机器人系统辅助口腔种植手术精度的Meta分析

doi:10.12337/zgkqzzxzz.2023.06.010

中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (3): 186-192.DOI: 10.12337/zgkqzzxzz.2023.06.010

• 口腔种植机器人重点栏目 • 上一篇下一篇

机器人系统辅助口腔种植手术精度的Meta分析

李艳琴¹, 陈江²

¹湖北医药学院附属太和医院口腔科 442000;
²福建医科大学口腔医学院附属口腔医院福建省口腔疾病研究重点实验室福建省口腔生物材料工程技术研究中心福建省高校口腔医学重点实验室 350004

收稿日期:2023-04-25 出版日期:2023-06-30 发布日期:2023-07-04
通讯作者: 陈江,Email：jiangchen@fjmu.edu.cn,电话：0591-83754882
作者简介:李艳琴，主治医师、口腔医学硕士，研究方向：数字化口腔种植临床应用；陈江，教授、主任医师、博士、博士研究生导师，研究方向：口腔种植临床及基础研究

Meta-analysis of the accuracy of robotic system-assisted dental implant surgery

Li Yanqin¹, Chen Jiang²

¹Department of Stomatology, Taihe Hospital, Affiliated Hospital of Hubei University of Medicine, Hubei 442000, China;
²School and Hospital of Stomatology, Fujian Medical University, Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatology Key Lab of Fujian College and University, Fuzhou 350004, China

Received:2023-04-25 Online:2023-06-30 Published:2023-07-04
Contact: Chen Jiang, Email: jiangchen@fjmu.edu.cn, Tel: 0086-591-83754882

摘要/Abstract

摘要： 目的系统评价机器人系统辅助实施种植手术的精确性。方法计算机检索Pubmed、Embase、Cochrane library、中国知网、维普、万方、CBM数据库中机器人辅助下进行种植手术的研究,包括体外模型实验、动物实验和临床研究,检索时限为建库至2023年1月。主要结局指标为测量植入种植体位置与设计位置在三维方向上的误差,包括种植体颈部、种植体根尖及种植体轴向角度的误差大小。用Stata17.0对数据进行合并分析。亚组分析用于比较不同的研究设计、是否植入种植体和不同机器人系统的偏差。结果最终纳入14篇文献,其中模型实验有9项,临床研究3项,动物实验3项,共计705个植入位点。Meta分析结果显示,机器人辅助下种植手术在种植体颈部偏差为0.72 mm（95%CI：0.63~0.81,I²=93.2%）、种植体根尖偏差为0.90 mm（95%CI：0.76~1.03,I²=95.7%）、种植体角度偏差为1.57°（95%CI：1.26~1.88,I²=98.1%）。结论种植手术机器人已达到临床可接受的精度,现有研究大多数为模型实验,有待更多的临床研究来进一步丰富数据。

关键词: 口腔种植, 种植手术机器人, 计算机辅助手术, 精度

Abstract: Objective To systematically evaluate the accuracy of robotic system-assisted dental implant surgery . Methods A search was performed for studies on surgical robot-assisted implantation, including in vitro model tests, animal experiments, and clinical studies that were published before January 2023, from the databases including PubMed, Embase, Cochrane library, CNKI, VIP, Wanfang and CBM databases. The main outcome index was the deviation between the preoperative design of the implant and the actual position in the three-dimensional direction, including the implant platform, the implant apex and the implant axial angle. Data were combined and analyzed using Stata 17.0. The subgroup analysis was used to compare the deviations of different research designs, with or without implant placement, and different robot systems. Results A total of 14 papers were included, including 9 model trials, 3 clinical studies and 3 animal studies, with a total of 705 implant sites. According to the results of meta-analysis, the deviation of the platform in the robot-assisted implant surgery is 0.72mm (95%CI:0.63-0.81, I²=93.2%), the apex deviation is 0.90mm (95%CI:0.76-1.03, I²=95.7%), and the angle deviation is 1.57° (95%CI:1.26-1.88, I²=98.1%). Conclusion The accuracy of implant surgery robot has reached an acceptable clinical level. Most studies are model trials, and more clinical studies are needed to enrich the data.

Key words: Dental implant, Implant surgery robot, Computer-aided surgery, Accuracy

李艳琴,等陈江. 机器人系统辅助口腔种植手术精度的Meta分析[J]. 中国口腔种植学杂志, 2023, 28(3): 186-192. DOI: 10.12337/zgkqzzxzz.2023.06.010

Li Yanqin, Chen Jiang. Meta-analysis of the accuracy of robotic system-assisted dental implant surgery[J].Chinese Journal of Oral Implantology, 2023, 28(3): 186-192.DOI: 10.12337/zgkqzzxzz.2023.06.010.

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机器人系统辅助口腔种植手术精度的Meta分析

Meta-analysis of the accuracy of robotic system-assisted dental implant surgery

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