Department of Spinal Surgery, Sunshine Union Hospital, No. 9000, Yingqian street, Gaoxin District, 261041, Weifang City, Shandong Province, China.
Department of Spinal Surgery, Weifang Traditional Chinese Medicine Hospital, 261041, Weifang, China.
BMC Musculoskelet Disord. 2022 Dec 31;23(1):1144. doi: 10.1186/s12891-022-06060-8.
To compare the clinical outcomes of patients with lumbar disc herniation treated with robot-assisted percutaneous endoscopic lumbar discectomy (r-PELD) or conventional PELD under fluoroscopy guidance (f-PELD).
Our study group included 55 patients, 22 in the r-PELD group and 33 in the f-PELD group. The following clinical and surgical outcomes were compared between the two groups: the visual analog scale for radiculopathy pain; Oswestry Disability Index; intraoperative volume of blood loss; frequency of fluoroscopy used during the procedure; and MacNab classification. The follow-up period was 6-8 months.
Compared with f-PELD, r-PELD was associated with a lower volume of intraoperative blood loss and frequency of fluoroscopy (p < 0.01). There were no differences in complications, MacNab classification, postoperative disability and leg pain, and duration of hospitalization between the two groups.
Based on our findings, r-PELD provides a safe and effective alternative to conventional PELD for the treatment of lumbar disc herniations, with the accuracy for placement of punctures lowering radiation exposure.
比较机器人辅助经皮内窥镜腰椎间盘切除术（r-PELD）与透视引导下常规经皮内窥镜腰椎间盘切除术（f-PELD）治疗腰椎间盘突出症患者的临床疗效。
本研究纳入 55 例患者，其中 22 例接受 r-PELD 治疗，33 例接受 f-PELD 治疗。比较两组患者的以下临床和手术结果：根性疼痛的视觉模拟评分；Oswestry 功能障碍指数；术中失血量；术中透视使用频率；MacNab 分级。随访时间为 6-8 个月。
与 f-PELD 相比，r-PELD 术中出血量和透视频率较低（p<0.01）。两组间并发症、MacNab 分级、术后腰痛和下肢痛、住院时间无差异。
根据我们的研究结果，r-PELD 是一种安全有效的治疗腰椎间盘突出症的方法，与常规 PELD 相比，其穿刺定位的准确性降低了辐射暴露。
