机器人辅助微创经椎间孔腰椎间融合术中精准置钉在腰椎退变患者中的应用

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中图分类号 R687.3 文献标识码 A 文章编号 2096-7721（2026）01-0057-06

AbstractObjective：Toevaluatetheclinicaleficacyofprecisescrewplacementinrobot-assistedminimallyinvasivetransforamial lumbarnterbodyfusion（RA-MIS-TIF）forpatientswithlumbardegenerativedisease.Methods：8Opatientswithlumbardegeerative diseasewhowere treatedatBeijingFriendshipHospital，CapitalMedicalUniversityfromDecember2O2OtoDecember2024were enrolled. They were randomly divided into the robot-assisted group （ n =40，undergoing MIS-TLIF with robot-assisted precise screw placement）andtheconventionalmanual group（n=40，undergoingMS-TIFwithconventionalmanualscrewplacement）usigaradom numbertable.Singlesrewinsertiontime，totaloperativetime，intraoperativebloodloss，umberoffluoroscopicexposures，srew placementacuacyainiesityitofistbulatioferurgery，fuctioalcoeryndicideneofomlicatisre comparedbetweenthetwogroups.Results：Teobot-asstedgoupshowdsignfcantlyshortertotaloperativetime，shorerefor single screw insertion，and earlier time to first ambulation compared to the conventional manual group （P<0.05） . Intraoperative blood loss， number of fluoroscopic exposures，and postoperative 72h ODI scores were also significantly lower in the robot-assisted group than those in the conventional manual group ）. The excellnt-good rate of screw placement was higher，and the total complication rate was lower in the robot-assisted group compared to the conventional manual group （ P<0.05） . VAS scores at 6h 24h 48h ，and 72 h after surgery were all significantly lower in the robot-asssted group than those in the conventional manual group （P<0.05） .Repeated-measures ANOVA indicated significant main efcts of group，time，and group-by-time interaction （ P<0.001 ）. Conclusion： Robot-assisted precise screw placementinMS-IFcansignificantlylwroperativetie，singlescrewinsertiontie，andtietofirstambulatioinpatints with lumbardegenatiease，itpeelatcacyatetopatieinduepicaisde functional recovery，which isworthy of clinical promotion.

KeyWordsSurgicalRobot;MinimallInvasiveTransforaminalLumbarInterbodyFusion;LumbarDegenerativeDisease;PreciseScrew Placement

腰椎退行性病变是临床上常见的一类脊柱疾病，包括腰椎间盘突出症、腰椎管狭窄症及退变性腰椎滑脱等，是导致中老年人群慢性腰腿痛及功能障碍的主要病因[-2]。（剩余12008字）