机器人辅助下经椎间孔穿刺椎体成形术治疗重度压缩Kummell病的效果  

Effect of robot-assisted percutaneous vertebroplasty through intervertebral foramen in the treatment of severe compression Kummell’s disease

作　　者：姜泳[1] 关天民[2] 慈元[1] 朱晔 赵鹏[1] 郑家法[1] 杨涛[1] 张光宇[1] JIANG Yong;GUAN Tianmin;CI Yuan;ZHU Ye;ZHAO Peng;ZHENG Jiafa;YANG Tao;ZHANG Guangyu(Department of Spine Surgery,Dalian Second People’s Hospital,Liaoning Province,Dalian116011,China;School of Mechanical Engineering,Dalian Jiaotong University,Liaoning Province,Dalian116028,China)

机构地区：[1]大连市第二人民医院脊柱外科,辽宁大连116011 [2]大连交通大学机械工程学院,辽宁大连116028

出　　处：《中国医药导报》2024年第9期91-94,共4页China Medical Herald

基　　金：国家重点研发计划项目(2021YFC2501701)。

摘　　要：目的 探讨机器人辅助下经椎间孔穿刺椎体成形术治疗重度压缩Kummell病的临床效果。方法 选取2020年9月至2022年10月大连市第二人民医院脊柱外科行机器人辅助下经椎间孔穿刺椎体成形术的21例患者,观察患者术中出血量、手术时间、注入椎体内真空裂隙处骨水泥量、骨水泥渗漏情况及并发症发生情况;随访6~9个月,观察术前、术后1 d、末次随访时患者视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)及Cobb角。结果 21例患者术中出血量<5 ml,手术时间为(34.5±7.6)min,骨水泥注入量为(2.4±0.3)ml;无骨水泥渗漏情况;无神经、脊髓损伤等并发症的发生。术后1 d、末次随访时VAS评分、ODI低于术前(P<0.05)。术后1 d、末次随访时Cobb角与术前比较,差异无统计学意义(P>0.05)。结论 机器人辅助下经椎间孔穿刺椎体成形术治疗椎体重度压缩的Kummell病安全、有效。Objective To investigate the clinical effect of robot-assisted percutaneous vertebroplasty through intervertebral foramen in the treatment of severe Kummell’s disease.Methods From September 2020 to October 2022,21 patients with severe compressed Kummell’s disease who underwent robot-assisted percutaneous vertebroplasty through intervertebral foramen in Department of Spinal Surgery,Dalian Second People’s Hospital were selected.The intraoperative blood loss,the time of operation,the amount of bone cement in intravertebral vacuum cleft injected into the vertebra,the leakage of bone cement,and the occurrence of complications were observed.Patients were followed up for six to nine months,and visual analogue scale(VAS)score,Oswestry disability index(ODI),and Cobb angle were observed before surgery,one day after operation,and at the last follow-up.Results The intraoperative blood loss of 21 patients was<5 ml,the operative time was(34.5±7.6)min,and the injection volume of bone cement was(2.4±0.3)ml;no bone cement leakage,and no complications such as nerve and spinal cord injury.VAS score and ODI were lower than those before surgery at the last follow-up(P<0.05).There were no significant differences in Cobb angle between one day after operation,at the last follow up and before operation.Conclusion Robot-assisted percutaneous vertebroplasty through intervertebral foramen is a safe and effective treatment for severe compression Kummell’s disease.

关 键 词：机器人辅助 椎体成形术 经椎间孔穿刺 重度压缩 Kummell病 

分 类 号：R687.3[医药卫生—骨科学]