目的：分析 2D 透视引导机器人辅助腰椎间盘摘除椎间融合内固定手术治疗腰椎间盘突出症的临床疗 效。方法：回顾性分析 2020 年 1 月—2022 年 12 月西安大兴医院收治的 82 例腰椎间盘突出症患者的临床资料，按 照手术方法不同分为对照组（40 例）和观察组（42 例），对照组采用常规腰椎间盘摘除椎间融合内固定手术治疗， 观察组采用 2D 透视引导机器人辅助腰椎间盘摘除椎间融合内固定手术治疗。对比两组手术情况、疼痛程度、腰椎 功能、腰椎稳定性及术后并发症发生情况。结果：观察组手术指标优于对照组。两组术后 3 个月疼痛程度评分均低 于术前 1 d，但两组间疼痛程度评分比较差异无统计学意义。两组术后 3 个月腰椎功能评分均低于术前 1 d，且观察 组术后 3 个月腰椎功能评分低于对照组。两组术后 3 个月腰椎稳定性优于术前 1 d，但两组间腰椎稳定性比较差异 无统计学意义。观察组并发症发生率低于对照组。结论：2D 透视引导机器人辅助腰椎间盘摘除椎间融合内固定手术 治疗腰椎间盘突出症可恢复患者腰椎功能，增加腰椎稳定性，值得临床推广应用。

Objective: To analyze the clinical efficacy of 2D fluoroscopy-guided robot-assisted lumbar discectomy with interbody fusion and internal fixation for lumbar disc protrusion. Methods: Clinical data of 82 patients with lumbar disc protrusion who were admitted to Xi’an Daxing Hospital from January 2020 to December 2022 were retrospectively analyzed. They were divided into the control group (n=40) and the observation group (n=42) according to the different surgical methods. The control group was treated with conventional lumbar discectomy combining with interbody fusion and internal fixation, and the observation group was given 2D fluoroscopy-guided robot-assisted lumbar discectomy with interbody fusion and internal fixation. Surgical conditions, pain level, function of lumbar vertebrae, stability of lumbar vertebrae, and postoperative complications were compared between the two groups of patients. Results: The surgical indicators of patients in the observation group were better than those in the control group. The pain scores of patients in the two groups 3 months after surgery were lower than those 1 d before surgery, but the difference in pain scores of the two groups was not statistically significant. The scores on the function of lumbar vertebrae 3 months after surgery in the two groups were lower than those 1 d before surgery, and it was lower in the observation group than that in the control group 3 months after surgery. The stability of lumbar vertebrae at 3 months after surgery was better than that 1 d before surgery in the two groups, but the difference in the stability of lumbar vertebrae in the two groups 3 months after surgery was not statistically significant. The complication rate of the observation group was lower than that of the control group. Conclusion: 2D fluoroscopy-guided robot-assisted lumbar discectomy with interbody fusion and internal fixation for lumbar disc protrusion can restore patients’ function of lumbar vertebrae and improve the stability of lumbar vertebrae, which is worthy of clinical promotion and application.

收稿日期：2024-04-07  录用日期：2024-04-26 

Received Date: 2024-04-07  Accepted Date: 2024-04-26 

基金项目：陕西省重点研发计划项目（2020ZDLSF03-06） 

Foundation Item: Key R&D Plan Project of Shaanxi Province(2020ZDLSF03-06) 

通讯作者：刘华，Email：liuhuawjh777@@sina.com 

Corresponding Author: LIU Hua, Email: liuhuawjh777@@sina.com 

引用格式：赵晓余，罗婷予，丁浩斌 ，等 . 2D 透视引导机器人辅助腰椎间盘摘除椎间融合内固定手术治疗腰椎间盘突出症的临床 疗效 [J]. 机器人外科学杂志（中英文），2024，5（5）：796-802. 

Citation: ZHAO X Y, LUO T Y, DING H B, et al. Clinical efficacy of 2D fluoroscopy-guided robot-assisted lumbar discectomy with interbody fusion and internal fixation for lumbar disc protrusion [J].Chinese Journal of Robotic Surgery, 2024, 5(5): 796-802.

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