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

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中图分类号R683R605文献标识码A 文章编号2096-7721（2026）01-0039-06

AbstractOjectiveToivestiatetheacyofootasistedmallyinvasivereantforubarspodlolisthis d withlumbardischeiation（LDH）.Methods：84LSpatientscomplicatedwithLDHwhoweretreatedinourhospitalfromJanuary2018 toJanuary2O23 wereselected.Theywererandomlydividedintothecontrolgroup（n=42）andtheobservationgroup（n=42）usingthe simplerandomizationmetodThebservationgroupunderwentobotasistedmiallinvasivetransforaminallumbarinterbodyfusion （RA-MIS-TLIF），hiletecontrolgroupunderwentminiallinvasivetransforaminallumarinterbodyfusionwithmanalpediclerew placement.Theaccuracyofpdiclesrewplacement，surgicalindicators，visualanaloguescale（VS）scores，Oswestrydisablitidex （ODI），postopeaieompcatiosdoefuioateeeomparedtweetetgrousesultseuacyoficlee 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（immdatelyfterurgery6otsfteurgeryd2othfersrgry）reasedsigantlyios 'P<0.05 ） but there was no statistically significant diference between the two groups at the same timepoints （P>0.05 ）. The ODI at medium- to longtermfollow-up （12 and 24 months after surgery）decreased significantlyinboth groups compared to thatbefore surgery （P<0.05） ）. There was no statistically significant diference in ODI between the two groups at 12 and 24 months after surgery （P>0.05） . There wasno 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 LDHcan improve the accuracy of pedicle screw placement.

KeyWordsLumbarSpondylolisthesis;LumbarDiscHernation;SurgicalRobot;MinimallyInvasiveTansforaminalLumbarInterbody Fusion; Vertebral Fusion;Pedicle Screw

腰椎滑脱症（lumbar spondylolisthesis，LS）和腰椎间盘突出症（lumbardischerniation，LDH）等多数与腰椎退行性改变相关，多发于中老年人群。（剩余9413字）