摘要
近年来,脊柱内镜辅助下腰椎椎体间融合术(PELIF)已成为脊柱外科最具代表性的微创技术,被广泛应用于各类腰椎退行性疾病的治疗之中。然而,该技术具有较长的学习曲线,且手术医生对该技术的适应证和禁忌证把握不准时,可能会给患者带来相应的不良后果。目前我国脊柱外科专业尚无脊柱PELIF技术相关专家共识。为规范该技术在国内腰椎各类疾病中的应用,由中国康复医学会脊柱脊髓损伤专业委员会脊柱微创学组及脊柱脊髓专业委员会腰椎研究学组牵头,通过改良Delphi调查研究法制定了本共识,以供广大同道参考。本共识内容包括PELIF技术的适应证与禁忌证、优势和劣势、术前评估、麻醉方式及手术操作、并发症处理及预防和术后随访。
Recently,the percutaneous endoscopic lumbar interbody fusion(PELIF)technique has become the most representative minimally invasive technique in spinal surgery.PELIF is widely used in the treatment of various degenerative diseases of the lumbar spine.However,this technique has a long learning curve with adverse consequences for the patient if the surgeon is unsure of the indications and contraindications of this technique.There is currently no expert consensus on PELIF in spinal surgery in China.To standardize the application of this technique in various diseases of the lumbar spine in China,the Chinese Study Group of Minimal Invasive Spinal Surgery,Chinese Association of Spine and Spinal Cord,and Chinese Study Group for Lumbar Spine,Chinese Association of Spine and Spinal Cord,of the Chinese Association of Rehabilitation Medicine have taken the lead in developing this Chinese expert consensus on the application PELIF through a modified Delphi survey study method for the reference of our colleagues.The consensus covers the following aspects of the PELIF:indications and contraindications,advantages and disadvantages,preoperative evaluation,anesthesia methods and surgical procedures,treatment and prevention of complications,and postoperative follow-up.
作者
中国康复医学会脊柱脊髓损伤专业委员会脊柱微创学组
中国康复医学会脊柱脊髓专业委员会腰椎研究学组
海涌
周跃
杨晋才
尹鹏
韩渤
祝斌
Chinese Study Group for Lumbar Spine,Chinese Association of Spine and Spinal Cord,Chinese Association of Rehabilitation Medicine;Chinese Study Group of Minimal Invasive Spinal Surgery,Chinese Association of Spine and Spinal Cord,Chinese Association of Rehabilitation Medicine;Hai Yong;Zhou Yue(不详;Department of Orthopedics,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Department of Orthopaedics,First Affiliated Hospital(Xinqiao Hospital),Army Medical University,Chongqing 400037,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2023年第5期329-335,共7页
National Medical Journal of China
基金
首都卫生发展科研专项(2020‑2‑2038)
关键词
脊柱
内镜
腰椎
椎间融合术
并发症
专家共识
Spine
Endoscope
Lumbar spine
Interbody fusion
Complications
Consensus of experts
作者简介
通信作者:海涌,首都医科大学附属北京朝阳医院骨科,北京100020,Email:yong.hai@ccmu.edu.cn;通信作者:周跃,陆军军医大学第二附属医院(新桥医院)骨科,重庆400037,Email:happyzhou@vip.163.com
