| 包贝西,闫辉,邱道静,伍宇轩,许春阳,唐家广.机器人辅助微创经椎间孔椎体间融合术治疗退变性腰椎管狭窄症的临床疗效观察.[J].中南医学科学杂志.,2023,(6):894-896, 919. |
| 机器人辅助微创经椎间孔椎体间融合术治疗退变性腰椎管狭窄症的临床疗效观察 |
| Clinical observation on the treatment of degenerative lumbar spinal stenosis with robot assisted minimally invasive intervertebral foramen fusion surgery |
| 投稿时间：2022-10-18 修订日期：2023-09-17 |
| DOI：10.15972/j.cnki.43-1509/r.2023.06.022 |
| 中文关键词: 机器人 微创经椎间孔椎体间融合术 退变性腰椎管狭窄症 [ |
| 英文关键词:robots minimally invasive intervertebral foramen fusion surgery degenerative lumbar spinal stenosis |
| 基金项目:北京市医院管理中心临床技术创新项目(XMLX202104) |
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| 中文摘要: |
| 目的观察机器人辅助微创经椎间孔椎体间融合术(MIS-TLIF)治疗退变性腰椎管狭窄症(LSS)的临床疗效及安全性。 方法选取100例退变性LSS患者,随机均分为观察组(MIS-TLIF+机器人辅助椎弓根螺钉植入)和对照组(MIS-TLIF治疗)。比较两组临床疗效、腰椎融合时间、治疗前后疼痛、功能障碍、生活质量状况、手术情况及椎弓根螺钉准确率。 结果观察组术后视觉模拟评分、手术时间、住院时间、术中出血量低于对照组,椎弓根螺钉准确率、SF-36评分高于对照组(P＜0.05)。两组疗效优良率、腰椎融合时间、并发症总发生率、Oswestry功能障碍指数评分比较差异无显著性(P＞0.05)。 结论机器人辅助MIS-TLIF治疗退变性LSS具有良好的临床疗效,可缩短手术及住院时间,减少术中出血量,且可提高螺钉置入准确率,值得临床推广。 |
| 英文摘要: |
| AimTo observe the clinical efficacy and safety of robot assisted minimally invasive transforaminal fusion (MIS-TLIF) in the treatment of degenerative lumbar spinal stenosis (LSS). Methods100 patients with degenerative LSS were selected and randomly divided into an observation group (MIS-TLIF+robot assisted pedicle screw implantation) and a control group (MIS-TLIF treatment). Compare the clinical efficacy, lumbar fusion time, pain before and after treatment, functional impairment, quality of life, surgical condition, and accuracy of pedicle screws between the two groups. ResultsThe visual analogue score after treatment, surgical time, hospitalization time, and intraoperative blood loss in the observation group were lower than those in the control group, while the accuracy of pedicle screw and SF-36 score were higher than those in the control group (P＜0.05). There was no significant difference between the two groups in terms of excellent and good efficacy rate, lumbar fusion time, total incidence of complications, and Oswestry dysfunction index score (P＞0.05). ConclusionRobot assisted MIS-TLIF has good clinical efficacy in the treatment of degenerative LSS, which can shorten surgical and hospitalization time, reduce intraoperative bleeding, and improve the accuracy of screw insertion. It is worth promoting and applying in clinical practice. |
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