摘要
退行性腰椎管狭窄症(DLSS)已成为骨科最常见的疾病之一。随着微创诊疗技术和加速康复外科(ERAS)理念的发展,DLSS的诊断和治疗方法有了很大变化,有必要对现有的诊疗指南或共识进行补充和更新。通过采用改良Delphi调查研究法和检索文献,制定调查问卷,经国内脊柱外科知名专家反复讨论,针对DLSS的诊断和治疗方法达成共识,供广大医务工作者参考。本共识主要内容包括DLSS的概述、诊断、非手术治疗、手术治疗和围手术期ERAS管理。
Degenerative lumbar spinal stenosis(DLSS)has become one of the most common orthopaedic diseases.With the development of minimally invasive techniques and enhanced recovery after surgery(ERAS)concept for spinal surgery,the diagnosis and treatment of DLSS have changed significantly,and there is a need to supplement and update existing guidelines or consensus.Through the improved Delphi survey and research method,literature retrieval and the formulation of questionnaire,after several rounds of discussion by domestic well-known spine surgery experts,the consensus was reached on the diagnosis and treatment of DLSS,which can be used as a reference for the majority of medical workers.This consensus mainly includes:definition,diagnosis,non-surgical treatment,surgical treatment and perioperative ERAS management of DLSS.
作者
中国康复医学会骨质疏松预防与康复专业委员会
中国老年保健协会骨科微创分会
邱贵兴
杨惠林
Osteoporosis Prevention and Rehabilitation Professional Committee of China Rehabilitation Medical Association;Orthopaedics Minimally Invasive Branch of China Geriatric Health Association
出处
《中华骨与关节外科杂志》
CSCD
2023年第2期97-103,共7页
Chinese Journal of Bone and Joint Surgery
基金
国家自然科学基金重点项目(82030068)
江苏省科技计划专项资金(重点研发计划社会发展)(BE2022730)。
关键词
腰椎管狭窄
退行性
诊疗
微创
加速康复外科
Lumbar Spinal Stenosis
Degenerative
Diagnosis and Treatment
Minimally Invasive
Enhanced Recovery After Surgery