机器人辅助椎间孔镜治疗伴有严重脊柱畸形的腰椎间盘突出症临床疗效观察

Clinical observation of robot-assisted transforaminal endoscope in the treatment of lumbar disc herniation with severe spinal deformity

目的探讨机器人辅助椎间孔镜治疗伴有严重脊柱畸形的腰椎间盘突出症的临床疗效。方法选取我院2016年12月～2017年4月住院接受治疗的诊断为伴有严重脊柱畸形的腰椎间盘突出症患者90例,随机分为A组(经皮椎间孔镜下腰椎间盘髓核摘除术)和B组(机器人辅助椎间孔镜下腰椎间盘髓核摘除术)。两组患者均进行VAS评分、JOA评分、手术时间、出血量、X线次数、术后并发症及住院时间等比较分析。结果两组患者手术前后VAS评分、JOA评分比较,差异均具有统计学意义(P<0.05);两组手术时间、出血量、X线次数方面比较,差异均具有统计学意义(P<0.05);两组患者术后并发症比较差异无统计学意义(P>0.05);而住院时间比较差异有统计学意义(P<0.05)。结论机器人辅助椎间孔镜下腰椎间盘髓核摘除术治疗腰椎间盘突出症安全有效,值得在临床应用和推广。

Objective To explore the clinical efficacy of robot-assisted transforaminal endoscope in the treatment of lumbar disc herniation with severe spinal deformity.Methods 90 patients with lumbar disc herniation combined with severe spinal deformity treated in our hospital from December 2016 to April 2017 were selected.Patients were randomly divided into group A and group B.Group A were treated with percutaneous transforaminal endoscopic lumbar disc nucleus pulposus discectomy,and group B were treated with robot-assisted transforaminal endoscopic lumbar disc nucleus pulposus discectomy.The VAS score,JOA score,operation time,blood loss,X-ray frequency,postoperative complications and hospitalization time were compared between the two groups.Results The differences of VAS score and JOA score of the two groups before and after surgery were statistically significant(P<0.05).There were statistically significant differences in the operation time,blood loss and X-ray frequency between the two groups(P<0.05).There were no significant differences in postoperative complications between the two groups(P>0.05).The difference in hospitalization time was statistically significant(P<0.05).Conclusion Robot-assisted transforaminal endoscopic lumbar disc nucleus pulposus discectomy for the treatment of lumbar disc herniation is safe and effective,and it is worthy of clinical application and promotion.