OLIF技术的中国经验——十年磨剑,风华正茂

Chinese experience of OLIF technique:ten years of grinding sword and in the prime of life

斜外侧腰椎椎间融合术(OLIF)进入中国已10年,其因独特的优势和确切的疗效而不断发展与推广。OLIF能实现椎管和椎间孔的间接减压,更好地恢复椎间隙高度和腰椎序列,保护腰椎结构的完整性,最大限度减少对脊髓神经的影响,术中出血少,患者术后即可下床行走,有助于患者术后的快速康复。随着浙江大学医学院附属邵逸夫医院脊柱外科团队对该项技术的理念革新和中国化改良,其技术优势进一步得以体现,同时应用范围逐渐扩大、手术安全性不断提高。笔者结合团队10年的经验,就OLIF的几个关键问题进行探讨。

Oblique lumbar interbody fusion(OLIF)has been in China for 10 years,it has been developed and promoted continuously because of its unique advantages and definite efficacy.OLIF can achieve indirect decompression of spinal canal and intervertebral foramen,better restore intervertebral height and lumbar spine sequence,protect the integrity of lumbar structure,and maximize the reduction of spinal cord nerve harassment,with less intraoperative bleeding volume;in addition,patients could get out of bed and walk immediately after surgery,and OLIF is helpful for patients'postoperative rapid recovery.With the concept innovation and Chinese modification of this technique by the spine surgery team of Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,the advantages of this technique have been further presented,the application scope has been gradually expanded,and the safety of surgery has been continuously improved.Based on the 10-year experience of the team,the author discusses several key issues of OLIF.