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  3. MAKO機械手臂人工膝關節置換手術 患者兩天出院

MAKO機械手臂人工膝關節置換手術 患者兩天出院

2020/9/28
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現年78歲的Y姓病患,內側膝關節軟骨已經幾乎完全磨損,五年疼痛導致行動不便,經他院醫師診斷為退化性膝關節炎,建議接受人工膝關節置換手術。但Y女士擔心手術後會感到不適,僅持續以止痛藥物控制症狀。

 

但不想長期倚賴吃藥,最後求診中國醫藥大學新竹附設醫院骨科醫師吳立偉,決定接受以電腦導航和機器手臂輔助的半人工膝關節置換術(簡稱MAKO)。手術當晚Y女士即能自行彎曲膝蓋,隔天可下床活動,兩天後出院,五日後已恢復正常行走。膝蓋疼痛解除後,生活品質好轉,不用再依靠大量止痛藥物,回復自在的生活。

吳立偉醫師過去在北部已超過兩百例MAKO手術經驗,這次第一次在桃竹苗地區完成機械手臂人工膝關節置換手術。吳立偉指出,傳統人工膝關節置換發展至今已經是很成熟的術式,仍然需要依靠醫師主觀決定骨頭切磨的角度和植入物的位置,無法完全避免誤差。而透過電腦導航和機器手臂輔助的手術,幾乎可忽略人為判斷和操作的失誤,以平均小於0.1公分的差距完成手術,傷口小, 流血量少,不僅較舒適,預期功能比傳統手術更好,是更精緻及精確的選擇。

 

吳立偉強調,科技和醫療的結合是未來的趨勢,在科技的輔助下,醫療將更客觀,更精準,也更安全,也期待這項技術能夠造福更多的民眾。

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