目的 分析骨科手术机器人辅助导航引导下运用病灶刮除灭活术治疗骨样骨瘤的临床疗效。 方法 纳入2018年1月至2025年6月在佛山市中医院骨科住院采用手术治疗的骨样骨瘤患者，共60例。分为观察组和对照组，各30例。对照组采用传统病灶刮除灭活术治疗，观察组在骨科手术机器人辅助导航引导下运用病灶刮除灭活术治疗。对比两组术后病理阳性检出率、并发症及术后复发发生率、患者满意率、VAS疼痛评分、手术骨窗面积、植骨及内固定数量、手术出血量、手术时间（皮肤切开－最终闭合术口的时间）、术后住院时间、疗效评价等数据。 结果 观察组术后病理阳性检出率高于对照组（P < 0.05）；术后，观察组VAS疼痛评分低于对照组（P < 0.05）；观察组手术骨窗面积、手术出血量、手术时间、术后住院时间均低于对照组（P < 0.05）；观察组植骨数量低于对照组（P < 0.05）；观察组植骨及内固定情况略低于对照组、观察组满意率略高于对照组、观察组总优良率略高于对照组、观察组并发症发生率、术后复发率均低于对照组，但相比差异无统计学意义（P > 0.05）。 结论 骨科手术机器人辅助导航引导下运用病灶刮除灭活术治疗骨样骨瘤能够改善患者术后疼痛、减少手术创伤、缩短住院时间，且在病理阳性检出、并发症和术后复发方面具有优势，值得临床推广应用。

Objective To analyze the clinical efficacy of curettage and sterilization for osteoid osteoma under the guidance of orthopedic surgical robot navigation. Methods A total of 60 patients diagnosed with osteoid osteoma who underwent surgical treatment in the Department of Orthopedics at Foshan Hospital of Traditional Chinese Medicine from January 2018 to June 2025 were recruited. These patients were then divided into an experimental group and a control group， with 30 cases in each group. The control group received traditional curettage and inactivation of the lesion， while the experimental group underwent curettage and inactivation of the lesion under the guidance of an orthopedic surgical robot navigation. A comparison was made between the two groups in terms of the positive detection rate of postoperative pathology， the incidence of complications and postoperative recurrence， the patient satisfaction rate， the VAS pain score， the area of the surgical bone window， the number of bone grafts and internal fixations， the intraoperative blood loss， the operation time （defined as the time from skin incision to the final closure of the operation）， the postoperative hospital stay， and the efficacy evaluation. Results The positive detection rate of postoperative pathology in the experimental group was significantly higher than that in the control group （P < 0.05）. After the operation， the VAS pain score of the experimental group was significantly lower than that of the control group （P < 0.05）. The bone window area， intraoperative blood loss， operation time， and postoperative hospital stay in the experimental group were all significantly lower than those in the control group （P < 0.05）. The number of bone grafts in the experimental group was significantly lower than that in the control group （P < 0.05）. The bone graft and internal fixation in the experimental group were slightly lower than those in the control group， the satisfaction rate of the experimental group was slightly higher than that of the control group， the total excellent - and - good rate of the experimental group was slightly higher than that of the control group， and the incidence of complications and postoperative recurrence rate of the experimental group were lower than those of the control group， but there was no significant difference （P > 0.05）. Conclusions The treatment of osteoid osteoma through curettage and degranulation guided by orthopedic surgical robot navigation can alleviate postoperative pain， reduce surgical trauma， shorten the hospital stay， and offers advantages in terms of pathological positive detection， complications， and postoperative recurrence. Therefore， it is worthy of clinical application.