组织工程与重建外科杂志2024，Vol.20Issue(3)：300-304,5.DOI:10.3969/j.issn.1673-0364.2024.03.004
脊柱机器人辅助系统在MIS-TLIF手术中的临床应用价值
Clinical application value of spinal robot assisted system in MIS-TLIF surgery
摘要
Abstract
Objective To study the clinical application value of spinal robot assisted system in minimally invasive transforaminal fusion(MIS-TLIF)surgery.Methods From March 2019 to November 2022,78 patients who underwent surgical treatment for lumbar degenerative diseases were divided into traditional MIS-TLIF group(group A,41 cases)and robotic MIS-TLIF group(group B,37 cases)according to different surgical methods.Perioperative indicators(intraoperative bleeding,surgical time,incision length,and fluoroscopy frequency),postoperative CT findings(screw placement accuracy,screw abduction angle),functional recovery(VAS,JOA scores),and perioperative complications were compared between the two groups.Results The intraoperative bleeding volume and fluoroscopy frequency in Group B were less than those in Group A,and the operative time and incision length were shorter than those in Group A(P<0.05).A total of 164 screws were implanted in Group A,148 in Group B.The acceptable screws in Group B were significantly higher than those in Group A(P<0.05).The abduction angle of screws in Group A was 18.12°±7.50°,and that in Group B was 23.56°±6.64°.The abduction angle in Group B was greater than that in Group A(P<0.05).One month after surgery,the VAS score of the two groups decreased compared to that before surgery,while the JOA score increased(P<0.05).However,there was no statistically significant difference between the two groups(P>0.05).There were no serious complications such as blood vessels and nerves in both groups;In group A,3 patient had a positioning error and 2 patient had a dural sac tear,all of which recovered after corresponding treatment;Group B had no early complications.The incidence of early complications in Group B was lower than that in Group A(P<0.05).Conclusion The spinal robot assisted system can shorten the operation time of MIS-TLIF,reduce intraoperative bleeding,and improve the accuracy of pedicle screw placement.It has high clinical application value.关键词
脊柱机器人辅助系统/微创经椎间孔椎间融合术/椎弓根螺钉/置入准确度Key words
Spinal robot assisted system/Minimally invasive intervertebral fusion through intervertebral foramen/Pedicle screw/Implantation accuracy分类
医药卫生引用本文复制引用
刘洋,刘道阔,李长宽,王志伟,赵冲,王艳,胡思斌,王玥军..脊柱机器人辅助系统在MIS-TLIF手术中的临床应用价值[J].组织工程与重建外科杂志,2024,20(3):300-304,5.基金项目
河北省自然医学科学基金(20232137) （20232137）
国家自然科学基金(31640042). （31640042）
