摘要
目的探究机器人辅助经皮椎弓根钉固定术(percutaneous pedicle screw,PPS)治疗胸腰椎骨折的疗效及分析预后状况。方法选择徐州仁慈医院2018年11月至2022年11月收入胸腰椎骨折患者84例,采用随机数排秩法分为观察组(42例,机器人辅助下PPS),对照组(42例,徒手下PPS)。比较两组围手术期指标、置钉准确率、预后指标(VAS评分、伤椎Cobb角、伤椎前缘相对高度)与术后并发症发生率。结果观察组术中出血量、透视时间、透视次数、手术时间、单钉置入时间、射线曝光时间均低于对照组(P<0.05)。观察组置钉准确率高于对照组(P<0.05)。两组术后3 d、末次随访VAS评分、伤椎Cobb角均低于术前,伤椎前缘相对高度均高于术前(P<0.05)。结论机器人辅助下PPS治疗胸腰椎骨折具有良好的应用效果,可缩短手术时间与减少术中透视次数,提高置钉准确率,且安全性较好。
Objective To explore the efficacy and prognosis of robot-assisted percutaneous pedicle screw(PPS)in the treatment of thoracic and lumbar spine fracture.Methods A total of 84 patients with thoracolumbar fracture were selected from Xuzhou Renci Hospital from November 2018 to November 2022,and divided into study group(42 cases with robot-assisted PPS)and control group(42 cases with free-hand PPS)according to random number rank method.Perioperative indexes,nail placement accuracy,prognostic indexes(VAS score,Cobb Angle,relative height of anterior vertebra)and incidence of postoperative complications were compared between the two groups.Results Less intraoperative blood loss,shorter fluoroscopy time,fluoroscopy times,operative time,single nail placement time and radiation exposure time,and higher nail placement accuracy were observed in the study group(P<0.05).VAS score and Cobb Angle of the injured vertebrae were lower in the postoperative 3 d and the last follow-up,and the relative height of the injured vertebrae was higher than that before surgery in the two groups(P<0.05).Conclusion Robot-assisted PPS in the treatment of thoracolumbar fracture has a good application effect,which can shorten the operation time,reduce the intraoperative fluoroscopy times,improve the accuracy of nail placement,and have good safety.
作者
孟磊
尚军
孙玉龙
张宇翔
韩猛
MENG Lei;SHANG Jun;SUN Yulong;ZHANG Yuxiang;HAN Meng(Xuzhou Renci Hospital,Xuzhou 221004,China;不详)
出处
《实用医学杂志》
CAS
北大核心
2024年第12期1696-1700,共5页
The Journal of Practical Medicine
基金
徐州市临床技术骨干研修计划项目(编号:2019GG007)。
关键词
胸腰椎骨折
机器人
经皮椎弓根钉固定术
疗效
预后
thoracolumbar fracture
robots
percutaneous pedicle screw
efficacy
prognosis
