COMPARISON OF SURGEON MUSCULAR PROPERTIES BETWEEN STANDARD OPERATING MICROSCOPE AND DIGITALLY ASSISTED VITREORETINAL SURGERY SYSTEMS.

Su Jin Park, Jong-Moon Hwang, Eugene Jae Jin Park, Jae Pil Shin, Dong Ho Park
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引用次数: 2

Abstract

Purpose: To quantitatively analyze surgical ergonomics between standard operating microscope (SOM) and digitally assisted vitreoretinal surgery (DAVS) systems.

Methods: The surgeon conducted procedures on 110 patients; 52 patients underwent a combined phacoemulsification and pars plana vitrectomy (Phaco-PPV group, 24 using SOM and 28 using DAVS), and 58 patients underwent phacoemulsification (Phaco group, 30 using SOM and 28 using DAVS). The surgeon's muscle tone and stiffness in the sternocleidomastoid and the two positions of the upper trapezius (UT), which are 2-cm intervals along the UT muscle fibers, UT1 and UT2, were measured at preoperative, intraoperative, and postoperative time points.

Results: In the Phaco-PPV group using the SOM, intraoperative muscle tone and stiffness were higher than preoperative and postoperative values in the sternocleidomastoid ( P < 0.001, respectively), UT1 ( P < 0.001, respectively), and UT2 ( P < 0.001 and P < 0.01, respectively). In the Phaco group using the SOM, intraoperative muscle tone and stiffness were higher than pre- and postoperative values in the sternocleidomastoid ( P < 0.001, respectively) and UT1 ( P < 0.001 and P < 0.01, respectively). By contrast, when the surgeon used the DAVS, there were no differences in muscle properties at any measurement site or during any time point in the Phaco-PPV and Phaco groups ( P > 0.05).

Conclusion: This study provides quantitative measurement of retina surgeon ergonomics, suggesting that compared with a SOM, the DAVS can reduce intraoperative muscle fatigue.

标准手术显微镜与数字辅助玻璃体视网膜手术系统外科医生肌肉特性的比较。
目的:定量分析标准手术显微镜(SOM)与数字辅助玻璃体视网膜手术(DAVS)系统的手术工效学。方法:外科医生对110例患者进行手术;52例行超声乳化联合玻璃体平面膜切除(Phaco- ppv组,SOM 24例,DAVS 28例),58例行超声乳化(Phaco组,SOM 30例,DAVS 28例)。在术前、术中、术后时间点测量术者胸锁乳突肌和上斜方肌(UT)两个位置(沿UT肌纤维UT1和UT2 2 cm间隔)的肌张力和僵硬度。结果:采用SOM的Phaco-PPV组术中胸锁乳突肌肌张力和僵硬度均高于术前和术后值(P < 0.001), UT1 (P < 0.001)和UT2 (P < 0.001和P < 0.01)。在使用SOM的Phaco组中,术中胸锁乳突肌肌张力和僵硬度均高于术前和术后值(P < 0.001)和UT1 (P < 0.001和P < 0.01)。相比之下,当外科医生使用DAVS时,Phaco- ppv组和Phaco组在任何测量部位和任何时间点的肌肉特性均无差异(P > 0.05)。结论:本研究提供了视网膜外科医生工效学的定量测量,表明与SOM相比,DAVS可以减轻术中肌肉疲劳。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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