机器人外科学杂志（中英文）2026，Vol.7Issue(1)：39-44,6.DOI:10.12180/j.issn.2096-7721.2026.01.005
机器人辅助下微创治疗腰椎滑脱并腰椎间盘突出症的临床研究
Clinical study on minimally invasive robot-assisted treatment for lumbar spondylolisthesis with lumbar disc herniation
摘要
Abstract
Objective:To investigate the efficacy of robot-assisted minimally invasive treatment for lumbar spondylolisthesis(LS)combined with lumbar disc herniation(LDH).Methods:84 LS patients complicated with LDH who were treated in our hospital from January 2018 to January 2023 were selected.They were randomly divided into the control group(n=42)and the observation group(n=42)using the simple randomization method.The observation group underwent robot-assisted minimally invasive transforaminal lumbar interbody fusion(RA-MIS-TLIF),while the control group underwent minimally invasive transforaminal lumar interbody fusion with manual pedicle screw placement.The accuracy of pedicle screw placement,surgical indicators,visual analogue scale(VAS)scores,Oswestry disability index(ODI),postoperative complications,and bone fusion rates were compared between the two groups.Results:The accuracy of pedicle screw placement in the observation group was significantly higher than that in the control group(P＜0.05).The surgical time in the observation group was significantly longer than that in the control group(P＜0.05).Compared with that before surgery,VAS scores at all follow-up timepoints(immediately after surgery,6 months after surgery,and 12 months after surgery)decreased significantly in both groups(P＜0.05),but there was no statistically significant difference between the two groups at the same timepoints(P＞0.05).The ODI at medium-to long-term follow-up(12 and 24 months after surgery)decreased significantly in both groups compared to that before surgery(P＜0.05).There was no statistically significant difference in ODI between the two groups at 12 and 24 months after surgery(P＞0.05).There was no statistically significant difference in postoperative complications or bone fusion rates between the two groups(P＞0.05).Conclusion:Application of RA-MIS-TLIF in the treatment of LS complicated with LDH can improve the accuracy of pedicle screw placement.关键词
腰椎滑脱/腰椎间盘突出症/手术机器人/微创经椎间孔入路腰椎椎间融合术/椎骨融合/椎弓根螺钉Key words
Lumbar Spondylolisthesis/Lumbar Disc Herniation/Surgical Robot/Minimally Invasive Transforaminal Lumbar Interbody Fusion/Vertebral Fusion/Pedicle Screw分类
医药卫生引用本文复制引用
张连锁,王会旺,蔡金生,孙亚东,徐伟坤,郝丽媛..机器人辅助下微创治疗腰椎滑脱并腰椎间盘突出症的临床研究[J].机器人外科学杂志（中英文）,2026,7(1):39-44,6.基金项目
邢台市重点研发计划项目(2025ZC159)Key R&D Plan Project of Xingtai City(2025ZC159) （2025ZC159）
