骨科机器人辅助置钉与传统手术治疗胸腰椎骨折的疗效比较  

Comparison of efficacy between orthopedic robot assisted nail placement and traditional surgical treatment for thoracolumbar fractures

作　　者：闫辉[1] 伍宇轩 程晓康 许春阳 包贝西[1] YAN Hui;WU Yuxuan;CHENG Xiaokang;XU Chunyang;BAO Beixi(Department of Orthopedics,Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院骨科,北京100730

出　　处：《中南医学科学杂志》2025年第1期49-52,共4页Medical Science Journal of Central South China

基　　金：北京市医院管理中心临床技术创新项目(XMLX202104)。

摘　　要：目的比较骨科机器人辅助置钉与传统手术治疗胸腰椎骨折的疗效。方法选取胸腰椎骨折患者60例,随机均分为机器组(骨科机器人辅助下行椎弓根螺钉内固定术)和传统组(传统开放椎弓根螺钉内固定术)。比较两组手术一般指标、治疗前后胸腰背部疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)、置钉准确率、复位情况及并发症。结果机器组手术时间、住院时间均短于传统组,术中出血量、切口长度、透视次数小于传统组(P<0.05)。与术前比较,两组术后VAS评分、ODI指数下降,且术后机器组低于传统组(P<0.05)。机器组置钉准确率高于传统组(P<0.05)。机器组术后并发症发生率低于传统组(P<0.05)。与术前比较,两组术后伤椎前缘高度升高,伤椎Cobb角降低;且机器组较传统组改善更为明显(P<0.05)。结论采用骨科机器人辅助置钉治疗胸腰椎骨折患者疗效更好,值得临床上进一步推广。Aim To compared the therapeutic effects of orthopedic robot assisted nail placement and traditional surgical treatment for thoracolumbar fractures.Methods Sixty patients with thoracolumbar fracture were randomly divided into machine group(orthopedic robot assisted descending pedicle screw fixation)and traditional group(traditional open pedicle screw fixation).General indexes,visual analogue scale(VAS)scores,Oswestry disability index(ODI),nail placement accuracy,reduction and complications were compared between the two groups.Results The operation time and hospital stay of the machine group were shorter than those of the traditional group,and the intraoperative blood loss,incision length and fluoroscopy times were smaller than those of the traditional group(P<0.05).Through comparing the preoperative results,VAS score and ODI index of the two groups were decreased,and the postoperative machine group was lower than the traditional group(P<0.05).The accuracy of nail placement in machine group was higher than that in traditional group(P<0.05).The incidence of postoperative complications in machine group was lower than that in traditional group(P<0.05).Through comparing the preoperative results,the anterior height of the injured vertebrae increased and the Cobb Angle decreased in the two groups.The improvement of the machine group was more obvious than that of the traditional group(P<0.05).Conclusion Orthopedic robot assisted surgery for thoracolumbar fracture has better curative effect and is worth further promotion in clinics.

关 键 词：骨科机器人辅助置钉 传统手术 胸腰椎骨折 椎弓根螺钉内固定术 

分 类 号：R683[医药卫生—骨科学]