经皮内镜椎板间入路腰椎管减压椎间盘切除术加速康复专家共识(2020)

Expert consensus on the implementation of enhanced recovery after surgery in percutaneous endoscopic interlaminar lumbar decompression/discectomy(2020)

近年来,加速康复外科(enhanced recovery after surgery,ERAS)在脊柱外科广泛应用,取得了良好效果。为了细化ERAS实施流程,规范其在经皮内镜椎板间入路腰椎管减压椎间盘切除术(percutaneous endoscopic interlaminar lumbar decompression/discectomy,PEID)中的应用,作者通过查阅文献,遵循循证医学原则,并经过中国康复技术转化及发展促进会骨科加速康复专业委员会脊柱微创加速康复学组专家反复讨论,最终编辑整理完成本共识。共识从规范手术操作、减少手术创伤和并发症、优化围术期疼痛与睡眠管理、预防静脉血栓形成,以及指导患者功能训练、围术期宣教等方面提供了推荐建议,供广大脊柱外科医师参考应用。

In recent years,enhanced recovery after surgery(ERAS)has been widely used in spine surgery and achieved satisfactory results.In order to standardize the ERAS implementation process and application in percutaneous endoscopic interlaminar lumbar decompression/discectomy(PEID),we reviewed the literatures and cited evidence-based medicine data,and had a national comprehensive discussion among experts of the Group of Minimally Invasive Spinal Surgery and Enhanced Recovery,Professional Committee of Orthopedic Surgery and Enhanced Recovery,Association of China Rehabilitation Technology Transformation and Promotion.Altogether,the up-to-date expert consensus have been achieved.The consensus may provide the reference for clinical treatment in aspect of the standardization of surgical operations,the reduction of surgical trauma and complications,the optimization of perioperative pain and sleep management,the prevention of venous thrombosis,and the guidance of patients’functional training and perioperative education.