坛,2025,29(29):72-74+84. [7] 杨富国,罗园超,陈康,等.两种单侧经皮穿刺椎体后凸成形术治疗单节段骨质疏松性椎体压缩骨折的疗效对比[J].中国骨与关节杂志,2025,14(10):871-879. [8] 张茜,唐晓敏,王娟.超声下细针穿刺改良小针刀治疗腕管综合征的效果观察[J].中医药学报,2025,53(10):97-101. [9] 舒华宝,吴志华,彭亮,等.超声实时引导下精准穿刺治疗颌面部深部间隙脓肿的效果[J].中国医学创新,2025,22(29):42-46. [10] 孙东源,张磊,周铁楠,等.肱动脉入路介入治疗穿刺技术安全性及可行性分析[J].临床军医杂志,2025,53(10):1053-1055. [11] 许松,胡碧娟,杨贻金,等.老年胆道梗阻患者行超声引导下经皮经肝胆道穿刺置管引流治疗效果的影响因素[J].中国老年学杂志,2025,45(19):4666-4668. [12] Ahn T,Lee D,Moon J,et al.Ultrasound-Guided Pharmacopuncture for Lateral Epicondylitis Initially Misdiagnosed Due to Incomplete Common Extensor Tendon Evaluation:a case report.[J].Journal of pharmacopuncture,2025,28(3):248-254. [13] Wu Z,Wang M,Bai X,et al.Phase I dose-escalation study of tenecteplase,a third-generation fibrinolytic agent,combined with neuronavigation-assisted stereotactic minimally invasive puncture,in patients with acute spontaneous deep cerebral haemorrhage.[J].Stroke and vascular neurology,2025, [14] Bae Y J,Park Y D,Banna S,et al.In-Hospital Mortality Among Patients Undergoing Percutaneous Pericardiocentesis for Pericardial Effusion with and Without Malignancy.[J].Current oncology(Toronto,Ont.),2025,32(9):514-514. [15] Elhence A,Mishra P,Azim A,et al.Early Abdominal Paracentesis for Ascites in Acute Pancreatitis:A Systematic Review and Meta-Analysis[J].Digestive Diseases and Sciences,2025,(prepublish):1-9. [16] Wang M,Wu Z,Tang J,et al.Neuronavigation-assisted stereotactic minimally invasive puncture with tenecteplase for the treatment of acute spontaneous deep intracerebral haemorrhage(NAS-TNK):rationale and design of a multicentre randomised trial.[J].Stroke and vascular neurology,2025 [17] Corcoy S M,Llonch T L,Martínez F J,et al.Refractory congestion following successful pericardiocentesis for cardiac tamponade:effusive-constrictive pericarditis caused by Cutibacterium acnes.[J].Revista espanola de cardiologia(English ed.),2025,78(11):1004-1006. [18] Haddadin Y,Anagnostopoulou V,Bremner S,et al.Correction:Palliative long-term abdominal drains vs.large volume paracentesis for refractory ascites secondary to cirrhosis:protocol for a definitive randomised controlled trial(REDUCe2 study)[J].Trials,2025,26(1):274-274. [19] Simplot M T,Fidele B N,Augustin M M,et al.Controversies in the management of arthrocentesis treatment of temporomandibular joint disorders:systematic review.[J].Journal of medicine and life,2025,18(8):721-731. [20] Kwon R,Kim K,Lee U Y,et al.Effectiveness and Safety of Portable Ultrasound-Guided Pharmacopuncture for Cervical Myofascial Pain Syndrome:A Prospective Observational Multi-Center Study[J].Medicina,2025,61(8):1371-1371. [21] Nikolaos K,Grigorios K,Andrej S,et al.Retrograde direct stent puncture for femoropopliteal lesion crossing is safe and effective–results from a multicenter German registry[J].VASA,2025, [22] Garza M A,Cervantes S J,Ruiz P O,et al.36722109-3080-Long Term Stability(>2years)of Class II Patients with Temporomandibular Disorders Treated with Bimaxillary Counterclockwise Rotation and Arthrocentesis.[J].International Journal of Oral&Maxillofacial Surgery,2025,54(S1):223-224. [23] Song A,Cui B,Wang X,et al.Treatment of Erythematotelangiectatic Rosacea With Collateral Puncture Therapy:Protocol for a Randomized Controlled Trial.[J].JMIR research protocols,2025,14 e59682. [24] Haddadin Y,Anagnostopoulou V,Bremner S,et al.Palliative long-term abdominal drains vs.large volume paracentesis for refractory ascites secondary to cirrhosis:protocol for a definitive randomised controlled trial(REDUCe2 study).[J].Trials,2025,26(1):193. [25] Salerni C,Mondoni M,Sotgiu G.Chest drainage or repeated thoracentesis for pleural infections:a clinical dilemma[J].Pneumonia,2025,17(1):16-16. [26] Tang H Y,Bakelen V B N,Gareb B,et al.Office-Based Arthroscopy Versus Arthrocentesis as Treatment for Temporomandibular Joint Pain and Dysfunction:Preliminary Results of a Randomized Controlled Trial[J].Journal of Clinical Medicine,2025,14(9):2929-2929. [27] He Z,Wang B,Meng H,et al.A new technique of anterograde puncture for chronic limb-threatening ischemia with superficial femoral artery flush occlusion:vascular sheath fenestration[J].Heart and Vessels,2025,40(10):1-8. [28] Tang J,Zuo W,Xu X,et al.Endoscopic ultrasound‑guided fine‑needle aspiration for unresectable pancreatic metastasis of esophageal squamous cell carcinoma:A case report and literature review.[J].Oncology letters,2025,29(4):171. [29] Lee N,Lee W,Park H.Pneumopericardium treated with repeated pericardiocentesis:a case report.[J].European heart journal.Case reports,2025,9(2):ytaf031. [30] Oka S,Fumimoto M,Noguchi S,et al.Managing Femoral Artery Pseudoaneurysm Using Snare-Guided Through-and-Through Access With Perclose ProGlide.[J].Cureus,2025,17(1):e77650.

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